Please Provide Employee Id
Enter Employee ID:
Employee Information
Employee ID:
Name of the Employee:
Date of Birth:
Gender
Enter Aadhar Number:
Enter Mobile Number:
Post Cader/ Category Name:
Select State/Zone/ District to which allotted :
Date of initial joining into Service(DD/MM/YYYY):
Date of Retirement(DD/MM/YYYY):
Details of prasent post held:
Name of the Office presently working:
Zone:
District:
Project:
Sector:
Institution:
Date from which working in the present station (DD/MM/YYYY):
Spous Employment Details:
Whether Spouse is Govt. Employee/(Yes/No) :
Download Spouce working Certificate Here
Spouce Working under:
Spouse Name:
Spouse Name of the Deportment:
Spouse Name of the Post:
Spouse Post Head quarter:
Employee Other Details:
Whether retiring before 31st May,2019, in case of their opting for transfer:
Whether disability of 70% or more as certified by a competent authority as per
"Person with Disabilities(P.W.D) (Equal opportunities,protection of rights and full participation) Act, 1995 :
Download Disability Certificate Here
Whether having mentally retarded children:
Download Mentally Retarded child Certificate Here
Whether Widow appointed under the compassionate scheme:
Download compassionate scheme Certificate Here
Whether on medical grounds for the following diseases(either sel or spouce or dependent children and dependent parents):
Download Medical Ground Certificate Here
Whether the employee is office bearer of Employees Union recognized by the Govt.
vide Cir.Memo.No.20914/S.W-I/A2/2012-1 of G.A (Services Welfare -I) Dept, Dt.26/06/2012-2 :
Download Union recognized by the Govt. Certificate Here
Preferred Post (In the order of Priority):
1st Preference:
2nd Preference:
3rd Preference:
4th Preference:
5th Preference:
Submit Date (DD/MM/YYYY):
Remarks: