Relieving Form

Common Details Reason For Relieving Transfer To Department (T - Transfer, (may be blank for retirement/ R- Retirement, resignation/ outside mantralaya - romotion transfer) ! - Ne" !or# $llo%ation )

'rder Details

re-re+)isites Data Transfer Details rovided (y (Employee NameSevaarth ID)

Emp Code (Sevarth ID)

Employee Name

&ovt 'rder No

&ovt 'rder Date

Relieving Date

DSC Dea%tivation Date

Signat)re of Nodal 'ffi%er "ith stamp * Date

Note: This document needs to be filled by Nodal Officer/ Employee of the department for any employee who is relieved from the department. All fields in the form above are mandatory