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SPOUSE CERTIFICATE

This is to certify that Sri/Smt W/o or

H/o....has been

working as ..in the Office/School of

. since. He / She has not

availed spouse priority Transfer / Rationalization for last 5 / 8 years.

Station: Signature of the Concerned Authority

Date :

DECLARATION BY THE TEACHER APPLYING UNDER SPOUSE

I namely ( ) working as at

School Mandal do here by certify that I and my

spouse have not availed Spouse category in transfers for the Past 5 / 8 years. If any Information

found false on later date I am liable for punishment.

Station: Signature of the teacher

Date :
WILLING LETTER FOR SHIFTING UNDER RATIONALISATION

I..working as... in
...school ..,
. Mandal.do here by extends my willingness to
be shifted to other school along with post under rationalization as per Govt. orders in
Force. I am to opt school in fourth coming transfer counseling.

Station: Signature of the teacher

Date :

CERTIFICATE (S.S.C Results Individual)


(Rule 6c(d) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

This is to certify that Sri/Smt .

Working as .at..

in Mandal of district. The SSC students pass

percentage for last two academic years in his / her concerned subject.

Note: 100% / above 90%

Certified Dy.E.O Signature of the headmaster


CERTIFICATE (S.S.C Results Institution)
(Rule 6B(d) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

This is to certify that Sri/Smt .

Working as .at..

in Mandal of . district. The school average

performance in SSC Public Examinations for last two academic years 2013-

2015 Percentage 95%-100% / 90%-94.99%.

Certified Dy.E.O Signature of the headmaster

CERTIFICATE (Students Enrollment)


(Rule 6B(a) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

This is to certify that Sri/Smt .


Working as .at..
in Mandal of .. district has improved enrollment
10 to 20% during each of the last two years.
Academic Year Roll (All Classes) Improved (%)
2012-2013 --
2013-2014
2014-2015

Counter signed by Dy.E.O/M.E.O Signature of the headmaster


CERTIFICATE (Students Average Attendance)
(Rule 6B(b) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

This is to certify that Sri/Smt ...


Working as .at..
in Mandal of . His / Her students average attendance
has (%) during each of last two years as per school records.

(Note: above 95% / 90-95%)


Academic Year Total Students Attendance Percentage (%)
2013-2014
2014-2015

Counter signed by Dy.E.O/M.E.O Signature of the headmaster

CERTIFICATE (AAS 2015)


(Rule 6B(c) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

This is to certify that Sri/Smt .

Working as .at..

in Mandal of ...District. His / Her students of 3rd, 5th

& 8th Classes above 80% (A & A+ grade) (or) 70% to 74.99 (B+ grade) as per Annual

assessment survey 2015.

Counter signed by Dy.E.O/M.E.O Signature of the headmaster


CERTIFICATE (Teacher Attendance )
(Rule 6C(a) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

This is to certify that Sri/Smt .


Working as .at..
in Mandal of ..District. His / Her attendance as
follows for last two years.

Academic No of Net days %


Year Working days Attendance Attendance

2013-2014
2014-2015
Note : average attendance (above 95% (or) 90% to 94.99%)

Counter signed by Dy.E.O/M.E.O Signature of the headmaster

CERTIFICATE (Collecting Funds to School)


(Rule 6C(c) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

Certified that Sri/Smt .. Is


working as .., in . School. For
the last. years. He / She has Initiated to raising of funds/materials
/ Property / infrastructure for developing the school during the last two academic years i.e. 2013-
14 and 2014-15.
Initiation Academic Details Donors particulars Total worth Grand total
year Initiation (Rs.) (Rs.)
Funds
Material
Property
Infrastructure

Counter signed by Dy.E.O/M.E.O Signature of the headmaster Signature of the Donar


CERTIFICATE (Conducting of Science Exhibition)
(Rule 6C(h) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

Certified that Sri/Smt..is


working as .., i n . School for
the last Years. He / She has Conducted Science Exhibitions in our school
at school level with local contribution inviting neighboring schools in the Mandal. During
the
Previous academic year as detailed below.

Academic Year Type Date Neighboring Remarks


schools Visited
Science Projects
one shown

Note: Copy of Documentation is enclosed.

Counter signed by Dy.E.O/M.E.O Signature of the Headmaster


CERTIFICATE (Enrollment of Teachers Children)
(Rule 6C(b) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

Certified that Child/Children

S/o, D/o of ,.. studying

in ..School in the classes ...to

. two years 2013 to 2015.

Admn No. .

Counter signed by Dy.E.O/M.E.O Signature of the Headmaster

CERTIFICATE (100% Transition)


(Rule 6B(c) of Go.Ms.No. 63 Edn, (SCR-III), Dept, dt. 31.08.2015)

This is to certified that Sri/Smt.... working


as.. at
in .Mandal of District. His / Her school has 100%
transition in Government Schools during each of last two years.
No. of
Academic No. of Students Percentage
Sl. No Class Students
Year Studied (%)
Transition
1 2013-2014 V-VI
2 2014-2015 V-VI
3 2013-2014 VII VIII
4 2014-2015 VII-VIII
5 2013-2014 VIII-IX
6 2014-2015 VIII-IX

Counter signed by Dy.E.O/M.E.O Signature of the Headmaster

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