PROFORMA-1

FORM OF APPLICATION FOR SANCTION OF 6/12/18/24 YEAR SCALE IN THE CATEGORY

OF_________________________________

1. Full Name of the Candidate :

2. Designation :
3. Present Address :

4. Date of Birth :
5. Date of First Appointment of Govt. service In :
any cadre
6. Date of service regularization :
7. Date of appointment in the present cadre :
8. Date of declaration of probation in the :
present cadre
9. Total service completed (including the service :
as O.S.)
10 Date of completion of 6/12/18/24 service :
.
11 Present pay /Pay scale :
.

Signature of the Applicant

Place:
Date:

The above information is checked with the relevant documents (i.e.) Service
Register and other office records and found correct.

Signature of the Head of the Office Date:

Place:

Date: