Date: 16/02/2016 11:10:38 pm
APPLICATION FORM FOR TRANSFER OF TEACHERS 2016-2017
1.
Applicant Id
2184703
2.
Name
SANDHYA.K.R
3.
Native Place
CHERPULASSERY
4.
Date of Birth
18-04-1973
5.
Phone Number
9400604339
6.
Mobile Number
9447997848
7.
Email Id
sandhyakr@live.com
8.
Working District
Palakkad
9.
Working Sub District
Mannarkkad
10. Name of present working school
Thenkara GUPS
11. Designation
PD Teacher-UPSA
12. Qualification
TTC, BEd, MEd
13. Recruitment order/PSC Advice Number,
Serial number and Date in the order of
present category
A4/19951/04,2, 02-09-2004
14. Date of joining duty in the present
Revenue District in the present category
14-09-2004
15. Mode of appointment in the present
category in the present District
Direct Recruitement
16. Whether the present station is
Hill/Remote station
Yes
(a) Service Length in the present
category As on 31-03-2015
11 years 6 months 17 days
17. Date of Retirement [Only if one year
service left]
00-00-0000
18. Special considerations,if any
nill
19. Name of schools to which transfer is required(in the order of preference)
Opt_num
Education Sub District
School Selected
Cherpulassery
Cherpulasseri GVHSS
Cherpulassery
Cherpulassery GUPS
Cherpulassery
Veeramangalam GLPS
Cherpulassery
Kadampazhypuram GUPS
Shornur
Vallapuzha GUPS
Cherpulassery
Vellinezhi GHSS
Parali
Kongad GUPS
Place :
8
Cherpulassery
Veeramangalam GM LPS
Date :
9
Shornur
Koonathara GVHSS
Pattambi
Pattambi GUPS
10
SANDHYA.K.R, PD Teacher, Thenkara GUPS , do hereby declare that I am willing to be transferred
on conditions laid in the Circular No.B(1)/10262/2015/DPI dated 18/03/2015 issued by the Director of
Public Instruction, Thiruvananthapuram. And also, if I am transferred , I will never be filled any
representation before the Educational Officiers to cancel the transfer order.
Signature of Applicant
Certified that the service details and the total service furnished by the teacher in the application have
been verified and found correct.
Place :
Date :
Signature of HM/Principal/AEO
(Seal)