1129123, 11:45 AM. aboutblank SMART SID Online Bepartment of Posts epart i : etretearmanes"s Gramin Dak India et Sevak Engagement Candidate Application Form Personal Details Registration R334EE45SA8BE [Number MANNAM Name IMANNAM SRUTHI frather/Mother |v DHAVA. fame RAO [Mobile fewwnene 732 |Aadhar Number |*******#5231 lemail ID 'SRUTHIMANNAM28*******#** [Date of Birth: |28/11/2001 IGender Female \Category: EWS PH: L c= Youridea |, icycle [Whether pnether a. No Employer NOC |No ploy is available Address Details Present Address Permanent Address [Door No. i450 [Door No (4-50 Street kalavalla Street Kkalavalla City/Village ikalavalla City; Village Kkalavalla IPanchayat/MandalDist_|*@letivari IPanchayaMandav/Dist_|Y@letivari ale Ipalem [Pincode 523113 [Pincode [523113 Marks/Grades/Points State & Year of Passing [Andhra Pradesh-2017 Board [BOARD OF 10" class SECONDARY |EDUCATION |ANDHRA PRADESH FROM about blank1129129, 1145. AM aboutblank about blank 2012 TO '2019(GRADES) Result Type (Grades [Board Remarks: N Subject (Marks/Grades/Points SECOND LANGUAGE Al (HINDD FIRST Al LANGUAGE(TELUGU) GENERAL SCI iCE Al SOCIAL STUDIES AL MATHEMATICS Al THIRD Al LANGUAGE(ENGLISI) Declarations: 1, am able to ride bicycle/scooter/motor cycle for performing my duty as a GDS BPM/ABM/Dak Sevaks.(Annexure IIT) 2. [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. Thereby 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, Iwill 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. Lam 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. [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 7.1 declare that I will submit the required certificates of 10th Marks Memo, Photograph, Identity Proof, community(SC/ST/OBC)disability(PWD A/BIC/D/EVEWS 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] cligible for the post of GDS/ABPM/DakSevak 9.1 hereby undertake to declare that, the details furnished by me (ie. 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. 2181129123, 11:45 AM. aboutblank M Sat Date: 29/01/2023 11:43:17 ‘Annexure - Posts applied for Andhra Pradesh, Prakasam Division with Preference order: Preference| Post Name 1 |Kandulur B.O-GDS BPM - UR - Rs.12000 (Telugu) Kandukur H.O-Daksevak - EWS - Rs.10000 (Telugu) (Gudluru S.0-GDS ABPM - UR - Rs.10000 (Telugu) [Ongole H.O-GDS ABPM - UR - Rs.10000 (Telugu) \V.R.Kota B.O-GDS BPM - UR - Rs.12000 (Telugu) \V.R.Kota B.O-GDS ABPM - EWS - Rs.10000 (Telugu) [VV Palem S.0-GDS ABPM - EWS - Rs.10000 (Telugu)| alalula}ele Division selected for document verification is Prakasam Di Pradesh) jon (Andhra PRINT about blank 38