6/12/2015

DEPARTMENTOFPOSTS

DEPARTMENTOFPOSTS
POSTMAN/MAILGUARD/MTSDIRECTRECRUITMENTEXAMINATION2015
UTTARPRADESHCIRCLE
APPLICATIONFORMFORPOSTMAN/MAILGUARD
UniqueRegistrationNo.

2249585

NameOfApplicant

RAMCHANDRA

Gender

MALE

NationalityIndian

Yes

DateofBirth

4/7/1989

Category

SC

SubCategory

NotApplicable

EducationalQualification

Matriculation

PassingYearofExaminationofMatriculation/Equivalentto
Matriculation

2005

PercentageofMarksuptotwodecimalpointsin
Matriculation/EquivalenttoMatriculation

54

NameofRecognizedBoard/Universityfromwhereeducational
qualificationmentionedabovehasbeenobtained

U.P.BOARD

NameofPostappliedfor

Postman

NameofFather/Mother/Husband(Pleasespecifytherelation)

MotherBITTANDEVI

NameofApplicantwithcompleteAddressforcorrespondence

RAMCHANDRA45SIKANDARPURBAJAHASIKANDARPURBAJAHACHAYAL
KAUSHAMBIUTTARPRADESH212213

IsApplicantaServingGovernmentEmployee

No

WhetherApplicantwantsRelaxationinAgeLimit

Yes

PreferenceOfDivision/Unitforappointment

PreferenceForExaminationCity

2249585

Preference1
Allahabad
Division(3009)

Preference2
KanpurCity
Division(3036)

Preference1
Allahabad(002)

MobileNumber

9450594286

Emailid

RAMCHANDRA1989@GMAIL.COM

UniqueRegistrationNo

2249585

Date&TimeofRegistration

Jun1220154:53PM

Preference3
Fatehpur
Division(3035)
Preference2
Kanpur(005)

Preference4
Lucknow
Division(3042)

Preference5
Varanasi(East)
Division(3014)

Preference3
Lucknow(006)

Iherebydeclarethat
1)

IamaCitizenofIndia.

2)

Ihavenotsubmittedanyotherapplicationonline/offlineforthispostinthisExamination.IamawarethatifIcontravenethisruleonlyone
applicationbearinglatestdatewillbeacceptedandotherswillberejectedsummarilybytheDepartment.

3)

IhavereadtheprovisionsintheAdvertisementandNotificationoftheexaminationissuedbytheUttarPradeshCirclecarefullyandIhereby
undertaketoabidebythem.

4)

IfurtherdeclarethatIfulfillalltheconditionsofeligibilityregardingagelimit,educationalqualificationetc.prescribedforadmissiontothe
examination.

5)

IalsodeclarethatIdonotstanddebarredbyanyrecruitmentauthority/Department/MinistryofCentralGovt.asondateandhaveneverbeen
convictedbyanycourtoflaw.

6)

ForGovt.CivilianEmployeeseekingagerelaxationforDirectRecruitment.IdeclarethatIamaGovt.CivilianEmployeeandcompleted3years
regularserviceorregularlengthofservicestipulatedinthenotification/Advertisementoftheexaminationasontheclosingdateofthereceiptof
theapplicationform.

7)

ForapplicantbelongingtoOBCIdeclarethatIbelongtothecommunitywhichisrecognizedasabackwardclassbytheGovt.ofIndiaforthe
purposeofreservationinservicesasperordercontainedinDepartmentofPersonnelandTrainingOfficeMemorandumNo.36012/22/93Estt.
(SCT)dated08091993anddated15111993.IalsodeclarethatIdonotbelongtotheperson/sections(creamylayer)mentionedincolumn3of
theScheduleoftheOMmentionedabovethemodifiedvideGovt.ofIndiafromtimetotimeDOPTOMsmentionedinthenotice.Ifurtherdeclare
thatIaminpossessionofOBCcertificateinformatprescribedvideG.I.Dept.ofPer.&TrgOMNo.36036/2/2013Estt(RES)dated30052014

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6/12/2015

DEPARTMENTOFPOSTS

issuedbytheCompetentAuthorityforemploymentunderCentralGovernment.
8)

ForapplicantbelongingtoSC/STIdeclarethatIbelongtothecommunitywhichisrecognizedasaScheduledCaste/ScheduledTribebythe
Govt.ofIndiaforthepurposeofreservationinservicesasperordercontainedinM.H.A.OfficeMemorandumNo.42/21/49N.G.S.dated2801
1952andasrevisedinDept.ofPer.&A.R.letterno.36012/6/76Estt(SCT)dated29101977.IfurtherdeclarethatIaminpossessionofSC/ST
certificateissuedbytheCompetentAuthorityforemploymentunderCentralGovernment.

9)

ForapplicantbelongingtoPhysicallyHandicappedCategoryIdeclarethatIfulfillalltheeligibilityconditionsrelatedtodisability.Ifurther
declarethatIaminpossessionofmedicalcertificateintheformatprescribedinDOPTOMNo.36035/3/2004Estt(RES)dated29122005issued
bytheCompetentMedicalAuthorityforthepurposeofemploymentunderCentralGovernment.

10) ForapplicantbelongingtoExServicemanIdeclarethatIfulfillalltheeligibilityconditionsrelatingtoExServicemanaspernotificationof
Examination.
11) IntheeventofnotgettingthepostintheDivision/unitofmypreference,Iamwillingtoaccepttheappointmentinanyotherdivision/unitsubject
toavailabilityofvacancyinthedivision/unit.
Iherebydeclarethatallstatements/inputsmadeinthisapplicationbymearetrue,completeandcorrecttothebestofmyknowledgeand
beliefandwillbesupportedbyoriginaldocuments/testimonialsasandwhenrequired/demanded.Ialsounderstandthatintheeventofany
informationbeingsuppressed/falseorincorrectoranyineligibilitybeingdetectedbeforeoraftertheexaminationmycandidature/
appointmentwillbesummarilyrejected/terminatedandappropriateactionwouldbetakenagainstmyself.
IalsounderstandthattheINCOMPLETE/IMPROPERLYfilledinapplicationformisliabletoberejectedwithoutfurthercorrespondence.I
havealsoinformedmypresentemployerwhileapplyingfordirectrecruitmentexamination.

(SignatureofApplicant)
Note:YouhavesuccessfullysubmittedyourOnlineApplicationFormforPostman/Mailguard/MTS
Examination2015ofU.P.Circle.YoumayloginwithyourUniqueRegistrationNumbermentionedabove
anddateofbirthforgenerationofChallanFormandforotherpurposes.

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