SUBBACG

SOUTH WESTERN RAILWAY
Divisional Office,
Personnel Branch,
Hubli. Dt.28.08.2014
No.H/P.721/CGA/2014
REPORT
Sub: Appointment on Compassionate Grounds Investigation Report

***
Smt.Anjeleena has submitted an application seeking appointment to herself
in
Group -D on compassionate grounds against the death of her husband. The
family of the deceased has been contacted on (dates)
Sl.Nio
1
Date contacted
16.08.2014
Remarks
Contacted the family members and verified
the school Certificates.
The particulars in detail of the ex-employee, his family and the candidate for
whom appointment on compassionate ground is sought have since been
investigated and details are as under:
PRIORITY NUMBER:
III(a)
A.
1
2
3
4
5
6
DETAILS OF THE EMPLOYEE::

Name of the Ex-Employee
Community/Caste
Designation& Place of last working
Scale & Rate of Pay
Date of Birth
Date of Appointment
7
8
Date of Death of Employee

Whether Death is due to accident on duty, if so,
particulars of compensation paid
9 Cause of death
10 Total service
11 App.Settlement Dues Paid
P.F
DCRG
CGEGIS
Leave Encashment
Compensation in regard to WCA
Others (if any)
Total
12 Pension/Family Pension
Novel Philip Joseph

UR
Watchman SSE/w/O/BJP
Rs5200-20200/-gp;1900
29.12.1965
30.11.1991
07.04.2014
Yes . while in
service, off duty
Compensation not
eligible
Run over
Yrs. Months Days
22
04
07
*
*
*
*
*
--------
(*)The employee is covered under Pension rules, settlement is under process
13.
Present financial status of the family indicating land, immoveable/moveable
property with details if any. Details of other source of income.
(a) House (Measurements & approximate value): NIL

(b) Land: Nil
(c) Moveable property: NIl
14. Particulars of composition of family (wife, sons and daughters as per the pass
account).
Enclose family composition certificate furnished by the ex-employee while in
service.
Sl
Name
R/ship
Date
of Birth
E.Q
Marital
status
Smt.Anjeleen
a
Wife
17.05.197
2
9TH pass
House wife
Madlin
Sister
----
married
Nirmala
22.06.197
5
W/mother 64 years
Employed
Unemployed
Unemployed
Remarks
Unemployed
Unemployed
B.PARTICULARS OF THE CANDIDATE IN WHOSE FAVOUR APPOINTMENT ON

COMPASSIONATE GROUND SOUGHT FOR
2
3
4
Name of the candidate & relationship with

the deceased/MU/MD employee (Enclose
certificate from two co-workers)
Date of birth (enclose
SSC/SSLC/Leaving certificate/Affidavit
from the Court of Law)
Educational qualification (enclose
attested copies of certificate in support of
Educational/Technical qualification)
Personal marks of identification of the
candidate
Permanent address of the candidate
Age difference between
Whether the candidate is superseding in

seniority in the family. In case any senior
is overlooked, No objection certificate
from the senior.
Whether already employed elsewhere
including in Railways as CL/Sub.etc., &
reasons for leaving job (with particulars of
employment , viz., post held since when
and monthly emoluments)
Whether eligible for appointment in
Group- C / D based on educational
qualification
Date of receipt of application (for
compassionate ground and from whom.
Enclose copies)
9
10
Smt.ANJELEENA
17.05.1972
9TH PASS
A brown mole on right arm
A black mole just below the right
shoulder
Smt,Anjeleena Novel Joseph
C/O.Veronikar John, # no.48 Kurattipet
Betgeri Gadag.Pin-582102
Employee
Widow
&Ward
& Ward
---Widow is the candidate
Un-employed
Yes,Group D
14.08.2014
11
12
13
14
15
16
17
18.
Whether the widow has remarried or

