To Govt. _____________________________________________________
Respected Sir,
With due respect, it is stated that I am working as: _________
Yours Obediently,
Signature_________________________________
Name____________________________________
Designation_______________________________
Contact No _______________________________
APPLICATION FOR TRANSFER
(Under Transfer policy 2013 vide No. SO(SE-IV)2-34 dated 17th April, 2013 amended on 24-04-2014 and 27-07-2016)
Note (All supporting documents dually attested by the immediate officer should be attached, otherwise request for transfer shall not be considered)
School Name
Category of
Sanctioned Filled Vacant Signature of DDO
post
2017 5th
2.1 2016 5th
2015 5th
2017 8th
2.2 2016 8th
2015 8th
2017 9th
2.3 2016 9th
2015 9th
th
2017 10
th
2.4 2016 10
th
2015 10
Table: III SERVICE IN FARFLUNG AREA Maximum Marks: 20
Distance Date of No. of
between Name of present joining Years Marks Marks
Sr. obtained out
Residence Post School with EMIS at served in per Signature of DDO
No. and palace Code present present Year of 20
of posting School School
3.1 PST / EST
2
3
3.2 EST / 2
SESE/ SST 3
3.3 Provincial 2
Cadre Post 3
Table: IV SENIORITY Maximum Marks: 10
No. of Years served in the Marks Remarks
Sr.
same substantive Scale/ Post (2-Marks per Year) (for the use of security committee
No.
(Excluding the 1st three years) Maximum Obtained only)
4.1 10
Table: V WEDLOCK BASIS Maximum Marks: 15
Sr. Category Marks Remarks
(Within District wedlock shall (for the use of security committee
No. Maximum Obtained
not be considered) only)
5.1 15
Table: VI COMPASSIONATE GROUND Maximum Marks: 15
Marks Remarks
Sr. Category
(for the use of security committee
No. Maximum Obtained
only)
6.1 Widow or Divorce Female 15
6.2 Disability hurdling mobility 15
6.3 Disable Spouse 10
Table: VII SUMMARY OF MARKS OBTAINED OUT OF (100) Marks
Mean
Service Score of Marks
Sr. School Name with Average
Academic far Subject subject obtained Remarks
EMIS Code of witch Marks
No. Results flung taught achieved (for the use of security
areas by all the
Result is applicable out of 40 obtained
students committee only)
Maximum 40 20 10 15 15 10
7.1
Obtained
Table: VII SUBMISSION OF REQUEST FOR TRANSFER
Against one of the following Posts / School Priority wise
Remarks
Sr. Priority Name Scale of
EMIS Code Name of School (for the use of security
No. No. of Post the Post committee only)
8.1
8.2
8.3
8.4
8.5
I certified that information mentioned in this application true and correct, to best my knowledge and belief.
I understand that if statement found to be false/ incorrect shall disqualify me and liable to dealt under “PEEDA” Act 2006.
Signature with seal of HM/Dy. DEO Signature with seal of DEO (Concerned)