‘TEACHER TRANSFER APPLICATION
Current Date and Time : 5 Sep, 2023 11:09:13 AM
Teacher Details ‘Transaction Id : 132525820230904212356913
1.District MANCHERIAL | 2.Mandat BELLAMPALLE
Secondary Gra MPP_ZPP SCH
3.Category Of Post Seed S| 4.Management of the School pees
5.Department of school education | Yes
6.Mobile Number 9491492493 | 7.Aadhaar Number 79936658049
8,Zonal Code : 9.Employee Treasury Code 1325258
10.Name of the Individual seeking T | cwaowa | a.¢ender Female
ransfer
1983-03-02 (4
12.Date of Birth ovsmsoD), | 23-Marital status Married
No 14(A). Disability Percentage :
‘School Details
15. Medium of School TELUGU 16.School Type Co-Education
17. Name of the School MPUPS PERKAP | 4 7().School Code 36031101201
ALLL
18,Date from which the Individual |
8 serving in the Present School in all | 24-07-2015 | 1®-Category OF the School (Presen
1
Categories of Posts. 9
ory Of the School n Previous Byre 8? 19(R) Eatagory of Scot
19(C).From Date : 19(D).To Date :
19(E).Category of School 19(F).From Date :
19(G).To Date : 19(H).Category of Schoo!
19(1).From Date - 19(3).To Date -
19(K).Category of School 19(L), From Date
19(M).To Date
19 (0) No.of schools need to be con
19(N) Is Effected G.0 NO sider for previous station points
No
SCHOOL DETAILS (BEFORE G.0 :317 EFFECTED)
19 0(1) District - 19 0(2) Mandal -
19 0(3) Date from which the Indivi
19 0(2) School ° dual is serving in the School before
G.0 317 in all Categories of Posts.19 0(5) Is there any change in Cat
19 0(4) Category Of the School oO egory Of the School in Previous Yea | 0
2
19 0(6) Category of School 19 0(7) From Date
19018) Toone 19.00) entgey oc
19 0(10) From Date 19 0(11) To Date
19 0(12) Category of School 19 0(13) From Date
19 0(14) To Date
19 0(15) District - 19 0(16) Mandal -
$2 (48 te tom which ie a
#90147 ssn ° ee estat
19 0(20) Is there any change in Ca
sao eaeserottesdoa |e oc erent |
=
19 0(a etgoy seo 12 0G) Fema
19 0(23) To Date 19 0(24) Category of School
19 0(25)From Date 19 0(26) To Date
19 0(27) Category of School 19 0(28) From Date
19 0(29) To Date
zo, wheter ean an om
pleted 5/8 yrs of Service as on 01/ |. 21.Date of First Appointment in serv | 45 03.9003
09/2023 in All Categories of Posts i
n School
ice21(A).First appointed Category of t
Secondary Gra
22. Whether the Individual is Male
Headmaster Grade-II/Teacher Aged
below 50 years as on 01/09/2023 | No
he post de Teacher
P of the year and working in Girls Hig
h school
24, The President and General Secr
etary of the Teacher's Associations
having OD facility in terms of Govt.
orders issued by GADSW from time
23.Date of Joining in the present Ca
tegory ofthe post 23-07-2005 _| to time and of the Associations Who | No
availed entitlement points based on
Recognition in 2013 Teachers Trans
fers, at the State and District Levels
are eligible
Spouse Details
25, Whether spouse is Employee of
State Govt/Central Govt/Public Sec 25(A).Whether the HM/Teacher av
tor Undertaking/Local body/Aided 1 |. alled the benefit under Individual/S | ,,,
nstitution in the same district(in the pouse Category During the Last 5/8
‘same Multi Zone for Gazetted Head years as on 01/09/2023
Master, Gri)
26, Whether HM/teacher wants to a i
vail epouse benefit now ? Yes 26(A)-Spouse Organization Name | Public Sector
26(B).Treasury ID NA 26(C). Spouse Name A NARSAIAH
SUB DIVISION
26(D).Spouse Designation 26(E).Spouse District MANCHERIAL
(0)-Spor ‘gnatio ALENGINEER | 76(E)-Spo
26(F). Spouse Mandal NASPUR 26(G). Nearest School 36031400201
26(H).Distance From Nearest Scho |,
ol in KM
26(1). Distance Between Working L | .
‘cation to Nearest Schoo!
Preferential Category
27.Whether the individual availed t
he benefit under Preferential catego | 28.Did your spouse availed the Pre |
ry during the last 5/8 years as ono | \° f. Category in last 5/8yrs °
1/09/2023
29.Whether the individual wants to i
No 29(A).Select Preferential Category -
claim under Preferential Category «ay ‘gory
30.Whether the HeadMaster Gril G 31.Whether the applicant has compl
azetted / Teacher is working as NC | No eted 5/8 Years of continuous servic | No
€ officer ¢ in present Gram Panchayath?
Entitlement Points
1.Category Points 16.2400 2.Service Points 10.0450
3.Association Points 0.0000 4.UnMartied Female Points 0.0000
5.Spouse Points 10,0000 6.Special Points 0.0000Declaration
| do hereby solemnly affirm and declare thatthe information / documents as furnished by me are correct and in case if anyinformation
J particulars / documents / certificates submitted by me is found incorrect, | shall be liable for initiation of suitable disciplinary action
as per rules.
Date:
Station
Signature of the Applicant
(Counter Signature of the Headmaster in case of High School) % "ee
( FOR OFFICE USE OF M.E.0 / School Complex HM)
Signature of Verification
Verification team No. and | officer / Asst who receiv
ed application form and v
erified thereto
Number of corrections to | Counter signature of the
be carried out by DEO off | MEO / School Complex H
ice M
( FOR OFFICE USE OF D.E.0. )
Signature of Validating of
Number of corrections ex | Teer / Asst who carried ;
Validating team No. ana | NUMBET Of corrections c@. clttha Corrections in oni Counter signature ofthe
date of Validation | ed out and corrected in ey ion date, veri Deo
PP ed and conformed theret
°
NoTE:
1. One set of application form along with a copy f original certificates shall be submitted to the concerned Mandal Educational
Officer under proper acknowledgement. (Original certificates in suppor of application details, whicheveris applicable should
be submitted without fail.
2. One set of application form along with a copy of certificates shall be retained by the individual for future reference.
3. n support of application details ifnecessary documents or certificates or original certificates were not submitted by the
individual to MEO for verification, they will forgo the transfer or entitlement points as the case maybe.
4. Meer submission of tansfer application form doesn’t conform right for transfer of the applicant.