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Transfers Application

The document is an application form for employee transfers in 2022. It requests information such as the employee's name, designation, current place of work, total service time, eligibility for transfer under various categories including medical grounds or as a widow. It also asks if the employee has any pending charges or is visually handicapped. The employee must select transfer locations and certify the provided details are true before signing.

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ganesh.pabbisetty
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617 views2 pages

Transfers Application

The document is an application form for employee transfers in 2022. It requests information such as the employee's name, designation, current place of work, total service time, eligibility for transfer under various categories including medical grounds or as a widow. It also asks if the employee has any pending charges or is visually handicapped. The employee must select transfer locations and certify the provided details are true before signing.

Uploaded by

ganesh.pabbisetty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR TRANSFERS – 2022

1 Name of the Employee

2 Designation

3 Present place of working

4 Total service in the present station including


APLDA, Sheep and Goat Federation,
MDCAP as on 07/06/2022.
5 Date from which working in present station

6 Whether working in ITDA (Yes/No)


7 If YES date from which working
8 Whether previously worked in ITDA (Yes/No)
9 If YES provide period of working with details
in ITDA areas
10 Type of Transfer (Request / Completed 5
years as on07.06.2022)
11 Under which category do you fit into
a. Employees with disabilities of 40% or more as
certified by a competent authority as per
“persons with disabilities”.
b. Employees having mentally challenged
children to a place where medical facilities are
available
c. Medical grounds for the diseases (either self or
spouse or dependent children and dependent
parents) of Cancer, Open Heart Operations,
Neuro Surgery, Kidney Transplantation to places
where such facilities available.
d. Widow employee appointed on compassionate
appointments.
e. Husband and Wife cases (only one of the
spouses shall be shifted following the prescribed
procedure). Once the facility is utilized, the next
request can be made only after eight years.
f. None of the above
(If a, b, c, d & e is selected enclose necessary
certificates)
12 Date of 1st appointment

13 Date of retirement.

14 Age of employee as on 07.06.2022


15 Whether visually handicapped >40%
(Yes/No)
16 Whether office bearer of any association
(Yes/No)

If Yes:
Provide the details of Tenure Office bearers to be
taken on letter head, along with Election
proceedings.
*The Standing instructions on the transfers
Provide the details of Tenure Office bearers of
office bearers of recognized Employees
Association as issued in Cir. Memo No.
No.GAD01-SW-SERA/27/2019-SW,G.A (SW)
Dept., Dt:23.01.2020 and Circular Memo
No.GAD01-SW0MISC/22/2022-SW-1, GA(SW)
Dept., Dt:28.04.2022 will apply.

Total period taken for 2 tenures or 6 years as


office bearers whichever is less.
17 Whether any charges /ACB/Vigilance cases
Pending against you (Yes/No)
18 18. Places opted 1.
2.
3.
Please check the boxes
I have enclosed the necessary certificates as proof to support my claim under
SL. NO. 11,15,16,17.
I also certify that either I or spouse has not availed the transfer under spouse grounds
in the past 8 years.
This is to certify that all the above mentioned details are true and In the event of any information
being found false or incorrect or ineligibility being detected the Department can take action
against me.

Place: Signature of the Employee


Date:

This is to certify that I have verified the above data with reference to the entries in SR and other relevant
documents and found correct.

Signature of SR custodian

// Counter Signed //

District Animal Husbandry Officer

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