APPLICATION FOR THE
POST OF GDS BPM/MD/MC/PACKER,____________ B.O a/w -_________________SO_________(PINCODE)
1. Name of the applicant :
(IN BLOCK LETTERS)
2. Father’s name / Husband`s Name :
3. Date of birth in Christian Era
(Documentary proof to be attached) :
4. Native place (Tahsildar/Zonal Dy.
Tahsildar`s :
Certificate for Nativity should be
attached)
5. Present Residential address :
6. Permanent address of the applicant :
7. Name of the Police Station :
8. Community(Viz. SC/ST/OBC attested
copies of
proof should be attached) :
9. Educational qualification (Attested
copy of SSLC
Mark sheet should invariably be
attached)
(a) Year of passing (SSLC / X STD / VIII STD ) :
(b) Marks obtained in the first
attempt in X STD :
(c) Marks obtained in subsequent attempts if any :
10. Occupation at present :
11.
Are you a member / supporter of any political
party / say Yes or NO :
12.
Are you married? If so, have you got more
than one wife living ? :
13. Income from other employment sources so as
to
Have adequate means of livelihood to
support
Himself and his family (A certificate
this effect
Will have to be given by the selected
candidate
Before engagement. :
14.
Whether he/she knows cycling :
I,
…………………………………………………………………………………………………….. hereby solemnly declare that the
particulars furnished above are correct and I hold myself responsible for any
incorrect particulars furnished above and I am ready to accept any action taken
by the Department against me in case any of the above said particulars are
found to be incorrect.
Station:
Date
: Signature of the applicant
please upload bpm appln also
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