6/12/2015 DEPARTMENTOFPOSTS

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DEPARTMENTOFPOSTS

POSTMAN/MAILGUARD/MTSDIRECTRECRUITMENTEXAMINATION2015UTTARPRADESHCIRCLE

APPLICATIONFORMFORPOSTMAN/MAILGUARD

UniqueRegistrationNo. 2249585

2249585

NameOfApplicant RAMCHANDRA

Gender MALE

NationalityIndian Yes

DateofBirth 4/7/1989

Category SC

SubCategory NotApplicable

EducationalQualification MatriculationPassingYearofExaminationofMatriculation/EquivalenttoMatriculation 2005

PercentageofMarksuptotwodecimalpointsinMatriculation/EquivalenttoMatriculation 54

NameofRecognizedBoard/Universityfromwhereeducationalqualificationmentionedabovehasbeenobtained U.P.BOARD

NameofPostappliedfor Postman

NameofFather/Mother/Husband(Pleasespecifytherelation) MotherBITTANDEVI

NameofApplicantwithcompleteAddressforcorrespondence RAMCHANDRA45SIKANDARPURBAJAHASIKANDARPURBAJAHACHAYALKAUSHAMBIUTTARPRADESH212213

IsApplicantaServingGovernmentEmployee No

WhetherApplicantwantsRelaxationinAgeLimit Yes

PreferenceOfDivision/UnitforappointmentPreference1 Preference2 Preference3 Preference4 Preference5Allahabad

Division(3009)KanpurCity

Division(3036)Fatehpur

Division(3035)Lucknow

Division(3042)Varanasi(East)Division(3014)

PreferenceForExaminationCityPreference1 Preference2 Preference3

Allahabad(002) Kanpur(005) Lucknow(006)

MobileNumber 9450594286

Emailid RAMCHANDRA1989@GMAIL.COM

UniqueRegistrationNo 2249585

Date&TimeofRegistration Jun1220154:53PM

Iherebydeclarethat

1) IamaCitizenofIndia.

2) Ihavenotsubmittedanyotherapplicationonline/offlineforthispostinthisExamination.IamawarethatifIcontravenethisruleonlyoneapplicationbearinglatestdatewillbeacceptedandotherswillberejectedsummarilybytheDepartment.

3) IhavereadtheprovisionsintheAdvertisementandNotificationoftheexaminationissuedbytheUttarPradeshCirclecarefullyandIherebyundertaketoabidebythem.

4) IfurtherdeclarethatIfulfillalltheconditionsofeligibilityregardingagelimit,educationalqualificationetc.prescribedforadmissiontotheexamination.

5) IalsodeclarethatIdonotstanddebarredbyanyrecruitmentauthority/Department/MinistryofCentralGovt.asondateandhaveneverbeenconvictedbyanycourtoflaw.

6) ForGovt.CivilianEmployeeseekingagerelaxationforDirectRecruitment.IdeclarethatIamaGovt.CivilianEmployeeandcompleted3yearsregularserviceorregularlengthofservicestipulatedinthenotification/Advertisementoftheexaminationasontheclosingdateofthereceiptoftheapplicationform.

7) ForapplicantbelongingtoOBCIdeclarethatIbelongtothecommunitywhichisrecognizedasabackwardclassbytheGovt.ofIndiaforthepurposeofreservationinservicesasperordercontainedinDepartmentofPersonnelandTrainingOfficeMemorandumNo.36012/22/93Estt.(SCT)dated08091993anddated15111993.IalsodeclarethatIdonotbelongtotheperson/sections(creamylayer)mentionedincolumn3oftheScheduleoftheOMmentionedabovethemodifiedvideGovt.ofIndiafromtimetotimeDOPTOMsmentionedinthenotice.IfurtherdeclarethatIaminpossessionofOBCcertificateinformatprescribedvideG.I.Dept.ofPer.&TrgOMNo.36036/2/2013Estt(RES)dated30052014

6/12/2015 DEPARTMENTOFPOSTS

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issuedbytheCompetentAuthorityforemploymentunderCentralGovernment.

8) ForapplicantbelongingtoSC/STIdeclarethatIbelongtothecommunitywhichisrecognizedasaScheduledCaste/ScheduledTribebytheGovt.ofIndiaforthepurposeofreservationinservicesasperordercontainedinM.H.A.OfficeMemorandumNo.42/21/49N.G.S.dated28011952andasrevisedinDept.ofPer.&A.R.letterno.36012/6/76Estt(SCT)dated29101977.IfurtherdeclarethatIaminpossessionofSC/STcertificateissuedbytheCompetentAuthorityforemploymentunderCentralGovernment.

9) ForapplicantbelongingtoPhysicallyHandicappedCategoryIdeclarethatIfulfillalltheeligibilityconditionsrelatedtodisability.IfurtherdeclarethatIaminpossessionofmedicalcertificateintheformatprescribedinDOPTOMNo.36035/3/2004Estt(RES)dated29122005issuedbytheCompetentMedicalAuthorityforthepurposeofemploymentunderCentralGovernment.

10) ForapplicantbelongingtoExServicemanIdeclarethatIfulfillalltheeligibilityconditionsrelatingtoExServicemanaspernotificationofExamination.

11) IntheeventofnotgettingthepostintheDivision/unitofmypreference,Iamwillingtoaccepttheappointmentinanyotherdivision/unitsubjecttoavailabilityofvacancyinthedivision/unit.

Iherebydeclarethatallstatements/inputsmadeinthisapplicationbymearetrue,completeandcorrecttothebestofmyknowledgeandbeliefandwillbesupportedbyoriginaldocuments/testimonialsasandwhenrequired/demanded.Ialsounderstandthatintheeventofanyinformationbeingsuppressed/falseorincorrectoranyineligibilitybeingdetectedbeforeoraftertheexaminationmycandidature/appointmentwillbesummarilyrejected/terminatedandappropriateactionwouldbetakenagainstmyself.

IalsounderstandthattheINCOMPLETE/IMPROPERLYfilledinapplicationformisliabletoberejectedwithoutfurthercorrespondence.Ihavealsoinformedmypresentemployerwhileapplyingfordirectrecruitmentexamination.

(SignatureofApplicant)

Note:YouhavesuccessfullysubmittedyourOnlineApplicationFormforPostman/Mailguard/MTSExamination2015ofU.P.Circle.YoumayloginwithyourUniqueRegistrationNumbermentionedabove

anddateofbirthforgenerationofChallanFormandforotherpurposes.