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.