otherwise (enclose declaration of the
widow)
Whether the widow has applied for
appointment either for herself or forward
within the time limit of 20 years from the
date of death of the deceased employee
Reasons why she could not apply for
within 20 years
In case the ward is minor at the time of
the death of the deceased, whether the
widow has applied within 2 years from the
date of the candidate attained majority
(copy of the application to be enclosed)
Whether the case more than 20 years
Whether relaxation in the age is required.
If so, what extant (while seeking
relaxation, the provision of age limit for
SC/ST candidate has to be observed)
Date on which Proforma filled and report
submitted.
NO
YES
Not Applicable
Not Applicable
No
No
02.06.2014
Special or any other particulars considered relevant in the case:
The Ex employee was under sick list from 01.04.2014 to 07.04.2014 he has
attended Health Unit BJP and taken fit certificate on 07.04.2014, As per Police case
dairy the ex employee was crossing the Railway Track on the BIJAPUR RAILWAY
Station while retuning home he got stuck to moving train and died on the spot .(copy
enclosed).
The name of the candidate does not tally with FCC and 9 th Statement of
marks , the name of the candidate in FCC copy is recorded Anjali and in statement
of Marks mentioned as ANJALEENA MaliyalI whereas in School certificate her
name is recorded as Anjeleena Malayali,the widow has submitted an affidavit
clarifying the discrepancies stating that after her marriage with Sri Novel Philip
Joseph she was known as Anjali consequent to marriage with ex-employee her
name is changed as Anjali . .( enclosed)
Certified that the above information has been verified from records / spot
enquiry and are correct and no appointment to any ward / relative of the deceased /
crippled / medically unfit /incapacitated / medically decategorised / missing employee
has been given.
Submitted for needful action in the matter.
Signature of C S&WI :
Name
:
S.Subba Naik
Date :
27.08.2014
Sr.DPO/UBL

Divisional Office,
Personnel Branch,
Hubli. Dt.29.09.2014
No.H/P.721/CGA/2014
REPORT

***
Smt.Sarojani Kalasagond has submitted an application seeking appointment
to herself in
Group C on compassionate grounds against the death of her
husband. The family of the deceased has been contacted on (dates)
Sl.Nio
Date contacted
Remarks
1
04.09.2014
PRIORITY NUMBER:
1
2
3
4
5
6
III(a)
A.
Rangappa .B.Bhavikatti
Community/Caste
UR
Loco Kh/CLI/O/BJP
Scale & Rate of Pay
Rs 5200-20200/-GP:1900
Date of Birth
01.02.1978
Date of Appointment
14.05.1998
7
8

9 Cause of death
10 Total service
13.12.2013
NA
Natural death
Yrs. Months
15
06
576370/-
P.F
DCRG
CGEGIS
Leave Encashment
Others (if any)
Total
Days
29
248789/231876/034193
061512
-------5085/-
(*)The employee is covered under Pension rules, settlement paid PPO no.27054104835
dated 19.03.2014.
13.Present financial status of the family indicating land, immoveable/moveable
property with
details if any. Details of other source of income.
(a) House (Measurements & approximate value): Nil
(b) Land: Nil

(c) Moveable property: Nil
account).
service.
Sl
Name
R/ship
Date
of Birth
E.Q
Marital
status
Smt.Sarojani .
R,Bhavikatti
Wife
7.6.80
10TH
House wife
Daughte
r
12.06.06
Minor
Employed
Unemployed
Unemployed
Studying
Son
04.05.200
8
16.07.201
0
- Minor
Studying
2
3
4
Kum.Bhagerat
i R,Bhavikatti
Basawaraj
R,Bhavikatti
Devyashree.
R,Bhavikatti
Daughte
r
pass
Remar
ks
---

Name of the candidate &

relationship with the
deceased/MU/MD employee
(Enclose certificate from two coworkers)
SSC/SSLC/Leaving
certificate/Affidavit from the Court of
Law)
attested copies of certificate in
support of Educational/Technical
qualification)
Personal marks of identification of
the candidate
Smt. Sarojani . Kalasagond.
07.06.1980
10 TH PASS
A small mole on chick.

