TRANSFER APPLICATION FORM FOR TEACHERS District

(Applications must be submitted in the office concerned DEOs)

Sr.
No.
1- Personal Information
1.1 Applicant's Name Contact No.

1.2 Designation, Regular Scale & Place of Posting

Date of Promotion,scale, Date of joining in Present
1.3 Date of Appointment in Govt Service with Post post School

1.4 Date of Birth (DD/MM/YYYY) Gender (Male/Female)

Name Present Post

1.5 Mutual Transfer with
School Name Regular Scale

Academic Result (PEC/BOARD) 40 Marks CLASS V (PST) CLASS VIII (EST) CLASS X (SST) TOTAL MARKS

Year 2012 2013 2014 2012 2013 2014 2012 2013 2014
1.6
Result Percentage (with Proof)
(i) for the teachers result persentage will be of their subject being
taught by them to terminal classes.
(ii). For the teachers not teaching to terminal classes and for Head teachers
result persentage will be of terminal classes i.e. V,VIII, X & XIII

Date of
Service in Far Flung Area 20 Marks Name of Present School No, Year Served in Present School No of Marks per Total No.
Joining
PST/ESE 8-16 km

1.7 PST/ESE above 16 km

EST/SST 16-24 km

EST/SST above 24 km

Year Served in the same substantive Scale Two Marks Per Year Marks Obtained
1.8 SENIORITY MAXIMUM MARKS 10
 TRANSFER APPLICATION FORM FOR TEACHERS District
(Applications must be submitted in the office concerned DEOs)

Sr.
No.
1- Personal Information
Contact No.
1.9 WED LOCK BASIS MAXIMUM MARKS 15 Total Marks Obtained only on out of District Transfer

Disability Hurdling Mobility

Widow or Divorced (15-Marks ) Disabled spouse 10-Marks Marks Obtained
1.10 COMPASSIONATE GROUNDS MAXIMUM MARKS 15 15 Marks

Priority No. 01- Priority No.02-

1.11 Name of School requested for transfer Priority No. 03- Priority No.04-
Priority No. 05- Priority No.06-

I certify that the information mentioned in this application form is true and correct, to best of my knowledge and belief, I understand that statemetns found to be false/incorrect would shall disqualify me.

Date………………………………. Name ………………………………………………….

…………………………………………………………………….
Signature

DOCUMENTS MUST BE ATTACHED

1.6 Proof of Result 1.7 Distance Certificate of School from Domociled Place alongwith a copy of Domocile

1.8 Service Certificate in the same Substantive Scale 1.10 Proof Widow or Divorced Female (2). Disablility Certificate (3) Disable Spous

1.11 Vacant Post verifiction Certificate by the Head/Dy. Concened 1.5 Application form of Both candidates in case of Mutual Transfer

The applicant having tenure less than 03 years at present station will not claim for transfer. The Application without documents can be
Note
rejected & no claim will be entertained later. All documents must be placed in file Cover.
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Verified by HM Dy.DEO concerned DEO(SE/M-EE/W-EE)