PROFORMA

ANNEXURE - I

SERVICE PARTICULARS IN RESPECT OF OFFICER/STAFF FOR THE PURPOSE OF CONSIDERATION OF GRANT OF FINANCIAL UPGRADATION UNDER
MACP SCHEME.
S. Name of
Present
Date of
No.
the
Designation with Birth
official
pay band and
grade pay

Also date of
completion of
10/20 & 30
years of regu.
Service

Entry grade
as a direct
recruit

Direct entry Length of past Details of

grade on
continuous
1st /2nd/3rd
absorption/
service in
promotion
Reemploy- other C.Govt.
ment basis deptt. , if from
surplus cell

Details of
1st/2nd
financial
upgradation
under
ACP/MACP
scheme
Name of past Date/Design Date/pay
Organisation/D ation/pay
scale
esignation in scale
that Org/
Length of
service in that
org

Date of
recruitment/D
esignation/Pa
y Scale

Whether Whether
any
any
vig./non
penalty
vig. Case imposed &
pending
pending

10

11

ACR
Whether the
gradings officer has
for last 5 refused to
years
accept the
promotion
during the
service if
yes, plese
mentioned
the date &
post

12

It is certified that the above particulars have been verified from the service records of the incumbent and found in order.

(SIGNATURE OF THE COMPETENT AUTHORITY )

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