7/25/23, 1:06 PM Gmail – Joining Formalities Started

Life on Wheels <indrasisgun7921@gmail.com>

Joining Formalities Started

Tue, Jul 25, 2023 at 1:06 PM

IndiaPostDOP <noreply@recruitment.indiapostgdsonline.gov.in>
To: Life on Wheels <indrasisgun7921@gmail.com>

Notice for Joining:

Dear Applicant,

With due respect you (Indrasis Gun: Application Number

HR4CD41E94A8B4) are requested to join and take charge at the post of
Branch Post Master (BPM) at Ellenbury Tea Garden Branch Office,
Jalpaiguri by appearing at the Office of the SSP, South Kolkata Division
(West Bengal Circle), either on July 27, 2023 or on July 28, 2023 along with
the below mentioned documents duly filled in.

Please take a note that the Character Certificate must be signed by the
th
head of the educational institution from where you have passed the 10
standard.
Also bring the following documents with you without fail:
1. Documents Booklet
2. Passport sized photograph – 4 copies
3. Bank passbook copy of Single Account of the Applicant
th
4. Copy of 10 standard marksheet
th
5. Copy of 10 standard certificate

Your official service will commence on and from August 01, 2023 and
In Service Training Period will be from August 02, 2023 to August 08,
2023 (excluding holidays).

The Department of Posts is looking forward to welcome you.

With regards,
Department of Posts,
Ministry of
Communications,
Government of India.
7/25/23, 6:39 PM about:blank

Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details

Registration
HR4CD41E94A8B4
Number

Father/Mother SUBHASIS
Name INDRASIS GUN
Name GUN
Mobile *******515 Aadhar Number ********9254

email ID INDRASISGUN7921********** Date of Birth : 22/10/1996

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

Address Details
Present Address Permanent Address
Opposite to Opposite to
Rash Mela Rash Mela
Door No. Door No.
Maidan Maidan
Street Street
Silver Jubilee Silver Jubilee
Road Road
City/Village Coochbehar City/Village Coochbehar
Panchayat/Mandal/Dist Coochbehar Panchayat/Mandal/Dist Coochbehar
Pincode 736101 Pincode 736101

Marks/Grades/Points
West Bengal
Board of
State & Year of Passing
th West Bengal - 2013 Board Secondary
10 class Education from
2012 onwards
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7/25/23, 6:39 PM about:blank

Result Type Marks Board Remarks: -

Subject Grades
Second Language English AA
Geography AA
History AA
Mathematics AA
Life Science AA
Physical Science AA
Optional Elective Subject
(Note: Please enter 0 if no AA
additional/compulsory
subject opted)
First Language Bengali A+

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
tablet 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 and will not engage 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 after 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/Dak Sevak
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/Dak Sevak 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 understand that I
shall be liable for criminal/legal action for producing any of false details/documents
etc.

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7/25/23, 6:39 PM about:blank

Date: 22/05/2023 20:47:18

Preference Post Name

1 Coochbehar Division BPM - UR - Rs.12000 (Bengali)
2 Jalpaiguri Division BPM - UR - Rs.12000 (Bengali)
3 Kalimpong Division BPM - UR - Rs.12000 (Bengali)

PRINT

about:blank 3/3
 CHARACTER CERTIFICATE

1. Certified that I have known Shri son

of Shri for the last Years Months and that

to the best of my knowledge and belief he bears reputable character and has no antecedents

which render him unsuitable for Government employment.

2. Shri is not related to me.

Place Signature

Date Designation
 ANNEXURE-I
ATTESTATION FORM
WARNING:
1. The furnishing of false information or suppression of any factual information in
the Attestation Form would be a disqualification, and is likely to render the
candidate unfit for employment under the Government.

2. If detained, arrested, prosecuted, bound down, fined, convinced, debarred,

acquitted etc. subsequent to the completion and submission of this form, the Affix Attested
details should be communicated immediately to the authorities to whom the Passport Size
attestation form has been sent early, failing which i t will be deemed to be a Photograph
suppression of factual information.

3. If the fact that false information has been furnished or that there has been
suppression of any factual information in the attestation form comes to notice at
any time during the service of a person, his services would be liable to be
terminated.

1. Name in full (in block capitals) with NAME SURNAME

aliases, if any please indicate if you have
added or dropped in any stage any part
of your name or surname.
2 Present Address in full (i.e. Village Thana
and District, or House No. Lane
/ Road and Town.)

