Application for BPM Recruitment

DEPARTMENT OF POSTS: INDIA

APPLICATION FOR THE POST OF GDS BPM__________________________________

 (Application should be filled in the applicant’s own handwriting)

1.         Name in full (IN BLOCK LETTERS)                                      :

2.         Father’s / Husband’s name                                                      :

                                                           

3.         Permanent residential address                                                              :      

                                               

4.         Present address, if any                                                                         :

                                                              

5.         Name of the post and office for which applied for                 :       

                             

    (a)    Educational Qualifications                                                       :                                            

             (Attested copies should be enclosed)

    (b)    Marks secured in SSC or equivalent                                        :

    (c)    Whether you are having basic computer Knowledge

           If so enclose a copy of certificate from a recognized             :

Computer Training Institute for at least 60days training   

                   

6.         Whether you belong to SC/ST/OBC                                         :                             

             If so, state the sub caste / tribes (Caste certificate

            from the Revenue Officer not below the rank of

            Tahsildar to be furnished)

            (a) Whether you belong to PH / Ex-Serviceman                                   :

                    (Proof to be enclosed)  

                         

7.         Age and Date of Birth (Certificate should be furnished)                      :                         

8.         Present Occupation (If any)                                                    :

9.        The candidate shall have to give an under taking that he                     :             

            has other sources of income besides the allowances paid

                        or to be paid by the Govt. for adequate means of livelihood

            for himself and his family            

                                                                                                                                          

10.      Are you working as a LIC Agent or Agent to any Insurance      :  

           Finance company? If so, furnish particulars of company     

                       

                                                                                   

11.       State whether you are a part time/ full time employee  of any            

            state or Central Govt. Departmental / organization /

Panchayat Raj Department. If so, furnish full particulars          :

including the working hours and remuneration / salary

received (certificate of permission from the employer to apply

 for this post should be furnished and its Headquarters)

                                                           

12.        Whether you are willing to take up residence in the                               :

             Village in case you are selected for the post                          

                                                 

13.       Whether you will be able to provide suitable                                         :

            accommodation to locate PO in the BO village

            in case you are selected for the post                                                                                       

DECLARATION

            I hereby declare that the information furnished above is true and correct to the best of my knowledge and that if the information proved to be false at a later date, I am liable for the action that may be taken by the Department.

Date:

Place:                                                                          Signature of the Applicant

           

INCOME DECLARATION

                                    I am herewith giving my undertaking that I have other source of income   besides the allowances paid or to be paid by the Govt. for adequate means of livelihood for myself and my family.

Date:

Place:                                                                               Signature of the Applicant

                                

   I am enclosing the following certificates (xerox copies) along with this application.

S.NO	Name of  the Certificate	Yes/NO	Name of the issuing Authority
1	Date of Birth certificate
2	Educational qualifications
3	Candidate’s declaration                regarding Income in original
4	Caste certificate
5	Permission of the controlling authority
6	Proof in case of Physically Handicapped
7	Discharge certificate and proof of Army certificate
8	Proof of computer training certificate

Place:                                                                                          

Date:                                                                                        Signature of the Applicant

Instructions to the candidates :

1.         Applications should be submitted only in the proforma enclosed to the Notification.  Full and clear information should be given in all the columns of the application, otherwise the application will not be considered.  Even if a column is NIL, “NIL” should be noted.

2.         Only Xerox copies of documents should be enclosed along with application from.  The original certificates should be produced when called for.

3.         All the required documents / certificates should be submitted with application.  Documents submitted in piecemeal or subsequently will not be accepted. 

4.         Cover containing the application should be super scribed as Application for the post of   GDS BPM of “ ________________________________________________”