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Format (All the columns are to be filled up mandatory)

S.No 1 2 3 4 5 Name and Desgination Present place of joining

Information

Status Ashish Saini, AE(M) MTPS 05.03.2010 05.03.2010 On promotion

Date of joining at present station Date of joining in DVC Status of present posting, whether on promotion and/or own interest Document in support of medical treatment /condition Copy of medical booklet(with photo) Names and residential address of brother/Sisters, if any

6 7 8

Nil Attached Nidhi Saini 1265/5 Patel Nagar urgaon(HR) No No NA

9 10 11 12 13 14 15

Whether parents are dependent as per DVC rules If spouse is employed, details thereof If Children is employed, details thereof Recommendation of Chief Engineer /HOP /HOD Posting profile Position as per Transfer priority Register Whether mutual transfer availed earlier or not

Shift Incharge in CHP#1-4

No

______________________ Signature of Applicant

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