A small black mole 2 below the right ear.
Smt. Sarojani, Kalasagond.

W/O late. Sri.Rangappa.B. Bhavikatti,H.No.95
At, Guladgudda Road,(Post).Kelwadi,
(Tq)Badami,(Dist)Bagalkot.
Employee
Widow
&Ward
& Ward
----
Whether the candidate is

superseding in seniority in the family. Widow is the candidate
In case any senior is overlooked,
No objection certificate from the
senior.
9
10
11
12
13
14
15
Whether already employed

elsewhere including in Railways as
CL/Sub.etc., & reasons for leaving
job (with particulars of employment ,
viz., post held since when and
monthly emoluments)
Group- C / D based on
educational qualification
compassionate ground and from
whom. Enclose copies)
widow)
appointment either for herself or
forward within the time limit of 20
years from the date of death of the
deceased employee
Reasons why she could not apply
for appointment either for herself or
forward within 20 years
In case the ward is minor at the time
of the death of the deceased,
whether the widow has applied
within 2 years from the date of the
candidate attained majority (copy of
the application to be enclosed)
Whether the case more than 20
years
16 Whether relaxation in the age is

required. If so, what extant (while
seeking relaxation, the provision of
age limit for SC/ST candidate has to
be observed)
17 Date on which Proforma filled and
report submitted.
18.
Un-employed
Yes,
Group C
14.08.2014
NO
YES
Not Applicable
Not Applicable
No
No
10.8.2014
The name of the candidate is recorded in the FCC as Sarojini Bhavikatti

as per school records her mane is SAROJANI KALASAGOND , the widow has
submitted an affidavit clarifying the discrepancies stating that after her marriage
with Sri Ramappa R Bhavikatti she was known as Sarojani Kalasagond consequent
to marriage with ex-employee her name is changed as Sarojini R Bhavikatti
surname ( enclosed)
crippled / medically unfit /incapacitated / medically decategorised / missing employee
has been given.
Name:
S.Subba Naik
Date:
29.09.2014
Sr.DPO/UBL
Divisional Office,
Personnel Branch,
Hubli. Dt.08.05.2015
No.H/P.721/CGA/2015
REPORT

***
A.V.Shivaram has submitted an application seeking appointment to herself in
Group C on compassionate grounds against the death of her husband. The
family of the deceased has been contacted on (dates)
Sl.Nio
Date contacted
Remarks
1
10.02.2015
PRIORITY NUMBER:
1
2
3
4
5
6
III(a)
B.
Vittal Aravattu
Community/Caste
UR
Commercial Clerk SS/O/BJP
Scale & Rate of Pay
Rs 9300-34800/-GP:4600
Date of Birth
01.06.1966
Date of Appointment
15.10.1985
7
8

9 Cause of death
10 Total service
05.12.2015
NA
Natural death
Yrs. Months
29
01
15,79,028/-
P.F
DCRG
CGEGIS
90,000/10,00,000/65300/-
Days
20
Leave Encashment
Others (if any)
Total
4,23728/-------5085/-
(*)The employee is covered under Pension rules, settlement paid PPO no 27054105526
dated 05.12.2014
13.Present financial status of the family indicating land, immoveable/moveable
property with
details if any. Details of other source of income.
(d) House (Measurements & approximate value): Nil
(e) Land: Nil
(f) Moveable property: Nil
account).
service.
Sl
Name
R/ship
Date
of Birth
Wife
Smt.Mahanad
a
A.V.Shivaram
Geeta
Daughte
r
27.01.197
2
15.08.199
1
02.04.199
3
Son
E.Q
Marital
status
House wife
BE Civil
BE
Employed
Unemployed
Unemployed
Unemployed
Studying
Remar
ks

