| NOTE: Users are requested to submit form
within 10mts otherwise Session will be expired.
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Working School Information :
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| Name of the District (*) :
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| Name of the Mandal (*) :
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| Name of the School (*) :
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| Date of Joining in the Present School (*):
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NOTE: (*) fields are mandatory
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Details of the Employee (*):
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| Health Card Number (*):
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| Aadhaar Number(12 digits) (*) :
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| Employee Treasury ID (7 Digits) (*)
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| Name of the Employee (*):
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| Surname (*):
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Father's Name (*):
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| Gender (*):
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Date of Birth (*) :
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| Caste (*):
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Mobile No : (10 Digits) (*)
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| Native District as per SB (*) :
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Email ID (*)
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| Local
Status (As per 4th to 10th Study Certificate Or As per Service Book) (*)
:
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| If you are belongs to Non-Local, Mention District :
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| Category of PHC (*):
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% of PHC :
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| Other than District's trainings :
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| Awards at Level (*) :
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if any others extra curricular activites :
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Service Details of the Employee :
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| Date of Ist Appointment (*):
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Ist Appointment Cadre (*):
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| Medium of the Post You are Appointed (*)
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Management of the Ist Appointment (*) :
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| Date of Joining in Present Post (*) :
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Present Designation :
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| Date of absorbtion in Regular Post (*):
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Date of Ist Appointment as Spl.V.V :
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Spouse
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| Occupation of the Spouse (*) :
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| Name of the spouse : |
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Spouse's Aadhaar ID:
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DSC Details (*):
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| Year of DSC (*) :
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Rank in DSC :
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Inter DistrictTrasnfered(IDT) Information
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| whether Transferred under IDT (*) :
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If yes metion Date :
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| from which District :
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SSC or Equivalent
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| SSC Or Equivalent (*)
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Medium (*) :
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| Month & Year of Pass (*)
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Intermediate or Equivalent
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| Intermediate Or Equivalent (*)
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Medium (*) :
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| Month & Year of Pass (*)
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Option 1 (*)
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| Option 2 (*)
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Option 3 (*)
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Academic Qualifications :
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| Degree
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Medium :
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| Month & Year of Pass :
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Option 1
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| Option 2
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Option 3
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| Univerisity :
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PG Particualrs
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| PG
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Medium :
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| Month & Year of Pass :
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Subject :
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| Percentage of Marks :
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University :
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Professional Qualifications :
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| HPT/TPT Particulars course in HPT/TPT
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Subject :
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| Month & Year of Pass
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Board/University :
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TTC/D.Ed particulars
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| DED/TTC
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Medium
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| Month & Year of Pass
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Board/University :
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B.Ed., Qualifications :
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| B.Ed.,
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Medium :
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| Month & Year Pass
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Method 1
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| Method 2
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University :
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Additional B.Ed., Particualrs
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| Additional B.Ed.,
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Medium :
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| Month & Year of Pass :
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Method :
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| University :
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M.Ed.,/M.Pd Particulars
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| M.Ed.,/M.Pd.,
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Medium :
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| Month & Year of Pass :
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% of Marks :
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| University :
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Department Test Particulars
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| EOT (Y/N) (*)
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Month & Year of Pass :
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| GOT (Y/N) (*)
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Month & Year of Pass :
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Salary Details
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Medical,Surender Reiumbersment Leave,Half Pay Leave and Earned Leave
Details
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