FORM OF APPLICATION FOR THE POST OF GDSBPM



FORM OF APPLICATION FOR THE POST OF GDSBPM …………………………….. B.O. IN ACCOUNT WITH …………………… S.O. UNDER ……………………………… H.O.

1.
Name of the applicant
(IN BLOCK LETTERS including Surname)
:

2.
Father’s Name

:

3.
Present address in full with PIN Code No.

:

4.
Permanent home address

:

5.
Educational qualification (Proof to be attached. Copy of Matriculation pass certificate or equivalent certificate)
:

6.
Date of birth (in words and figure) (Proof to be attached. Copy of Matriculation pass or equivalent certificate or transfer certificate where DOB is recorded)
:

7.
Whether the applicant belongs to SC/ST/OBC community: (If so, proof to be attached. Certificater in the prescribed form given by the competent revenue authorities)
:

8.
State whether the applicant

(a) Holds any Government Post

:


(b) Holds any elected Post

:


(c) Is involved in any criminal case

:


(d) Has been convicted by any Court of Law

:

9.
(a) Whether the applicant will take up residence at Post village after selection and before appointment to the post of BPM
(b) Whether the applicant will provide residence at the post village for functioning of the Branch Post Office on his own arrangement after selection and before appointment to the post(The above are the pre conditions for appointment as GDS BPM)
:

10.
Is the applicant an agent of the LIC or any other insurance/financial company?
:

11.
Whether the applicant knows cycling

:

12.
Any other relevant information

:

DECLARATION

I ……………………………………….. hereby declare that the particulars furnished by me above are true to the best of my knowledge and belief.
                                                                                                Signature of the applicant
Station:
Date:
Enclosures:
1.
2.



Instructions to the applicants

1.                 The application should be filled in by the applicant in his/her own hand.
2.                 All the columns should be correctly and legibly filled in. No blank should be left. The word Nil should be written if the answer is nil for any item.
3.                 Attested copies of certificates of date of birth, educational qualification etc. should be enclosed. NO ORIGINAL CERTIFICATES should be sent under any circumstances.
4.                 The applicants will note that no weightage will be given for higher qualifications, achievement in the field of sports, etc. So they are advised NOT TO ENCLOSE COPIES OF SUCH CERTIFICATES.
5.                 The applications enclosures should be neatly tied with tag or twine to prevent their detachment.
6.                 Applications complete in all respects should be sent to Senior Superintendent of Post Offices, Koraput Division, Jeypore (K), Odisha, PIN-764001 so as to reach him on or before the Last date prescribed. The envelope containing the application must be superscribed as ‘Application for the post of Gramin Dak Sevak BPM at ………………. BO in account with ……………..SO.
7.                 Application should be sent by Registered Post with acknowledgement due so as to reach on or before Last date fixed.
8.                 No correspondence should be undertaken by the applicants about selection, etc after submission of application.
9.                 The applicant should not bring any Political or any other influence to future their interests in course of selection.
10.            If it is noticed subsequently that any information furnished by the applicant is false and the applicant got selected by virtue of this, the services of the applicant will be terminated forthwith without assigning any reason.
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