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  • Grade Medical Officers' Transfer Request Form: Name With Initials

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    suntharthi
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    This document is a transfer request form for medical officers in Sri Lanka. It requests information such as the applicant's name, address, contact details, current grade and appointment date, present station and post, whether they have completed one year post intern period, if they are on transfer orders, preferred new station and post, reason for request, documents attached, and branch union recommendation. It requires signatures from the applicant and branch union president and secretary.

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    This document is a transfer request form for medical officers in Sri Lanka. It requests information such as the applicant's name, address, contact details, current grade and appointment date, present station and post, whether they have completed one year post intern period, if they are on transfer orders, preferred new station and post, reason for request, documents attached, and branch union recommendation. It requires signatures from the applicant and branch union president and secretary.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    41 views1 page

    Grade Medical Officers' Transfer Request Form: Name With Initials

    Uploaded by

    suntharthi
    This document is a transfer request form for medical officers in Sri Lanka. It requests information such as the applicant's name, address, contact details, current grade and appointment date, present station and post, whether they have completed one year post intern period, if they are on transfer orders, preferred new station and post, reason for request, documents attached, and branch union recommendation. It requires signatures from the applicant and branch union president and secretary.

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    © All Rights Reserved
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    of 1

    GMOA Membership No:

    GRADE MEDICAL OFFICERS' TRANSFER REQUEST FORM

    Name with initials

    Permanent address

    Contact details
    Residence Mobile

    E-mail

    Grade Appointment Date (DD/MM/YYYY)


    Post Intern
    Preliminary
    Grade 2
    Grade 1

    Present Station & Post

    Have you completed one year post intern period? Yes


    No

    Are you on transfer orders? Yes If yes, category of transfer:


    No Catogary Since when (Year & month)
    Annual
    Post intern
    Special appeal
    Temporary attachment
    North & East Transfer Order

    Category of Request Replacement


    Temporary Attachment
    Special Appeal
    Appeal against annual transfer
    Other

    Preferred Station & Post

    Reason for request Medical


    Personal
    Other

    Documents attached 1 .…………….……………………………..………………………………………………………………………………………………....


    2 .…………….……………………………..………………………………………………………………………………………………....

    Branch union recommendation letter Attached


    Not attached

    I cetryfy that the above purticulars are true and correct.

    Signature …………...…...………………………………… Date …………...…...…………………………………

    Name of Branch Union


    President …………...…...………………………………… Secretary …………...…...…………………………………
    Contact No …………...…...………………………………… Contact No …………...…...…………………………………

    For office use only

    Index No. Received Date


    Remarks :

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