2
3
4
Name of the candidate & relationship with

the deceased/MU/MD employee (Enclose
certificate from two co-workers)
SSC/SSLC/Leaving certificate/Affidavit
from the Court of Law)
attested copies of certificate in support of
Educational/Technical qualification)
Personal marks of identification of the
candidate
A.V.Shivaram
15.08.1991
BE Civil Engineering Passed
Ablack mole below the right eye..
A small mole on the left arm
Smt.T.Mahananda
W/o (L) Vithal Aravattu, Plot.No.19 Lay out20. Kalyan Nagar \hutgi Road Solapur.
Employee
Widow
&Ward
& Ward
25
19
9
10
11
12
13
14
15
16
17
18.
Whether the candidate is superseding in

seniority in the family. In case any senior
is overlooked, No objection certificate
from the senior.
Whether already employed elsewhere
including in Railways as CL/Sub.etc., &
reasons for leaving job (with particulars of
employment , viz., post held since when
Group- C / D based on educational
qualification
compassionate ground and from whom.
Enclose copies)
widow)
within the time limit of 20 years from the
date of death of the deceased employee
Reasons why she could not apply for
within 20 years
In case the ward is minor at the time of
the death of the deceased, whether the
widow has applied within 2 years from the
date of the candidate attained majority
Whether relaxation in the age is required.
If so, what extant (while seeking
relaxation, the provision of age limit for
SC/ST candidate has to be observed)
Date on which Proforma filled and report
submitted.
No
Un-employed
Yes,
Group C
06.02.2015
NO
YES
Not Applicable
Not Applicable
No
No
18.12.2014
The candidate have passed BE Civil Engineering from B M S College of

Engineering the
Genuineness of the certificate is issued by the college authorities. (Copy enclosed)
crippled / medically unfit /incapacitated / medically de-categorised / missing
employee has been given.
Name:
S.Subba Naik
Date :
08.05.2015
Sr.DPO/UBL

Divisional Office,
Personnel Branch,
No.H/P.721/CGA/2015
Hubli. Dt.29.05.2015
REPORT

***
Smt.Yellamma has submitted an application seeking appointment to her son in
Group C on compassionate grounds against the death of her husband. The family of the
deceased has been contacted on (dates)
Sl.Nio
Date contacted
Remarks
1
13.05.2015
Contacted the family members and verified the school
&14.05.2015
Certificates.
The particulars in detail of the ex-employee, his family and the candidate for whom
appointment on compassionate ground is sought have since been investigated and details
are as under:
PRIORITY NUMBER: III(a)
1
Mallappa Mudukappa
2
Community/Caste
UR
3
Store Watchman, SSE/P Way/YTG.
4
Scale & Rate of Pay
Rs 2650-4000 RS:3510
5
Date of Birth
01.08.1955
6
Date of Appointment
19.091986
7
8
9
10

Cause of death
Total service
20.08.2004
NA
11
App.Settlement Dues Paid
1,17,516
23308/72024/18383/3801/-
12
P.F
DCRG
CGEGIS
Leave Encashment
Others (if any)
Total
Pension/Family Pension
Natural death
Yrs. Months Days
17
11
01
-------1,17,516
3500/-plus DA
(*)The employee is covered under Pension rules, settlement paid PPO no 27054100699
dated 15.03.2005
13.Present financial status of the family indicating land, immoveable/moveable property with
details if
any. Details of other source of income.
g ) House (Measurements & approximate value): Plot size 40x60
constructed area is half of the plot constructed and roofed with zinc sheet the
approximate value
of the property is 1.5 lakh
I) Land: 2.5 acres approximately 2.5 laks.
h) Moveable property: Nil
4. Particulars of composition of family (wife, sons and daughters as per the pass account).
Enclose family composition certificate furnished by the ex-employee while in service.
Sl
Name
R/ship
Smt.Yellamma
Wife
Date
of Birth
03.03.62
E.Q
Marital status
Nil
House wife
Employed
Un-employed
Un-employed/Married
Smt.Sthyamma
Daughter
10.03.83
Nil
House wife
Un-employed/Marrie
Smt.Umakka
Daughter
03.09.85
Nil
House wife
Un-employee/Marrie
Smt.Basamma
Daughter
16.06.87
7th pass
House wife
Un-employee/Marrie
Smt.Bharathi
Daughter
01.06.90
6th pass
House wife
Un-employee/Marrie
Smt.Savithree
Daughter
18.07.92
7th pass
House wife
Un-employee/Marrie
H. Veeresh
Son
13.08.96
SSLC
Passed
Studying
Diploma IInd
Un-employee
unMarrie

