Government of Kerala
GENERAL TRANSFER APPLICATION FORM
1 Permanent Employee Number (PEN)
2 Name
3 Department
4 Designation
5 Contact Telephone numbers
Mobile
6 E mail
7 Name of Present Institution / office
8 Date of Entry in Service
9 Date of Retirement
10 Posting/Promotion Order no. & Date in the
present post
11 Date Of Joining in the Present Post
12 Date of Joining in the Present District
13 Date of Joining in the Present
Station/Office
14 (a)Whether recruited in the present post
through DRB?
(b) If yes, District in which recruited
15 Home station /District declared at the time
of joining service
16 Change of home station if any New Home Station __________________
Date of change __/__/____
17 Details of Service History
From Date To Date Office Name Designation
18 Details of service in Notified Difficult Areas
District Name Of Institution From Date To Date
19 Whether Transfer is required: o Yes
o No
20 Station to which Transfer is Requested for as per order of Preference(Name of
Institution/District)
SL No District Name of Institution
21 Whether Transfer is Requested on the basis of any protection given below?
Tick as applicable. Supporting documents to be attached along with signed
hard copy
I. Two years to retirement
II.
i. SC/ST ii. Blind Employee
Percentage of Disability
iii. Physically handicapped iv. Deaf And Dumb Employee
Percentage of Disability Percentage of Disability
v. Employee with Locomotor vi. Mentally Disabled
disability including
cerebral palsy, cured
leprosy, dwarfism, Acid
attack victims, Muscular
dystrophy
vii. Parents of Mentally viii. Parents of autistic / Cerebral
Retarded Children / palsy affected children
Employees who look after
the Mentally Retarded
Siblings solely
ix. Parents of differently x. Parents of a Deaf and dumb
abled children with more children
than 50% of disability
xi. Dependent of persons who xii. Son / Daughter who looks
died in war (Wife / after the Freedom Fighter
Husband /Father / Mother
/ Son / Daughter).
xiii. Widow / Widower / xiv. Inter Caste married Employee
divorcee who has not re-
married.
xv. Parents of legally adopted xvi. State President/ General
Children Secretary / District President
/ District Secretary of
recognized Service
Organisations
xvii. Employee who have xviii. Relative of Jawan (Wife /
completed the Military Husband /Father / Mother /
Service Son / Daughter).
xix. Wife / Husband /Father / xx. Husband / wife of non-
Mother / Son / Daughter resident Keralites
of the Jawan of Para-
Military wing, Employees
of National Investigation
Agency
22 If Transfer is not required and transfer is done on administrative grounds,
station preferred to be posted in the order of preference
SL No District Name of Institution
23 Details of LWA availed if any
24 Details of Deputation availed
District Name Of Institution / Office From Date To Date
25 Details of Working arrangement availed
District Name Of Institution / Office From Date To Date
26 Declaration
I declare that I will submit the certificates required for Protection (item
21) along with the signed copy of this application.
Date: Signature
After submitting the application online, printout of the application maybe generated for submitting
signed hard copy to the office along with supporting documents for protection if any.
