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Model Transfer Application Form – Department of School Education

Model Transfer Application Form – Department of School Education

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Model Transfers Application Link by EDNFORUM

Transfers Application by DSE AP

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Government of Andhra PradeshDepartment of School Education
Application for Transfer
Acknowledgement Number :
Personal Details
1. District :
2. Zonal Code :
3. Mandal :
4. Name of the Individual seeking Transfer
5. Employee Treasury Code :
6.Date of Birth : Retirement Points
7. Gender :
8. Maritial Status : Un-Married Female Points
9. Category of the Post :
10. Subject :
11. Medium of School :
12. Management of the School :
13. School Type :
14. Name of the School :
15. School Code :
16. Date from which the individual is working in the Present School in allCategories of Posts. (DD/MM/YYYY)
17. Category of the School :
17.(A). Is there any change in Category of the School in Previous 8 Yrs :
17. (B). Category of the School :
17.(C). From Date : (DD/MM/YYYY)
17. (D). To Date : (DD/MM/YYYY)Category wise Points
18. Whether the Individual has completed 8 yrs of Service as on 31st May, 2015in All Categories of Posts in Punchayat / School.
19. Whether the Individual is Male Headmaster Grade – II/Teacher Aged below 50 yrs as on 31st May, 2015 of the year and working in Girls High School :
20. Rationalization (Have you affected under Rationalization process) Rationalization Process Points
21. Date of First Appointment in Service: (DD/MM/YYYY) Service wise Points
22.Whether he/she is President or General Secretary of the District / State ofRecognized Association : Association Points
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 forGazetted Head Master, Gr.II in Govt. Schools): Spouse Points
23.(A) Treasury ID :
23. (B) Name of the Spouse :
23. (C) Designation :
23. (D) Name of the Institution / Organization :
23. (E) District :
23. (F) Mandal :
24. Whether the Teacher availed the benefit under Individual / Spouse CategoryDuring the Last 8 years as on 31st May, 2015:
25. Whether the Head Master Gr.II Gazetted / Teacher is working as NCC Officer NCC Points
26. Whether the Teacher willing to Teach in English Mdedium in English MediumSchools / Parallel Section : English Medium Points
27.Whether the Physical Science Teacher is willing to Teach Mathematics inFuture :
27. (A) Agre you Teach Mathematics Continuously in Future: Physics – Maths Points
28. Performance Parameters
ParticipationA.The Teachers who have got National of State award issued by the Central / State Government. Partticipation Award Points
Whether the Teacher is avail the benefit under this previous :
B. The Teachers who have enrolled 100% children in the school and who havetaken steps to reduce the drop out rate / out of school children, and also who are regular to school, sincere in discharging duties. 100% Enrollment Points
29. Teacher Irregular attendance / Unauthorised absence, not completingsyllabus Irregular Points ( )
30. Whether the Individual availed the benefit under Preferential category duringthe last 8 years as on 31st May 2015:
31. Whether the Individual wants to claim under Preferential Category(Yes / No) :
32. Mobile Number :
Total Points Secured :
Note : A Copy of certficate issued by the competent authority shall be enclosed to the Application form to consider their cases under special category or Preferental Category for the Items 22,23,25A,25B,25C & 27.
I hereby declare that the information furnished by me is correct. If any information found to be Incorrect / false, I am liable to Disci-plainary and action may be initiated against Rules.

Signature of the Applicant


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