1
Name of the candidate & relationship with the

deceased/MU/MD employee (Enclose certificate from
two co-workers)
Date of birth (enclose SSC/SSLC/Leaving

certificate/Affidavit from the Court of Law)
Educational qualification (enclose attested copies of
certificate in support of Educational/Technical
qualification)
Personal marks of identification of the candidate
Whether the candidate is superseding in seniority in the

family. In case any senior is overlooked, No objection
certificate from the senior.
9
10
11
12
13
Whether already employed elsewhere including in

Railways as CL/Sub.etc., & reasons for leaving job
(with particulars of employment , viz., post held since
when and monthly emoluments)
H.Veeresh
13.08.1996
SSLC Passed
A cut mark near right side of the
nose.
A mark in right caller bone
Smt.YELLAMMA. w/o (L) Mudakappa
Lakkundi Road At; Post Hatalgeri
Tq& Dist Gadag.
Employee
Widow
&Ward
& Ward
41
34
Yes
Un-employed
Whether eligible for appointment in Group- C / D

based on educational qualification
Yes,
Date of receipt of application (for compassionate

ground and from whom. Enclose copies)
16.04.2015
Whether the widow has remarried or otherwise

(enclose declaration of the widow)
Whether the widow has applied for appointment either
for herself or forward within the time limit of 20 years
from the date of death of the deceased employee
Reasons why she could not apply for appointment
either for herself or forward within 20 years
Group C
NO
YES
Not Applicable
14
15
16
17
18.
In case the ward is minor at the time of the

death of the deceased, whether the widow
has applied within 2 years from the date of
the candidate attained majority (copy of the
application to be enclosed)
yes
No
Whether relaxation in the age is required. If so, what

extant (while seeking relaxation, the provision of age
limit for SC/ST candidate has to be observed)
No
Date on which Proforma filled and report submitted.
23.03.2015
The candidate have passed SSLC and further continued his studies he is studying
Diploma in Mechanical Engineering he has completed 2nd year Diploma, at Gadag.
Daughters of Late Sri Yellappa have submitted their no objection certificate stating that they
are not having any objection if their brother gets job opportunity, the same is enclosed.
The widow has submitted on Affidavit stating that , the date of births given by me are
only correct. I am not aware of the family composition certificate (F.C.C.) given by my late
husband in the office and came to know about it after his death only. I am clarifying the
discrepancies and variations. My information is correct to the best of my knowledge and
belief (Affidavit enclosed)
Certified that the above information has been verified from records / spot enquiry and
are correct and no appointment to any ward / relative of the deceased / crippled / medically
unfit /incapacitated / medically de-categorised / missing employee has been given.
Signature of C
S&WI
S.Subba Naik
Date: 29.05.2015
Sr.DPO/UBL

Divisional Office,
Personnel Branch,
Hubli, Date: 24.07.2015
No.H/P.721/CGA/2015
REPORT
***
Smt_ Parvathi @ Jambavva has submitted an application seeking appointment to her Son in Group
D on compassionate grounds against the death of her Husband. The family of the deceased has been
contacted on (dates)
Sl.No.
Date contacted
Remarks
1
23.06.2015
Enquired details of family & educational qualifications
The particulars in detail of the ex-employee, his family and the candidate for whom appointment on
compassionate ground is sought have since been investigated and details are as under:
PRIORITY NUMBER:
III (a)

