DEPARTMENT OF POSTS, INDIA
O/o Supdt. of Post Offices,
Namakkal Division , Namakkal - 637 001
No : J/CIHS/Dlgs
Date :
28.06.13
To
All the
Sub Divisional heads,
All PMs /
SPMs in Namakkal Division
Sub : Introduction of healthcare
facilities to GDS – Collection of data - reg
Ref :
This office letter of even no.dated 18.06.13
Kindly refer to the above, wherein
instructions were issued to submit the information of all GDS official in the
prescribed Proforma to the Sub Divisional heads for onward submission to this
office. But is noticed that only a few of the SPMs were sent the information
and it is learnt that most of the SPMs are not able to open their mail id.
Hence the said Proforma has been linked in this office blogspot (www.donamakkal.blogspot.in). Hence all are requested to upload the
information by using the link and to save it. Thereafter the Sub Divisional
heads will verify and send a consolidated report to this office on or before
04.07.13.
Now the Circle office has also directed
to obtain the declaration from each GDS official in separate sheet which should
be forwarded to the Directorate. The prescribed Proforma is enclosed herewith.
The SPMs should obtain the said declaration from all GDS official under their
office and will send it to Sub Divisional heads for countersignature. The Sub
Divisional heads in turn shall collect all the declaration and forward it to
this office in one bulk after countersignature. i.e., all the information in
both soft and hard copy should reach this office from the Sub Divisional heads on or before 04.07.13.
The SPMs should send both the mail and
the declaration obtained from the GDS in one bulk to the Sub Divisions without
any deviation. The Sub Divisional heads should also monitoring the receipt of
report and declaration from each SPMs under their Sub Division.
DA : AA
Superintendent of
PO’s
Namakkal Division,
Namakkal – 637
001
|
1.
|
WORKER_NAME
(GDS Name)
|
|
|||
|
2.
|
CASTE
|
|
|||
|
3.
|
MINORITY
(As per state list) indicate yes / no
|
|
|||
|
4.
|
GENDER
|
|
|||
|
5.
|
AGE
|
|
|||
|
6.
|
FATHER_NAME
|
|
|||
|
7.
|
PHONE_NO
|
|
|||
|
8.
|
PRESENT_POST
HELD
|
|
|||
|
9.
|
DISTRICT
NAME
|
|
|||
|
10.
|
TALUK
NAME
|
|
|||
|
11.
|
PANCHAYAT
NAME
|
|
|||
|
12.
|
VILLAGE
NAME
|
|
|||
|
13.
|
PRESENT
ADDRESS
|
|
|||
|
14.
|
PERMENANT
ADDRESS
|
|
|||
|
15.
|
Beneficiaries
dependent details
|
||||
|
|
Sl.
No
|
Name
|
Age
|
Gender
|
Relationship
with GDS
|
|
|
1
|
|
|
|
|
|
|
2
|
|
|
|
|
|
|
3
|
|
|
|
|
|
|
4
|
|
|
|
|
|
16.
|
Date
of regular appointment to the GDS Post
|
|
|||
This
to certify that the particulars mentioned above are true to the best of my
knowledge and the beneficiaries dependent details mentioned above are only
related to my members of family as defined in Rule 3(h) of GDS (Conduct and
Engagement) Rules, 2011
Signature
of the GDS Official
Date
: ………………………….
Countersignature
