अल्प बचत अभिकर्ता की अनुज्ञप्ति हेतु आवेदन पत्र (महिला प्रधान क्षेत्रीय बचत योजना)

व्यक्तिगत जानकारी

आवेदक का नाम *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Upload Photograph

अभिभावक का नाम *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

आवेदक / अभिभावक के रिश्तेदार जो भारत सरकार की सेवा में है

Spouse

Father

Mother

Daughter

Sister

Son

Uncle

Aunti

अभिभावक के साथ रिश्ता *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

वर्ग *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

वैवाहिक स्थिति *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

धर्म *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

शैक्षणिक योग्यता *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Mobile No *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

E-Mail

जन्म तिथि

कार्य करने का क्षेत्र

जिला चुने *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Address Line 1 * *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Address Line 2 *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

क्षेत्र में निवासरत परिवार की संख्या *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

Postal / Zip Code * *

---pendingNotExist--- ---pendingEnd--- ---pendingExist--- ---pendingEnd---

घोषणा

Declaration:

[To be furnished by the applicant for appointment as MPKBY Agent alongwith the application] I ................................................................................................W/o S/o and D/o Sh. ....................................................... resident of ....................................................solemnly affirm as under

1. That I am not an employee of the state Goverment/Central Goverment and Union Territory and undertake to inform the appointing authority and give up the agency whenever I enter such employment.

2. That none of my near relative is working in the Postal Department in a non-gazetted capacity in the same Division where the agency falls. 3. That none of my near relative who is dependant on me is working in the Postal Department in a non-gazetted capacity in the same state or Union Territory where the agency falls.

3. That none of my near relative who is dependant on me is working in the Postal Department in a non-gazetted capacity in the same state or Union Territory where the agency falls.

4. That none of my near relative is working in the National Savings Organisation in the same state or Union territory where the Agency falls.

5. That none of my near relative is working in the Postal Department or the National Savings Organisation in a Gazetted capacity any where in India.

6. That I would apply for my renewal of agency in 45 days in advance.

7. That I would procure business myself.

8. That I would not sit in the Post Office. If I am found without any business in the Post Office, my agency may be terminated.

9. I further declare that none of my near relatives (i.e. my wife/husband, legitimate child or step child, father/step father, mother/step mother, brother/ step brother, sister/step sister, father in law, mother in law, brother in law, sister-in-law, son-in-law or daugher in law), is employed under the Control of State/Union Territory Government. OR

10. I give below the particulars of my near relatives (i.e. my wife/husband, legitimate child or step child, father/step father, mother/step mother, brother/ step brother, sister/step sister, father in law, mother in law, brother in law, sister-in-law, son-in-law or daugher in law) who are employed under the Central or State/Union Territory Government.