DEPARTMENT OF POSTS, GOVERNMENT OF INDIA

Online Application Form for Postal /Sorting Assistant Direct Recruitment Examination - 2014

Personal Information ( ) & Educational Qualification (10+2) ( (10 +2))

Note: * fields are mandatory.

1 Name of Applicant (As per Matriculation/SSC Certificate): First YOGENDRA * Middle Last SINGH

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2 Name of Father (As per Matriculation/SSC Certificate) : First KISHAN * Middle Last LAL

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3 Sex : MALE *

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4 Applicant Category : SC *

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5 Applicant Sub-Category : NOT APPLICABLE *

( ) PH I VISUALLY IMPAIRED, PH II HEARING IMPAIRED, PH III ORTHOPEDICALLY HANDICAPPED :

5.1 Ex-Serviceman Enter total length of Service rendered in Armed Force: YEARS YEAR MONTHS MONTH DAYS DAY *

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5.2 Serving Govt. Employee (With at least 3 yrs. of service) : NO *

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6 Date of Birth (As per Matriculation/SSC Certificate) : DAY 01 MONTH JULY YEAR 1992 *

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7 Year of Passing in 10+2 Exam: 2010 *

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8 Percentage of Marks in 10+2 Exam: 52 . 00 % *

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9 Name of Recognised Board / University : UP BOARD *

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10 Whether Studied English in 10+2 Std. ?:YES *

10 +2 ?

11 Whether Studied local Language of the State / U.T. of the Postal Circle concerned or Hindi

as a subject atleast in Matriculation Level : YES *

/ .. ?

12 Nationality Indian : YES *

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13 Mobile No. (Only 10 digits, don't prefix '0') : 91 8445686605 *

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14 Email ID : yogendrasingh1090@gmail.com *

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Complete Address for Correspondence ( )

15 Address Line 1 : C/O SHYAM VIHARI YADAV *

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Address Line2 NEAR BACHPAN SCHOOL, ANAND NAGAR *

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Address Line 3 : RAMLEELA GROUND LINEPAAR MORADABAD

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Online Application Form for Postal / Sorting Assistant Direct Recruitment Examination

Personal Information & Educational Qualification (10+2)

1 Applicant's Name: YOGENDRA SINGH Photo

Signature

2 Father's Name: KISHAN LAL

3 Sex : MALE

4 Applicant Category : SC

5 Applicant Sub-Category : NOT APPLICABLE

5.1 Total length of Service rendered in Armed Force :

5.2 Serving Govt. Employee With (at least 3 yrs. of service) : NO

6 Date of Birth (As per 10+2 Certificate)(DD/MM/YYYY): 01/07/1992

7 Year of Passing (As per 10+2 Certificate): 2010

8 Percentage of Marks (As per 10+2 Certificate): 52.00 %

9Name of Recognisad Board / University from where qualification mentioned: UP BOARD

10 Whether Studied English in 10+2 Std. : YES

11Whether Studied local Language of the State / U.T. of the Postal Circleconcerned or Hindi as a subject atleast in Matriculation Level :

YES

12 Nationality Indian : YES

13 Mobile No. (Only 10 digits, don't prefix '0') : +91 8445686605

14 Email ID : yogendrasingh1090@gmail.com

15- Address for all Future Correspondence

15.1 Address Line1 : C/O SHYAM VIHARI YADAV

15.2 Address Line2 : NEAR BACHPAN SCHOOL, ANAND NAGAR

15.3 Address Line3 : RAMLEELA GROUND LINEPAAR MORADABAD

15.4 City / Town : MORADABAD

15.5 PincCode : 244001

15.6 State / U.T. : UTTAR PARDESH

16 Postal Circle Applied For : 30-UTTAR PRADESH

17- Post Applied (Preference)

(i) PAPO (ii) PACO-RO (iii) PASBCO (iv) PAMMS

(v) SARMS (vi) (vii)

18- Division / Unit (Preference)

(i) Moradabad(3022) (ii) Bareilly(3016) (iii) Bijnor(3017)

(iv) Ghaziabad(3040) (v) Saharanpur(3024) (vi)

(vii) (viii) (ix) .

(x)

19- Examination City (Preference)

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City / Town : MORADABAD

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PIN Code : 244001

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State / U.T. : UTTAR PARDESH *

( / .. )

Postal Circle Applied For ( )

16 Postal Circle : 30-UTTAR PRADESH *

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Post Applied For ( )

17 (i).1st Preference PAPO * (ii)2nd Preference PACO-RO (iii).3rd Preference PASBCO

(iv).4th Preference PAMMS (v).5th Preference SARMS (vi).6th Preference --SELECT--

(vii).7th Preference --SELECT--

Preference of Division / Unit ( / )

18 (i)1st Preference Moradabad(3022) * (ii).2nd Preference Bareilly(3016) (iii)3rd Preference Bijnor(3017)

