Dear Comrades,
Annexure-I
Proforma Application
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Application for appearing in the
Limited Competitive Examination for filing up of posts of Postman/ Mail Guard
to be held on 03.03.2013 (Sunday)
(To be filled in by the candidate in his/her own
handwriting)
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1
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Name
of the MTS / GDS in full
(In
Block Letter)
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2
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Community
of the MTS (Whether SC/ST/OBC) (For MTS only)
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3
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Office
where working
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4
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Date
of birth (as recorded in Educational Certificate/ Office record)
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5
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Age
as on 1st January 2011
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6
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Date
of joining in the Department as GDS (For GDS only)
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7
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Whether
completed a minimum of 5 years of satisfactory service as on 1st
January 2011 (in case of GDS only)
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8
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Date
of joining in the Department as MTS (Erstwhile Gr-D) on regular basis (in
case of MTS only)
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9
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Whether completed 3 years of regular service as on
1st January 2011[in the case of MTS (Erstwhile Gr.D) only]
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10
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If
the applicant is physically handicapped. If so, the required supporting
document should be furnished.
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11
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Whether
the GDS is willing to work anywhere in the neighbouring Division/Unit if he/she
qualifies in the examination.
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12
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Centre
for which applied for (Bhubaneswar for HQ Region/ Berhampur for Berhampur
Region/ Sambalpur for Sambalpur Region)
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13
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Whether
opts to answer in Hindi/ English
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Declaration
I do hereby declare that the information furnished by
me above are true to the best of my knowledge and belief.
Place
__________________
Date
___________________
Signature of the applicant in full
Certificate to be furnished by the Unit/ Sub-Divisional
head
Certified to be furnished by the candidate/ applicant
at Serial No. 1 to 10 have been verified with reference to their service
records and are found to be correct. His/her records of service are found to be
satisfactory/ unsatisfactory and hence his/her case is recommended/ not
recommended.
Signature of Head of the Unit/ Division
with date and
office seal
