NEW ENTRY FORMAT

If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO:
 NEW ENTRY FORMAT
If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO:
 NEW ENTRY FORMAT
If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO:
 NEW ENTRY FORMAT
If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO:
 NEW ENTRY FORMAT
If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO:
 NEW ENTRY FORMAT
If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO:
 NEW ENTRY FORMAT
If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO:
 NEW ENTRY FORMAT
If through
SOURCE OF Date of
Com-
GPF Appo. (Distt. issue of FIRST
Sl. mision
NAME OF TEACHER* NAME OF SCHOOL BLOCK SEX NO./PRAN DOB* Panel/Com- appoint- JOINING
No. then Sl.
No. mision/Com- ment DATE
No. of
pensionate) letter
merit list

1 2 3 4 5 6 7 8 9 10 11

QUALI. AFTER APPT. WITH DATE/

PERMISSIBLEDATE
YEAR
QUALI. AT THE TIME OF APPT. GRADUATION SUBJECT(IF SUBJECTS ARE TWO OR LESS
PLEASE MENTION BOARD/INSTITUTION IN REMARK)

TRAINING DATE OF
DATE FOR ALL* RETIREMENT
GRADE-1 GRADE-2 SUB-2( DON'T SUB-3 ( DON'T
GRADUATION TRAINING GRADUATION DATE TRAINING MENTION MIL MENTION MIL
HONS SUB-1 OR OR
DATE* TYPE* AND TYPE* TYPE* COMPULSARY COMPULSARY
SUBJECT) SUBJECT)

12 13 14 15 16 17 18 19 20 21 22 23

IF INTER DATE DATE DATE

AT PRESENT DISA- DIST. /IN- DATE OF DATE OF DATE OF DATE OF DATE OF
OF OF OF
PG DATE SCALE (IN- BILITY TER STATE GRADE- GRADE- GRADE- GRADE-7 GRADE-
TER/B.A/HM) IF ANY TRANSFER GRADE- GRADE- GRADE-
1 SCALE 3 SCALE 6 SCALE SCALE 8 SCALE
DETAILS * 2 SCALE 4 SCALE 5 SCALE

24 25 26 27 28 29 30 31 32 33 34 35

CATEGORY OF CATEGORY IF YES THEN

SERVICE TER- PERIOD BETWEEN DEPTT. PRO-
APPT. OF CASTE DATE OF RE DEPTT. PUN-
CASTE MITION IF TERMINATION CEEDING IF REMARKS
(GEN/SC/ST/M (GEN/SC/ST/ APPT. ISHMENT DE-
ANY (DATE) AND RE APPT. ANY
BC/BC) MBC/BC) TAILS

36 37 38 39 40 41 42 43 44

SIGN HERE↑
NAME OF THE TEACHER:
MOBILE NO: