2

1
1
SI. No.

2
Unit Type (Corporation/ Municipality)

Languate Pandits Telugu

3
Name of ULB

4
Name of the Teacher

Municipality proddatur A.Penchalaiah

Municipal Teachers Information

M
Municipality proddatur S.Yaseen Basha M
5
Gender (M/F)

Basha
Father's Name

A.Chinna
Subbaiah
6
or
Husband's Name

S.M.D Mohiddin
7

Date of Birth (DD/MM/YYYY)

01-07-1982
17-07-1975

SGT
SGT
8

Present Designation with Subject

Date of appointment in present Designation

9

(DD/MM/YYYY)
28-12-2012
06-12-2000
10

1250109
1243013

Employee Id No.
OC
BC-E
11

Catogory of Community (SC/ ST/ BC/ OC)

SHAIK
12

Caste Name
KSHATRIYA OH
13

Type of Disability PH (HH/ OH/ VH)

90%
14

% of disability as certified by Board

Physically Challenged

URDU

ZPPHS

URAM
15

Address of the School Studied

MPP PS

BADVEL
SCHOOL
PRIMARI

SBVM HS
KAMALAP
SCHOOL &
16
4th to 10th Class

Name of the District studied

SCHOOL KADAPA
KADAPA

1997
1990
17

Year of Passing
SSC

18

Medium of Instruction
TELUGU
TELUGU
MPC

BI.P.C
19

Group ( MPC,BiPC,CEC,HEC/etc)
2000
1992
20

Year of Passing
Inter/ 10+2

U
21

Medium of Instruction
TELUG
-
TEUGU B.A
22

Degree(BA/Bcom/BSc/etc
-
(lit)
23

Subject - I/Optional - I
TELUGU

-
24

Subject - II/Optional - II
HISTORY

-
25

Subject - III/Optional - III

SCIENCE
POLITICAL
Degree details

-
26

Medium of Instruction
-
27

Month & Year of Passing

TEUGU SEP/1998

Page No: 1 / 8
 -
S.V.U
28
University

-
-
PG

29
(MA/MCom/MSc/etc)

-
-

Languate Pandits Telugu

30
Subject

-
-
31
Month & Year of Passing

-
-
Post Graduation (PG) details

32
University

TTC

Ded
33
DEd/ TTC/ SGBT

U
U
34
Medium of Instruction

2009
1999

TELUG 21-11-
TELUG 20-12-
35
Month & Year of Passing

TI
D.Ed. / TTC/ SGBT details

T.E
36

Board/ Training Institution

D.I.E.T -

BADVEL
Educational Qualifications

S.B.V.R.I.E.
-
37

Methodolgy-1(Optional - I)
RAYACHO TELUGU

-
38

Methodolgy-2(Optional - 2)
SOCIAL

-
-
39

Methodolgy-3(Optional - 3)
-
U
B.Ed. Details

40

Medium of Instruction
-
2012
TELUG JUNE/
41

Month & Year of Passing

-
42

University
BRAOU

-
-
43

Month & Year of Passing

-
-
M.Ed. Details

44

University
-
-
45

Language Pandit (LPT/LPH/LPU/LPS/etc

-
-
46

Name of the Course

-
-
For

47

Name of the Institution

A(San) as per GO
LPH/LPS/SA(Hindi)/S

-
-
48

Month & Year of Passing

LP Telugu/ LP Hindi/ LP Urdu/LP
Sanskrit/SA(Hindi)/SA(Sanskrit)/etc

-
-
49

University
-
-
50

Month & Year of Passing

-
-
51
BPEd Details

University
-
-
52

Month & Year of Passing

-
-
MPEd
Details

53

University
-
-
54

Qualification Details
-
-
55

Medium of Instruction
-
-
56

Month & Year of Passing

-
-

Name of the Institution/

Any other Qualification(s)

57

Colege/ University

GOT(Test for Gazettted

-
58

Officers in Education Dept.)

If

Page No: 2 / 8
Whether pres
 ATEO (Account Test for

-
1
59
Executive Officers in
Education Dept.)

or not?
SLT-T (Special Language Test

-
1
60
for the Officers for Telugu)

If Passed, use 1, else 0

Languate Pandits Telugu

SLT-H/U (Special Language

-
-
61
Test for the Officers for Hindi/
Urdu) rescribed Department tests passed

SGT
SGT
62
Designation

63
Date of Joining (DD/MM/YYYY)

28-12-2012
06-12-2000
Intial Appointment

UR
ULB-
ULB-
Management of Initial Appointment

64
(ULB/ MPP/ ZP/ Govt/Aided)

