9/19/2021

Online Gramin Dak Sevak

Engagement
Candidate Application Form
Personal Details

Registration Number DR4DCC5E4B3E64

GAUTAM KUMAR
Name KM ANSHIKA MISHRA Father/Husband Name
MISHRA
Mobile *******477 Aadhar Number ********9039

email ID manshika572@gmail.com Date of Birth : 08/05/2002

Gender : Female Category: UR
PH : - Can You ride a bicycle Yes
Whether Employer NOC is
Whether Employed : No No
available

Address Details
Present Address Permanent Address
Door No. 30 Door No. 30
Street KARANPUR Street KARANPUR
City KARANPUR City KARANPUR
Dist GONDA Dist GONDA
Pincode 271313 Pincode 271313

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Marks/Grades/Points
Board of High School and
Intermediate
State of Passing 10thclass Uttar Pradesh Board
Education,Uttar Pradesh,
Allahabad

Result Type Marks Board Remarks: N

Compartmental/Supplementary/Trail No
Subject Marks/Grades/Points
Mathematics 85
English 91
Social Science 64
Science 84
Hindi 85
Drawing / Chitrakala 89

Documents Uploaded:
1. DR4DCC5E4B3E64_SSC.jpg

Declarations:
I hereby declare that the information furnished above is true and correct to the best of my knowledge and that if the
information proved to be false at a later date, I am liable for such action that may be taken by the department
I have studied and understood the notification and found myself eligible for applying to this post. This is not a
duplicate Registration. If found duplicate my entire candidature will be cancelled
I hereby undertake to declare that I will reside in the Branch Post Office village within one month from selection, if
selected as Gramin Dak Sevak Branch Postmaster.

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I hereby undertake to declare that I have other sources of income besides the allowances to be paid by the Government
for adequate means of livelihood for myself and my family.
I hereby undertake to declare that my candidature will be cancelled If I failed to produce computer certificate as per the
requirement, if got selected.
I hereby declare that, I have passed all the mandate subjects and having knowledge of local language as per the
notification requirements and uploaded the copy of original certificates.
I have submitted genuine certificates only and I know my candidature will be disqualified in case the certificate found
fake/ingenuine at any later point of time.

Date: 18/09/2021 23:54:09

Annexure - Posts applied with Preference order:

S.No Preference Circle Post Name Applied On
1 1 Uttar Pradesh Alimuddinpur B.O-UR-10000 19/09/2021 08:06:09
2 2 Uttar Pradesh Garha B.O-UR-10000 19/09/2021 08:06:09
3 3 Uttar Pradesh Naganpur B.O-UR-12000 19/09/2021 08:06:09
4 4 Uttar Pradesh Chandasi B.O-UR-12000 19/09/2021 08:06:09
5 5 Uttar Pradesh Gothaura B.O-UR-12000 19/09/2021 08:06:09

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