PGOVERNMENT OF ANDHRA PRADESH

DEPARTMENT OF SCHOOL EDUCATION
APPLICATION FOR TRANSFER
Personal Details:1. District

: --------------------------------------------------------------------------------------------

2. Zonal Code

: ----------------------------------------------------------------------------------------------

3. Mandal

: ------------------------------------------------------------------------------------------------

4. Name of the individual seeking transfer: -----------------------------------------------------------------------------------------------5. Employee Code Number

: School Education Dept. CODE -------------------------------------------------------------------

6. Date of Birth

: -------------------------------------------------------------------------------------------------------

7. Gender

: --------------------------------------------------------------------------------------------------------

8. Martial Status

: ------------------------------------------------------------------------------------------------------------

9. Category of the post

: -----------------------------------------------------------------

10. Subject

: --------------------------------------------------------------------

11. Medium of School

: --------------------------------------------------------------------

12. Management of the School

: M.P.P / Z.P. / LOCAL BODY / GOVT,

13. Name of the School

: ----------------------------------------------------------------------

14. School Code (as per DISE FORM)

: ----------------------------------------------------------------------

15. Category of the School

: IV / III / II / I

16. Name of the Panchayat/Municipality/ Municipal Corporation in
Which the school mentioned in item 13 is located

: ----------------------------------------------------------------------

17. Whether the individual has completed 8 years of service as on 1st June
YES/NO
in all categories of posts including the service rendered in the school prior to
up gradation or bifurcation and also in all schools in a Pachayat/Municipality/Municipal Corporation DOJ IN SCHOOL/PANCHAYAT/MPLITY*MC :
18. Date of First Appointment in Service
19. Date from which the individual is working in the present school in all
categories of posts including prior to up gradation / bifurcation

: ----------------------------------------------

: ---------------------------------------------------------------------------

20. Whether he/she is President or General Secretary of the District/State of Recognized Association: YES / NO
21. Whether he/she is affected by Rationalization

: YES / NO

22. Whether the teacher availed the benefit under special category for spouse
during the last 8 years as on 01-June-2011
: YES / NO
23. Whether spouse is employee of State Govt./Central Govt./Public Sector undertaking/
Local body/Aided Institution in the same district(in the same zone for Gazzetted Head Master,Gr.II in Govt.schools): YES / NO
24. Performance Parameters (2009-10)
a) Participation (SGF/sciencefairs0
: ---------------------------------------------------b) Achievement (studentawards)
: -------------------------------------------------c) Achievement in SSC Public Exams (2009-10)
:
---------------------------------------------------25.Whether the individual availed the benefit under Preferential category
during the last 8 years as on 1st June-2011
: YES / NO
26. Whether the individual wants to claim under preferential category (yes/No)

: YES / NO

27. Mobile Number

:

------------ -----------------------------------------------Signature

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