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Annexure-A

THIS PROFORMA SHOULD BE FILLED ONLY BY THOSE TEACHERS


WHOSE NAMES ARE NOT IN THE TENTATIVE ELIGIBILITY LIST
CIRCULATED ON 06.06.2012 AND APPOINTED BEFORE 31.12.2005.
PROFORMA FOR INCLUSION OF NAME IN THE TENTATIVE ELIGIBILITY
LIST 2011-12 FOR PROMOTION AS LECTURER
Empl. Name of
Category Seniority DOB Date of
ID
Teacher/Desig/ (Gen/SC/ no.
Apptt. as
Sch Name/ID/
ST)
& Block
TGT
Distt
Year
as TGT
1
2
3
4
5
6

Subject for
promotion

Date of
acquiring
requisite
qualification
as per RRs
8

My name should
Remarks if
be placed below
any
the name at serial
No. and above the
name at serial No.
9
10

(SIGNATURE OF APPLICANT)
CERTIFIED

THAT

THE

CONTENTS

OF

THE

CIRCULAR

AND

TENTATIVE ELIGIBILITY LIST HAVE BEEN BROUGHT TO THE NOTICE OF ALL


THE

TEACHERS WORKING IN THE SCHOOL AND THE ABOVE DATA IS

CORRECT AS PER SERVICE RECORDS. FURTHER THE SENIORITY NUMBER


AND BLOCK YEAR AS MENTIONED ABOVE HAVE VERIFIED FROM THE
SENIORITY LIST AVAILABLE IN THE WEB-SITE OF THE DIRECTORATE UNDER
NEW LINK

SENIORITY

(SIGNATURE OF SUPDT.)

E-II.

(SIGNATURE OF HOS)

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