11
2
Community/Caste
3
4
Scale & Rate of Pay
5
Date of Birth
6
Date of Appointment
7
Date of Death
Whether Death is due to accident on duty,
8
if so, particulars of compensation paid
9
Cause of death
10
Total service
11
Settlement Dues Paid

P.F
DCRG
CGEGIS
Leave Encashment
Others (if any)
Total
Pension/Family Pension
12
HUCHCHAPPA RAMAPPA SHIRUNDE

INDIAN HINDU
POINTSMAN,SS/O/KOPPAL
2550-3200
`.3140/01.01.1954
15.04.1981
21.12.2007
-NoNatural deathYrs. Months
26
08
Days
06
Under process
--------
13. Present Financial status of the family indicating land, immoveable/moveable property with details
if any. Details of other source of income.
(a) House: Measuring & approximate value :: A small house of two rooms constructed on plot
of 30x20 . Approx.value: 1 lakhs
(b) Land:: -nil- As stated by the widow.
S
No.
1
2
Name
R/ship
Smt.Parvathi
Sri Yellappa Shirund
Wife
Son
Date
of Birth
52 years
15.11.83
E.Q
SSLC
Marital
status
Widow
Married
Employed/
Unemployed
Unemployed
Unemployed
Remark
s
14. Particulars of composition of family (wife, sons and daughters). Ration card submitted by the
Widow.:- NIL
B. PARTICULARS OF THE CANDIDATE IN WHOSE FAVOUR APPOINTMENT ON COMPASSIONATE
GROUND SOUGHT FOR

1
2
3
Name of the candidate & relationship with the

deceased/MU/MD employee (Enclose certificate from
two co-workers)
Date of birth (enclose SSC/SSLC/Leaving
certificate/Affidavit from the Court of Law)
Educational qualification (enclose attested copies of
certificate in support of Educational/Technical
qualification)
Yellappa Shirund
15.11.1983
SSLC, Passed
A black mole on the right cheek.
Personal marks of identification of the candidate

A black mole o left side of the neck
5
Smt.Parvathi@ Jambavva.
W/O Huchappa Sirunde.
At Hosur, Post Kanavi. Tq.& Dist,
GADAG-582103
Employee
&Ward
29
Whether the candidate is superseding in seniority in the

family. In case any senior is overlooked, No objection
certificate from the senior.
-No-
Whether already employed elsewhere including in

Railways as CL/Sub.etc., & reasons for leaving job (with
particulars of employment , viz., post held since when
Whether eligible for appointment in Group- C / D
based on educational qualification
Widow
& Ward
24
-No-
Group-C : (Candidate has sought for

erstwhile Group-D)
10
Date of receipt of application (for compassionate

ground and from whom . Enclose copies)
11.06.2015 from the widow

Copies enclosed
11
Whether the widow has remarried or otherwise (enclose

declaration of the widow)
Whether the widow has applied for appointment either
for herself or forward within the time limit of 20 years
from the date of death of the deceased employee
-NoEnclosed
For appointment in f/o Son, within the
time limit of 20 years from the date of
event.
13
Reasons why she could not apply for appointment

either for herself or forward within 20 years
-Not Applicable-
14
In case the ward is minor at the time of the death of the

deceased, whether the widow has applied within 2
years from the date of the candidate attained majority
Whether relaxation in the age is required. If so, what
extant (while seeking relaxation, the provision of age
limit for SC/ST candidate has to be observed)
Not applied within 2 yrs from the date

