APPLICATION FOR FIXATION IN NEW AUTOMATIC ADVANCEMENT SCHEME

( G.O.MS. 96, Dated: 20.05.2011 Finance (Pay Commission – II) Dept.

1 Name of the Employee:

2 Designation

3 Name of the School :

4 Date of first appointment :

5 Date of Promotion (If Promoted after 01.02.2010)

6 Qualifications:

a. General:

b. Professional:

7 Name of the Dept. Test Passed:

8 Particulars of E.O.L. availed:

9 Date of completion of 6/12/18/24 years service:

10 Date of entry into 6/12/18/24 years Scale:

11 Pay & Scale as on 01.02.2010 or Date of completion
of 6/12/18/24 years Service:

12 Pay & Scale Fixed in 6/12/18/24 years Scale:

13 Increment Month:

14 H.R.A. as on date of Column No. 12 :

15 If Change in H.R.A. Mention the Date & % :

16 P.F. No./ Pran No.:

17 Treasury Id No. :

18 Bank A/C No.

Signature of the D.D.O. Signature of the Employee