TEACHER TRANSFER APPLICATION -2013 (APPLICANT COPY )

First KGID No. : 2390892 Application No. : 026459

Government of Karnataka Department of Public Instruction O/o Commissioner for Public Instruction Nrupathunga Road, Bangalore - 01
Applied date : 08/06/2013

Applicant Name : Designation : Subject while appointed : Present working place :

SHAILA MATHAPATI Assistant Master ( AM ) LANGUAGE KANNADA GHS KALLAHALLI KALLAHALLI School / Office category : Secondary Zone : C

Taluk Name : Date of birth : Date of entry into joining service: Date of probationary declared : Mode of entry into GroupB: Is applicant as an excess teacher : Transfer sought for :

K.R.NAGARA 01/03/1981 30/06/2008 30/06/2010

District Name : Gender : Marital Status : Mobile No : Telephone No. :

MYSORE Female Married 9535809053 9901577058 NO Mysore

NO Outof Unit

Is any inquiry pending : Willing to attend counselling division at:

Grounds for Priority : Total completed years :

HUSBAND OR WIFE IN GOVERNMENT 4 Total weightage : 8

Spouse working/residential Address:

MALLIKARJUN MATH S/O SIDRAMAYYA #5/1/80 RAJEEVA NAGAR AFZALPUR TALUKU,AFZALPUR,DIST GULBARGA AFZALPUR GULBARGA

EXPERIENCE DETAILS Sl.No. Desig Places where applicant worked in present cadre GHS KALLAHALLI Taluk District

Pincode: 0 585301 Date from Date to Zone Completed Weightage years 4 8

AM

K.R.NAGAR

MYSORE

30/06/2008

08/06/2013

This is to certify that, all the above information furnished by me is true and correct Candidate Signature

e-Governance, CPI's Office, Bangalore

6/8/2013-13:10:01

ALR-1