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Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
HR31EC77482FDC
Number

Father/Mother BAJERAM
Name NITIN PATIDAR
Name PATIDAR
Mobile *******714 Aadhar Number ********9693
email ID NIPATIDAR0********** Date of Birth : 04/11/2000
Gender : Male Category: OBC
Can You ride a
PH : - Yes
bicycle
Whether Whether Employer
No No
Employed : NOC is available

Address Details
Present Address Permanent Address
Door No. 16 Door No. 16
Street Main Road Street Main Road
City/Village Ekalduna City/Village Ekalduna
Panchayat/Mandal/Dist Dhar Panchayat/Mandal/Dist Dhar
Pincode 454773 Pincode 454773

Marks/Grades/Points
Central Board of
State & Year of Passing
Madhya Pradesh - 2017 Board Secondary
10thclass
Education

Result Type Grades Board Remarks: N

Subject Marks/Grades/Points
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Mathematics C2
Hindi -A / Hindi- B B2
English Communicative /
English Language & C1
Literature
Science C1
Social Science B2
CGPA (As entered by
6.2
candidate)

Declarations:
1. I am able to ride bicycle/scooter/motor cycle for performing my duty as a GDS
BPM/ABM/Dak Sevaks.(Annexure III)
2. I declare that I have not done any duplicate registration with another email/mobile
number and I understood that my candidature will be disqualified for all the purposes
if found as duplicate registration.
3. I hereby undertake to declare that I am a computer literate and I will be able to use
smart phone/laptop/handheld device supplied by the Department from the first day of
engagement.
4. I will have other sources of income besides the TRCA and allowances to be paid by
the Government to support livelihood for myself and my family, in the event of my
engagement to the post of Gramin Dak Sevak BPM/ABPM/Dak Sevaks. (Annexure
IV)
5. I am not holding an elective office will be considered for engagement to the post and
does not engaged in any activity with any outside agency, which would be detrimental
to the business or interest of the Post Office
6. I have studied and understood the condition of residence and accommodation as per
the notification clause 12 and here by declare that I will be abiding to meet the
requirements if got the engagement
7. I declare that I will submit the required certificates of 10th Marks Memo, Photograph,
Identity Proof, community(SC/ST/OBC)/disability(PWD A/B/C/D/E)/EWS in the
prescribed format at the time of document verification if got engagement
8. I undertake that I have studied notification document thoroughly and found myself
eligible for the post of GDS/ABPM/DakSevak
9. I hereby undertake to declare that, the details furnished by me (i.e.
Age/Address/Educational qualifications/Computer knowledge/EWS/PwD/Casteetc.)
on the basis of which I am applying for the posts of GDSBPM/ABPM/DakSevak are
true to the best of my knowledge and belief . I also undertake that, in case, any detail
submitted by me is found to be false at any stage of engagement process/during
engagement, my candidature shall be liable to be rejected against all the vacancies,
applied for, or after my engagement, I shall be terminated under GDS (Conduct and
Engagement) Rules. I also understood that I shall be liable for criminal/legal action
for producing any of false details/documents etc.

Date: 29/01/2023 09:52:25

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Annexure - Posts applied for Madhya Pradesh, Indore Moffusil Division with
Preference order:
Preference Post Name
1 Dighthan B.O-GDS ABPM - UR - Rs.10000 (Hindi)
2 Eklera B.O-GDS ABPM - UR - Rs.10000 (Hindi)
3 Double Chowki B.O-GDS ABPM - OBC - Rs.10000 (Hindi)
4 Bagdi B.O-GDS ABPM - UR - Rs.10000 (Hindi)
5 Barkheda Soma B.O-GDS ABPM - OBC - Rs.10000 (Hindi)
6 Baloda B.O-GDS BPM - UR - Rs.12000 (Hindi)
7 Tanda B.O-GDS ABPM - UR - Rs.10000 (Hindi)
8 Bamnikhurd B.O-GDS ABPM - OBC - Rs.10000 (Hindi)
9 Tappa Suklia B.O-GDS ABPM - UR - Rs.10000 (Hindi)
10 Bedgaon B.O-GDS ABPM - UR - Rs.10000 (Hindi)
11 Bhatkhedi B.O-GDS BPM - UR - Rs.12000 (Hindi)
12 Bakhatgarh B.O-GDS ABPM - UR - Rs.10000 (Hindi)
13 Bachhoda B.O-GDS ABPM - UR - Rs.10000 (Hindi)
14 Babai B.O-GDS ABPM - UR - Rs.10000 (Hindi)
15 Anwalia Piplia B.O-GDS ABPM - UR - Rs.10000 (Hindi)
16 Bisnawada B.O-GDS ABPM - UR - Rs.10000 (Hindi)
17 Burada B.O-GDS ABPM - UR - Rs.10000 (Hindi)
18 Chaubapipliya B.O-GDS ABPM - UR - Rs.10000 (Hindi)
19 Chaubapipliya B.O-GDS BPM - UR - Rs.12000 (Hindi)
20 Chhokla B.O-GDS BPM - UR - Rs.12000 (Hindi)
21 Chikhalda B.O-GDS BPM - UR - Rs.12000 (Hindi)
22 Deogarh B.O-GDS ABPM - UR - Rs.10000 (Hindi)
23 Gokulpur B.O-GDS ABPM - UR - Rs.10000 (Hindi)
24 Jajamkhedi B.O-GDS BPM - UR - Rs.12000 (Hindi)
25 Kadod B.O-GDS ABPM - UR - Rs.10000 (Hindi)
26 Kalmer B.O-GDS BPM - UR - Rs.12000 (Hindi)
27 Kanadia B.O-GDS BPM - UR - Rs.12000 (Hindi)
28 Kankariya B.O-GDS ABPM - UR - Rs.10000 (Hindi)
29 Katkut B.O-GDS ABPM - UR - Rs.10000 (Hindi)
30 Khedi Sihod B.O-GDS ABPM - UR - Rs.10000 (Hindi)
31 Khurdi B.O-GDS ABPM - UR - Rs.10000 (Hindi)
32 Kod B.O-GDS BPM - UR - Rs.12000 (Hindi)
33 Kolari B.O-GDS ABPM - OBC - Rs.10000 (Hindi)
34 Kolari B.O-GDS BPM - UR - Rs.12000 (Hindi)
35 Konda B.O-GDS ABPM - UR - Rs.10000 (Hindi)
36 Kudana B.O-GDS BPM - UR - Rs.12000 (Hindi)
37 Kunjrota B.O-GDS ABPM - UR - Rs.10000 (Hindi)
38 Lebadchowki B.O-GDS BPM - UR - Rs.12000 (Hindi)
39 Lingwa B.O-GDS ABPM - UR - Rs.10000 (Hindi)
40 Lohari B.O-GDS ABPM - UR - Rs.10000 (Hindi)
41 Matmor B.O-GDS ABPM - UR - Rs.10000 (Hindi)
42 Murjhal B.O-GDS BPM - UR - Rs.12000 (Hindi)
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43 Nalcha B.O-GDS ABPM - UR - Rs.10000 (Hindi)

44 Piplani B.O-GDS ABPM - UR - Rs.10000 (Hindi)
45 Piplia B.O-GDS ABPM - UR - Rs.10000 (Hindi)
46 Sawasada B.O-GDS ABPM - UR - Rs.10000 (Hindi)
47 Talwadi B.O-GDS BPM - UR - Rs.12000 (Hindi)

Division selected for document verification is Indore Moffusil Division (Madhya

Pradesh)

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