Disposition - Cum - Transfer proforma 2018-19 (Group-C)
(a) Name of the officer/official (IN BLOCK LETTER)
(b) Date of Birth (f) Employee No.
1 (c) Category (UR/OBC/SC/ST) (g) Designation
(d) SEX (M/F) (h) Religion
(e) Education Qualification (i) Office
2 Father’s / Husband’s Name
3 Mobile Number :-
4 Name of the Home Town & State
(withy complete address)
5 Present Address
6 Date of entry in Income tax 7 Mention the Post(s) & Date(s) in which
Department & Designation the employee is confirmed
8 In case of Inter-charge, Date of Joining in region of CCIT, Patna -
9 Details of Departmental Name of Ministerial ITI Exam ITO Exam
Examination passed Exam Exam
10 Whether under order of transfer YES/NO, If Yes mention details of order
11 Date since posted at present station
Details of Posting in last 16 years (Mention clearly whether WARD/CIRCLE or Range
Sr. Name of the Office Station Post held Ward/Circle/Range Details of From To
No additional
Posting if
any.-
1
12 2
3
4
5
If you desire to have a transfer this year because it is convenient to you
13 please state, even if you are not due for transfer under the guidelines (give
Note :
If you want posting in any particular station, name the CIT, Charge Station-1 Station-2 Station-3
three, stations in order of preference (give reasons, if
any)
14
Reason:
If you are due for transfer as per guidelines, but wish to be retained at the
15 same station for certain reasons, please indicate (along with reasons)
DATE OF APPOINTMENT / PROMOTION IN VARIOUS GRADES IN INCOME TAX DEPARTMENT
Joining post/Date 1st promotion 2nd 3rd promotion 4th promotion 5th
promotion promotion
16
Station : Signature :
Date : Name & Designation :
Certified that the above particulars given by the official have been verified from Service Book and found correct.
(Signature of the official, maintaining the service book ) : Signature :
Name & Designation : Name & Designation of the forwarding Officer
Note : In case of shortage of space, separate sheet may be used. No attachment should be forwarded alongwith this
proforma.