Post Office Form Shivam
Post Office Form Shivam
Online
Gramin Dak
Sevak
Engagement
Candidate Application Form
Personal Details
Registration
25159EAC449B14
Number
Father/Mother BRAJESH
Name SHIVAM CHAUDHARY
Name KUMAR SINGH
Mobile *******466 Aadhar Number ********3070
email ID SHIVA82370********** Date of Birth : 05/08/2002
Gender : Male Category: OBC
Can You ride a
PH : - Yes
bicycle
Whether
Whether
No Employer NOC is No
Employed :
available
Address Details
Present Address Permanent Address
Door No. 87 Door No. 87
Street Hanuman Garh Street Hanuman Garh
City/Village Firozabad City/Village Firozabad
Panchayat/Mandal/Dist Firozabad Panchayat/Mandal/Dist Firozabad
Pincode 283203 Pincode 283203
Marks/Grades/Points
Board of High
School and
State & Year of
Uttar Pradesh - 2017 Board Intermediate
Passing 10thclass
Education,Uttar
Pradesh, Allahabad
about:blank 1/3
2/28/25, 7:47 PM about:blank
Subject Marks/Grades/Points
Mathematics 63
English 83
Social Science 85
Science 76
Hindi 58
Drawing / Chitrakala 85
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.
about:blank 2/3
2/28/25, 7:47 PM about:blank
Annexure - Posts applied for Uttar Pradesh, Agra Division with Preference
order:
Preference Post Name
1 Barenda BO-GDS BPM - OBC - Rs.12000 (Hindi)
2 Puseta BO-GDS BPM - OBC - Rs.12000 (Hindi)
3 Sikrara BO-GDS BPM - OBC - Rs.12000 (Hindi)
4 Birharu BO-GDS ABPM - OBC - Rs.10000 (Hindi)
5 Dayal Bagh-GDS ABPM - OBC - Rs.10000 (Hindi)
6 Mau BO-GDS ABPM - OBC - Rs.10000 (Hindi)
7 Mukhbar BO-GDS ABPM - OBC - Rs.10000 (Hindi)
8 Wazitpur BO-GDS ABPM - OBC - Rs.10000 (Hindi)
9 Agwar BO-GDS BPM - UR - Rs.12000 (Hindi)
10 Bhilawali BO-GDS ABPM - UR - Rs.10000 (Hindi)
11 Bichola BO-GDS ABPM - UR - Rs.10000 (Hindi)
12 Bisalpur BO-GDS BPM - UR - Rs.12000 (Hindi)
13 Dauki BO-GDS ABPM - UR - Rs.10000 (Hindi)
14 Kaulara Kalan BO-GDS BPM - UR - Rs.12000 (Hindi)
15 KHANDAULI SO-GDS ABPM - UR - Rs.10000 (Hindi)
16 Mahwatpur BO-GDS ABPM - UR - Rs.10000 (Hindi)
17 Murkia BO-GDS BPM - UR - Rs.12000 (Hindi)
18 Poiya Tarrakpur BO-GDS BPM - UR - Rs.12000 (Hindi)
19 Pura Kanhera BO-GDS ABPM - UR - Rs.10000 (Hindi)
20 Shahpur Brahman BO-GDS BPM - UR - Rs.12000 (Hindi)
21 Tehu BO-GDS ABPM - UR - Rs.10000 (Hindi)
about:blank 3/3