of the candidate attained majority.
The ward was 24y, 01m at the time of
death of the employee.
-No-
Date on which Proforma filled and report submitted.
05.06.2015
12
15
16
17
18.
SC, Bovi(Wadder)
This is a case of two wives dispute for which settlement in favour of Smt. Parvathi (Jambavva)
w/o (L) Huchappa Ramappa Shirunde Ex Points Man under SS/O/Koppal, was kept pending for
want of succession certificate from the Court. The case came to be finally disposed on
09.01.2015 by Honble High Court, Circuit Bench, Dharwad.
From the proceedings of the Court case, it is seen that the above named Smt. Parvathi was
married to Late Huchappa Ramappa Shirunde on 04.05.1982.
The Honble Court has held that Smt. Parvathi her son(Yellappa Shirund ,CG candidate) and
2nd wife children are the legal heirs of deceased late Huchappa Ramappa Shirunde who are
entitled to receive the service benefits of the deceased.
The widow had however approached this office for settlement dues and appointment on
compassionate grounds vide her application dt. 08.06.2015 (copy enclosed) consequent on the
orders of Pr.Dist.& Sessions Judge, Dharwad.
The candidate has passed SSLC in March 2004 as a repeater as he could not pass the same at
first attempt during the year 2000.
The Widow has submitted an Affidavit for variations/differences in the surname of her son &
and in the ration card (enclosed in original) .The Ex employee was not executed the FCC in
favour of 1st wife and 1st wifes children , he has executed only 2nd wife s children.
Certified that the above information has been verified from records / spot enquiry and are
correct and no appointment to any ward / relative of the deceased employee has been given.
Submitted for further action in the matter please.
Signature
Name
Desig:
Date:
Sr.DPO/UBL
.broad
S.Subba Naik
CS&WI
24.07.2015

SUBBACG

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SOUTH WESTERN RAILWAY

Sub: Appointment on Compassionate Grounds Investigation Report

DETAILS OF THE EMPLOYEE::

Date of Death of Employee

Novel Philip Joseph

(*)The employee is covered under Pension rules, settlement is under process

(a) House (Measurements & approximate value): NIL

B.PARTICULARS OF THE CANDIDATE IN WHOSE FAVOUR APPOINTMENT ON

Name of the candidate & relationship with

Permanent address of the candidate

Age difference between

Whether the candidate is superseding in

Whether the widow has remarried or

Special or any other particulars considered relevant in the case:

SOUTH WESTERN RAILWAY

Sub: Appointment on Compassionate Grounds Investigation Report

Date of Death of Employee

11 App.Settlement Dues Paid

(b) Land: Nil

B.PARTICULARS OF THE CANDIDATE IN WHOSE FAVOUR APPOINTMENT ON

Name of the candidate &

Smt. Sarojani . Kalasagond.

A small mole on chick.

Permanent address of the candidate

Smt. Sarojani, Kalasagond.

Age difference between

Whether the candidate is

Whether already employed

16 Whether relaxation in the age is

Special or any other particulars considered relevant in the case:

The name of the candidate is recorded in the FCC as Sarojini Bhavikatti

Sub: Appointment on Compassionate Grounds Investigation Report

Date of Death of Employee

11 App.Settlement Dues Paid

B.PARTICULARS OF THE CANDIDATE IN WHOSE FAVOUR APPOINTMENT ON

Name of the candidate & relationship with

Permanent address of the candidate

Age difference between

Whether the candidate is superseding in

Special or any other particulars considered relevant in the case:

The candidate have passed BE Civil Engineering from B M S College of

SOUTH WESTERN RAILWAY

Sub: Appointment on Compassionate Grounds Investigation Report

Date of Death of Employee

App.Settlement Dues Paid

B.PARTICULARS OF THE CANDIDATE IN WHOSE FAVOUR APPOINTMENT ON

Name of the candidate & relationship with the

Date of birth (enclose SSC/SSLC/Leaving

Permanent address of the candidate

Age difference between

Whether the candidate is superseding in seniority in the

Whether already employed elsewhere including in

Whether eligible for appointment in Group- C / D

Date of receipt of application (for compassionate

Whether the widow has remarried or otherwise

In case the ward is minor at the time of the

Whether relaxation in the age is required. If so, what

Date on which Proforma filled and report submitted.

Special or any other particulars considered relevant in the case:

SOUTH WESTERN RAILWAY

Sub: Appointment on Compassionate Grounds Investigation Report

DETAILS OF THE EMPLOYEE::