SPARK FORM NO.

NOMINATION/ CHANGE OF NOMINATION OF

DDOs/ Establishment Officers

(To be furnished by the Head of Office to the respective Department Management User)
1 Name of Department GENERAL EDUCATION
2 Name & PEN of the existing
DDO/ Establishment Officer JASEELA KT (PEN 260724)
(Write NIL if requesting for ID for the first
time)

3 Contact Number Of existing Clerk/DDO 9747089544

4 Reason for change NEW HM has been joined
Details of newly nominated DDOs/ Establishment Officials

5 Name ANILKUMAR T
6 PEN of DDO 631592
7 Designation HEADMASTER
8 Name of office GVHSS MAKKARAPARAMBA
9 Place of office MAKKARAPARAMABA
10 Post Office MAKKARAPARAMBA
11 District MALAPPURAM
12 PIN Code 676507
13 Office Phone Number 04933 283060
14 Residence Phone Number 8848243134
15 Mobile Phone Number 9447960518
16 eMail ID sresoftakt@gmail.com

Place:
Makkaraparamba
Date 05-07-2021 Signature, Name &
Designation of the Head of Office
To
The Chief Project Manager (SPARK)
PMU Office,Uppalam Road
Statue,Trivandrum-695001
Note : Please fill up the form,take print out and counter sign with seal & send the scanned copy of this form to info@spark.gov.in