OFFICE OF THE HEADMASTER GOVT.

NODAL HIGH SCHOOL,DAMBALO,BLOCK - RAYAGADA, GAJAPATI

FORMAT
L.No ____________ Dt _________________

whether there
Date of 1st whether No. of days leave availed was any Performanc Class wise 3 years HSC
engagment continung each year from the date unauthorised e of the subject result
SL.No. Name of teacher (Order & date without any of engagement (except CL leave availed contract taken by the positionin in Remark
No) interruption & maternity leaave) teacher teacher the subject
by the cont.tr

10th
24.11.2T014 & -ENG,SSC &
1 SURATHA SABARA Yes 25.11.2014 (Two days No Satisfactory 9th -
mass leave) ENG,SSC

Signature of HM Signaature of SMDC Member Signaature of SMDC Member Signaature of SMDC Member