65
Year of entry into service (YYYY)
DSC

PRODDAT 28-12-2012
TADIPATRI 06-12-2000
Details of Non
MPL PS DASTHAGIRI PETA

66

Year

DSC-2012 37
DSC-2000 375
67

Merit Rank
-

48.13
68

- Marks
-

Name of the Other Management, Other

69

District and Other Unit

-

Specify Type of Transfer (On request/ 610

70

G.O./ Administrative grounds/Medical

610-GO

/Spouse)
-
ULB-

Mention the date of joining in the Present

Other Unit, give details

71
If Transferred from Other

Unit (DD/MM/YYYY)
Details of selection through DSC Management, Other District and

2012
TADIPATRI 2008

28-12-
01-12-
72

Date of joining in Present ULB (DD/MM/YYYY)

PETA
PETA

MPL PS
MPL PS
73

Name of the Present working School

DASTHAGIRI
DASTHAGIRI

PS
PS
74

Type of the School (PS/ UPS/ HS)

75

UDISE Code of Present working School

76

Date of joining in the Present School (DD/MM/YYYY)

28201590819 28-12-2012
28201590819 01-12-2008

PETA
PETA

MPL PS
MPL PS
77

Name of the allotted/ Mother School

DASTHAGIRI
DASTHAGIRI

PS
PS
Details of present working/ allotted School

78

Type of the School (PS/ UPS/ HS)

79

UDISE Code of Allotted/Mother School

28201590819
28201590819
Mother School details

-
-

Reason for not working in Original School

80

(Deputation, Working Arrangement,

Rationalization)
If not working in allotted School/ Mother School, mention

-
-
81

Subject Handling in X Class

-
-
For High

82

Subject Handling Experience (in years)

Schools only

83

Mobile No.
9030813403
9059911066

Page No: 3 / 8
 Remarks/Any other additional Information/ Suspensions/
Whether relinquished for promotion? (YES/NO)

If yes, no of times Relinquished

Address for Communication

Charges if any pending etc.,

Permanent Address

Aadhar Number
CFMS Id
eMail-Id

Signature of the Teacher

84 85 86 87 88 89 90 91 92

D.no:10-47-A, Talari Street, D.no:10-47-A, Talari Street,

shaikyaseenbasha880@gmail.com 71435997414
Jamalamadugu Jamalamadugu No - - 14371093 9

D.no:4-1-695/1, D.no:4-1-695/1, 72438319115

penchalaiah039@gmail.com No - - 14330822
Radhakrishna Nagar, Badvel Radhakrishna Nagar, Badvel 9

Languate Pandits Telugu Page No: 4 / 8

 SI. No.

Name of the Unit (Corporations/

Municipalities)

Name of ULB

Name of the Teacher

Gender

Father's Name
or
Husband's Name

Date of Birth (DD/MM/YYYY)

Present Designation

Employee Id No.

Name of the Present working School

Page 5
Type of the School (PS/ UPS/ HS)

UDISE Code

General

Specialization

Inter/ SSLC

Year of Passing

Degree

Option - I

Option - II
Degree details
Qualifications (part
 Degree details

Option - III

Month & Year of Passing

Qualifications (part - 1) - Academic

University

Subject

Month & Year of Passing

Post Graduation (PG) details

University

Option - I

Option - II

Month & Year of Passing

D.Ed. / TTC/ SGBT details

Board/ Training Institution

Page 6
Option - I

Option - II

Option - III
B.Ed. Details

Month & Year of Passing

University
Qualifications (part - 2) - Professional

Subject

Month & Year of Passing

M.Ed. Details

University

Option - I

Option - II
LPT/ HPT/ UP
 LPT/ HPT/ UPT

Month & Year of Passing

University

Details

Month & Year of Passing

Any other Qualification(s)

GOT(Test for Gazettted

Officers in Education Dept.)

ATEO (Account Test for

Executive Officers in
Education Dept.)

SLT-T (Special Language

Test for the Officers for
passed or not?

Telugu)
If Passed, use 1, else 0

SLT-H/U (Special Language

Test for the Officers for
Whether prescribed Department tests

Hindi/ Urdu)

Catogory of Community (like SC, ST, BC,

etc)

Caste

Type of Disability PH (HH/ OH/ VH)

% of disability as certified by Board

Physically Challenged

Page 7
Date of joining in the Present School
(DD/MM/YYYY)

Date of appointment in present Designation

(DD/MM/YYYY)

If Inter District Transfer, mention

the date of joining in the Present
District (DD/MM/YYYY)

Specify Type of Transfer (On

request/ 610 G.O./ Administrative
grounds)

If Inter Corporation/ Municipality

Transfer, mention the date of joining
Is Transferred?

in the Present Corporation/

Municipality (DD/MM/YYYY)

Specify Type of Transfer (On

request/ 610 G.O./ Administrative
grounds)

Designation

Date of Joining (DD/MM/YYYY)

Intial Appointment

Appointed in ULB/MP/
ZP/Govt etc.

Year of entry into service (YYYY)

DSC
Details of Non
 DSC

Date of Probation declaration

Details of Non

(DD/MM/YYYY)

Year

Hall ticket No.

Page 8
Roster Rank

Merit Rank
Details of selection through DSC

Marks