APPLICATION FOR REQUEST TRANSFER

1. Full Name ::

2. Designation ::

3. Native place and District ::

4. Date of birth and Age ::

5. College in which the incumbent is now ::

working.

6. Period of service in the present institution ::

7. College where the incumbent has worked ::

previously.

Name & place of the Period of service Post held

Junior College From To

8. Place to which transfer is requested in 1)

the order of preference ( at least one)
2)

3)

9. Reasons for request ::

10. Is your spouse is employed? ::

11. If your spouse is employed, furnish the following particulars (certificate of

employment to be attached).

Name of the spouse Place and Agency of employment Whether

institution of State Central Private transferable
employment Govt. or not

12. Are you an NCC/NSS Officer? ::

Contd….2.
 Page No.2.

13. If the answer to the above question is 'YES' furnish the following particulars.

Rank/ Designation Whether NCC unit Period during which the post is held
is existing in the From To
college. If yes the
number of students
to be given

14. Are you an office bearer of any recognized::

staff association.

15. If the answer to the above question is 'YES', furnish the following particulars.

Name of the Association Post held Tenure of Office

16. Any other information which the incumbent::

desires to furnish for considering the request.

SIGNATURE OF THE APPLICANT.

Remarks of the Principal:

Note: Without remarks of the Principal the application will not be considered.

SIGNATURE OF THE PRINCIPAL

WITH STAMP