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PO ID Cards Application Form

This document is an application for a Post Office Identity Card from the Department of Posts in India. It requests personal information from the applicant such as name, date of birth, addresses, employment details, contact information, and payment of fees. The applicant certifies that the information provided is true and acknowledges that submitting false information could result in forfeiture of processing fees. Postal officials then review the application and verify the details before deciding whether to issue the identity card.

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kumar7004
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© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
8K views

PO ID Cards Application Form

This document is an application for a Post Office Identity Card from the Department of Posts in India. It requests personal information from the applicant such as name, date of birth, addresses, employment details, contact information, and payment of fees. The applicant certifies that the information provided is true and acknowledges that submitting false information could result in forfeiture of processing fees. Postal officials then review the application and verify the details before deciding whether to issue the identity card.

Uploaded by

kumar7004
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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SerialNo..

DepartmentofPosts
GovernmentofIndia

ApplicationforPostOfficeIdentityCard
(PleasewriteinBLOCKLETTERS)
1.

Nameoftheapplicant

Pleaseaffix
recentstamp
sizecolour
photo

2.

NameofFather/Husband/Guardian

3.

DateofBirth(dd/mm/yyyy)

4.SignatureoftheApplicant(Pleasesigninthebox)

5.

PresentpostaladdresswithPIN

6.

PermanentpostaladdresswithPIN

7.

Datesinceresidingattheaddressatserial5(dd/mm/yyyy)

8.
If you are a tenant, please furnish particulars (name, address/telephone number/mobile
number/emailid)ofthelandlord

9.
Particulars of Employment identity (if employed).Pleaseattach photocopy of ID card issued by
theemployer

10.

AddressoftheemployerwithPIN:

11.
Personalparticulars

TelephoneNo.withareacodeMobilenumber

Personalmarksofidentification

BloodGroup

12.
HaveyouappliedforPOIDearlier:
Yes
No

a.
Statusoftheapplication:Cardissued/cardnotissued

b.
IfCardissued,statusoftheCard:

13.
FeePrescribed:Rs.______

Certifiedthattheinformationfurnishedaboveistruetobestofmyknowledge.ThePOIDcardissuedon
thebasisofthisapplicationimposesnolegalliabilityonIndiaPost.Iftheaddressgivenisfoundfalseor
bogusornotverifiabletheprocessingfeesubmittedmaybeforfeitedbyIndiaPost.

Place:__________________

Date:___________________

________________________

(SignatureoftheApplicant)

(FOROFFICEUSEONLY)

ReceiptNo.
forRs.______

Date

_________________________________________
SignatureofthePAreceivingtheApplication&Fees

Detailsverified.POIDcardmaybeissued/notbeissued.
_______________________________________
(Name,Signature&StampoftheVerifyingOfficial)
Dated:______________________

POIDCardmaybeissued/notbeissuedbasedonthe
_______________________________________
(Name,Signature&StampofthePostmaster)
Dated:______________________

SerialNooftheCardissued

DateofIssue

_______________________________________
(Name,Signature&StampofPostmaster)

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