(iv)4th Preference Ghaziabad(3040) (v).5th Preference Saharanpur(3024) (vi).6th Preference --SELECT--

(vii).7th Preference --SELECT-- (viii).8th Preference --SELECT-- (ix).9th Preference --SELECT--

(x).10th Preference --SELECT--

Examination City ( )

19 (i).1st Preference Bareilly * (ii).2nd Preference GHAZIABAD (iii).3rd Preference NOIDA

Declaration ()

i. I have not Registered any other application for this examination. I am given to understand that if I contravene this rule, all my applications registered will be rejected summarily by the Department. . / .

ii. I have carefully read the provisions / instructions in the Notification / Advertisement displayed & Advertisement of this examination issued by the Postal Circle concerned to which I applied and I hereby undertaketo abide by those instructions. / / / .

iii. I further declare that I have fulfilled all the eligibility criteria regarding age limit, educational qualifications etc. prescribed for registering my application to the examination. / , / .

iv. I also further declare that I have not been debarred by any recruiting authority / Department / Ministry of Central Govt./ State Govt as on the date of registration. And have never been convicted by any court oflaw. / / / / .

v. For Govt. Civilian Employee seeking age relaxation for Direct Recruitment .

I declare that I am a Govt. Civilan Employee and completed 3 years regular service or regular length of service stipulated in the Notification / Advertisement of the examination as on the closing date of Registrationof online application form and that I have kept informed my immediate superior authority about registration of my application for this recruitment. / / .

vi. For applicant belonging to SC/ST (Scheduled Caste/ Scheduled Tribe) /

I declare that I belong to the caste/tribe which is included in the lists of Scheduled Caste & Scheduled Tribe notified by the Govt. of India as revised from time to time. I further declare that I am possessing a castecertificate prescribed in the Ministry of Home Affairs OM No 42/41/49-N.G.S dated 28-01-1952, as revised in Dept of Personnel & Administrative Reforms letter no 36012/6-76-Estt. (S.C.T.), dated 29-10-1977. I amprepared to submit my original Caste certificate issued by the competent authority in the prescribed format and prepared to submit the same whenever demanded /called for.

/ / / . / ,29.10.1977 42/41/49-N.G.S 28-01-1952, 29.10.1977 . 36012/6-76 (...) . .

vii. For applicant belonging to OBC (Other Backward Classes)

*

*

19- Examination City (Preference)

(i) Bareilly (ii) GHAZIABAD (iii) NOIDA

20- Declaration YES

If Not Satisfied click CLOSE and go back to Application to do changes. If Satisfied, Click CLOSE and proceed to click SUBMIT.

I declare that I belong to the community which is recognized as a backward class by the Govt. of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training OfficeMemorandum No. 36012 / 22 / 93-Estt. (S.C.T) dated 8.9.1993 and that my community is included in the list of OBC notified in the resolution number 12011/68/93-BCC (C ) dated 10.9.93 of Govt. of India Ministry ofSocial Affairs as amended from time to time. I also declare that I do not belong to the person / sections (creamy layer) mentioned in column 3 of the schedule of the OM mentioned above and modified vide Govt. OfIndia. DOPT OMs mentioned in the Notice. I further declare that I am in possession of an Original certificate issued by a competent authority to the effect that I belong to OBC in the prescribed format vide Govt ofIndia DOP&T vide OM no 36033/28/94-Estt. (Res.) dated 2.7.1997 and prepared to submit the same whenever demanded /called for. / .. .. . // (...) - 10.9.93 12011/68/93-BCC (C ) . / / , . / () . / 2.7.1997 .. . 36033/28/94 (...) .

viii. For applicant belonging to Ex-Servicemen

I declare that I am an Ex-Servicemen and having Original Discharge Certificate issued by the armed forces of the Indian Union. I declare that I have fulfilled the eligibility criteria particulary w.r.t. age limit notified inthe notification. / . / /

ix. For applicant belonging to Physically Impaired category

I declare that I belong to a Physically Impaired category and issued with a disability certificate issued by competent Medical authority / Board and I am having the Original disability certificate in the prescribedformat vide Govt of India DOP&T OM No 30635/3/2004-Estt.(Res) dated 29.12.2005. And I am prepared to submit the same whenever demanded /called for. / / 29.12.2005 . . 36035/3/2004(..., ) .

x. In the event of not getting the post in the division / unit of my preference I undertake to accept appointment in any other division subject to availability of vacancy in the division. The concerned Postal Circlereserves the right for allocation subject to availability of vacancies. / .

I hereby declare that the particulars furnished in this application form are true, complete and correct to the best of my knowledge and belief and original documents will be submitted when demanded. I also declarethat I am a citizen of India. I fully understand that in case of furnishing any False / Incorrect Information discovered at any later stage, my candidature / appointment will be summarily rejected / terminated withoutassigning any reasons and appropriate action would be taken against me. / , / . / . / / / .

20 Declaration : YES *

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