Registration.pdf

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Online Gramin Dak Sevak Engagement Registra on Form Please note that Registra on is mandatory for applying online. One candidate should use only one registra on. A er comple on of registraion, Please note down the registra on number and keep it safe for further references. Forgot Registra on Number/Fee ID

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Candidates who did not get OTP with old registered mobile number can change their mobile number Post Applying for:

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GRAMIN DAK SEVAK ENGAGEMENT

Applicant Name* (As per 10thclass cer

ARIVALAGAN P

ficate including spaces)

Father Name as per 10th Cer ficate*

PANCHAVARNAM

Mobile Number*

9487036526

Date of Birth*

11/06/1997

Gender*

Male

Community*

Female

OBC

Whether belong to EWSs (Economically Weaker

Yes

Sec ons) Whether Pysically Handicapped (PH)

No

Select if Yes OH

VH (LV)

HH

Others

Candidates need to select the following circles for the states men oned. For the remaining states, circle names will be respec ve state names. Andhra Pradesh : Andhra Pradesh and Yanam || North Eastern : Manipur,Tripura,Nagaland, Arunachal Pradesh, Mizoram || Gujarat : Gujarat, Daman & Diu Kerala: Kerala, Laccadive Isalnds || Maharashtra : Maharashtra, Goa || Tamil Nadu: Tamilnadu, Pondicherry || West Bengal: West Bengal, Andaman and Nicobar Islands, Sikkim. Circle in which 10thclass Passed*

Tamilnadu

Board in which 10thclass Passed*

Secondary School Leaving C

Year of Passing 10thclass*

2012

10thclass Cer ficate Number

0249847

Captcha *

9R9EQ

I have studied and understood the no fica on and found myself eligible for applying to this post. This is not a duplicate Registra on. If found duplicate my en re candidature will be cancelled.

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