3 Home Address in full i .e. Village, Thana,

and District or House No. Lane/ Street/
Road and Town and name of Distt.
Headquarters

4. Aadhar No.

5. PAN Number

6. Nationality

7. a) Date of Birth a)

b) Present Age b)

c) Age at Matriculation c)

8. a) Place of birth, District and a)

State in which situated.

b) District and State to which b)

you belong.

c) District and St ate to which c)

your father originally belong

9. a) Your religion

b) Are you a member of a

Scheduled Cast e/ Scheduled
Tribe? Answer ‘Yes or No’.
10. Particulars of places (with periods, of residences) where you have resided for more than one year at a time during the
preceding five years. In case of stay abroad (including Pakistan) particulars of all places where you have resided for
more than one year after attaining the age of 21 years should be given.

From To Residential address in full (i.e. Village, Name of the District Headquarter or the
Thana and Distt. Or House No. Lane / place mentioned in the preceding column.
Street / Road and Tow n).

11. Name Nationality Place of Occupation Present postal Permanent

(Name in full (by birth & or Birth (if employed address give Home Address
aliases, i f any) by domicile) designation & last address
official address
i) Father

ii) Mother

iii) Wife/
Husband

iv)
Brother(s)

v) Sister(s)

12. Information to be furnished with regard to son( s) and / or daughter( s) in case they
are studying / living in a foreign country.
Name Nationality Place of Birth Country in which Date from which
(by birth and studying/ living with studying / living in
/ or by domicile full address the country
mentioned in
previous column.
 th
13. Educational Qualification showing places of education with years in Schools and Colleges since 15 years of
age.
Name of School/ College with full Address Date of entering Date of leaving Examination Passed.

14.(A) Are you holding or have any time held an appointment under the Central or St ate Govt . or a
Semi-Govt. or a Quasi-Govt. body, or an autonomous body, or a public undertaking, or a private
firm or institution? If so, give full particulars with dates, or employment up-to-date.
From To Designation, Full name &Address of Reason for leaving
emoluments & nature Employer. previous service.
of employment.

14.(B) If the previous employment was under the Govt . of India a State Govt . / an undertaking owned or
controlled by the Govt . of India or a Stat e Govt . an Autonomous body/ University/ Local Body.

If you had left service on giving a month’s notice under the rule 5 of the Central Civil Services
(Temporary Service) Rules, 1965, or any similar corresponding rules where any disciplinary
proceedings framed against you, or had you been called upon to explain your conduct in any matter at
the time you gave notice or termination of service, or at a subsequent date, before your services
actually terminated?

15.(1) a) Have you ever been arrested? Yes/ No

b) Have you ever been prosecuted? Yes/ No
c) Have you ever been kept under detention? Yes/ No
d) Have you ever been bound down? Yes/ No
e) Have you ever been fined by a court of Law? Yes/ No
f) Have you ever been convinced by a court of Law for any offence? Yes/ No
g) Have you ever been debarred from any examination or rusticated by Yes/ No
any University or any other educational
authority/ institution?
h) Have your ever been debarred / disqualified by any Public Service Yes/ No
Commissi on / Staff Select ion Commission
For any of its examination/ selection?
i) Is any case pending against you in court of Law at the Time of fi lling up Yes/ No
this attestation form?
j) Is any case pending against you in any University or Any other Yes/ No
educational authority / Institution at the time of fi lling up this
Attestation Form ?
k) Whether discharged / expelled/ withdrawn from any Training Yes/ No
institution under the Government or otherwise?
 15.(2) If the answer to any of the above mention question is ‘Yes” give full particulars of the
case/ arrest/ detention/ fine/ conviction/ sentence/ Punishment etc. and or the nature of the
case pending in the court/ University/ Educational Authority etc. at the time of filling up this
form.

NOTE:- (i) Please also see the ‘warning’ at the top of this Attestation form

Specific answers to each of the question should be given by striking out ‘Yes ‘ or ‘No’ as the
(ii)
case may be.

16 Name of two responsible 1)

persons of your locality or two
references to whom you are
know n
2)

I certify that the foregoing information is correct and complete to the best of my knowledge and belief.
I am fully aware that y providing false information or suppressing material information while filling this form the
authorities have full right to terminate my appointment letter and I am also liable for appropriate criminal/ civil action as a
consequence.
I am not aware of any circumstances, which might impair my fitness for employment under Government.

Signature of candidate Date

Place

TO BE FILLED BY THE OFFICE

Name, Designation and full address of the appointment authority.

Post for which the candidate is being considered.

 Self-Declaration
DECLARATION TOBEOBTAINED FROMNEW ENTRANTSTO
GOVERNMENT SERVICES

I, Shri/Smt./Kumari ,
Son/ Daughter of Shri
resident of

hereby declare that all facts and details given by me in the verification form and other
documents are correct as best to my knowledge and belief.

Date :- Signature

Place :
 DECLARATION AND CERTIFICATE OF NATIONALITY

I do hereby certify that I am an and a native of India.

I also declare that I have never been pronounced unfit for Government employment by a
Medical Board or any other duly constituted medical authority.

Dated Signature of candidate