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Application Print

The document is an application form for the Gramin Dak Sevak (GDS) engagement for January 2025, containing personal details, educational qualifications, and declarations from the candidate. It includes information such as the candidate's name, contact details, educational marks, and preferences for various posts within the Karnataka, Kolar Division. The candidate affirms their eligibility and understanding of the application process, along with a commitment to provide necessary documentation upon selection.

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0% found this document useful (0 votes)
16 views4 pages

Application Print

The document is an application form for the Gramin Dak Sevak (GDS) engagement for January 2025, containing personal details, educational qualifications, and declarations from the candidate. It includes information such as the candidate's name, contact details, educational marks, and preferences for various posts within the Karnataka, Kolar Division. The candidate affirms their eligibility and understanding of the application process, along with a commitment to provide necessary documentation upon selection.

Uploaded by

gauthamkig
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Online

Gramin Dak
Sevak
Engagement

Candidate Application Form

Registration Application Choose Print


✓ ✓ ✓ ✓
Details Form Preferences Application

GDS Online Engagement


Schedule-I, January-2025
Application
Personal Details

Registration
2579A4EA7B47CF
Number

Father/Mother
Name NETHRAVATHI T V VENKATESHAPPA
Name
Aadhar
Mobile *******282 ********0962
Number
email ID MOHANWIN2199********** Date of Birth : 01/04/1995

Gender : Female Category: SC


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

Address Details
Present Address Permanent Address
Yannangur Yannangur
Door No. Village Door No. Village
Street Nagamangala Street Nagamangala
Post Post
Shidlaghatta Shidlaghatta
City/Village City/Village
Talluk Talluk
Chikkaballapur Chikkaballapur
Panchayat/Mandal/Dist Panchayat/Mandal/Dist
Dist Dist
Pincode 562102 Pincode 562102

Marks/Grades/Points
Karnataka
Secondary
State & Year of
Karnataka - 2011 Board Education
Passing 10thclass
Examination
Board(1994-2014)

Result Type Marks Board Remarks: -

Subject Marks/Grades/Points

Science 55

First Language -
115
Kannada

Mathematics 39

Social Science 81

Second Language -
72
English

Third Language -
75
Hindi

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 undertake that I have not been 'removed/dismissed/compulsaory retired'
as Govt. Servent/Gramin Dak Sevak
10. 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.
11. I hereby give my consent for verification of my mark sheet of Secondary
Level Examination of Class X standard through API Setu.

Date: 03/03/2025 20:52:25

Annexure - Posts applied for Karnataka, Kolar Division with Preference


order:
Preference Post Name
1 Doddamarali B.O-GDS BPM - SC - Rs.12000 (Kannada)
2 Kolar H.O-GDS ABPM - SC - Rs.10000 (Kannada)
3 Muddenahalli B.O-GDS ABPM - SC - Rs.10000 (Kannada)
4 Kethenahalli B.O-GDS BPM - SC - Rs.12000 (Kannada)
5 Srirampura B.O-GDS BPM - SC - Rs.12000 (Kannada)
6 Chinnsandra B.O-GDS BPM - SC - Rs.12000 (Kannada)
7 Devaramallur B.O-GDS BPM - SC - Rs.12000 (Kannada)
8 Pallicherlu B.O-GDS BPM - SC - Rs.12000 (Kannada)
In case of selection,the physical verification of original documents will be
carried out at the Division where the vacancy is notified. Refer to paragraph
9(iii) of the Notification

GDS Online Engagement Schedule I, January-2025

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