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Inter District Transfers Model Form
Inter District Transfers Model Form
Inter District Transfers Model Form
This is Only for Model, This is not Official
1.Name of the individual seeking transfer:
*
2.Employee code number:
3.Post held
a) Category Of the post
GHM Gr-II
LFL HM
LP(Hin)
LP(Tel)
LP(Urdu)
M.E.O.
P.E.T
S.G.T
SA(BioSci)
SA(Eng)
SA(Hindi)
SA(Maths)
SA(PhyEdn)
SA(PhySci)
SA(Social)
SA(Telugu)
SA(Urdu)
C.I
D.M
V.I.
b) Management (MP/ZP/GOVT)
Mandal Parishad
Zilla Parishad
Government
c) Medium
Telugu
Urdu
All
English
d) Subject
e) Day, Month and year from which the post held
/
DD
/
MM
YYYY
f) Scale of Pay
g) Basic Pay
h) Present working address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
i) Date from which working in the present
address
/
DD
/
MM
YYYY
4. Local cadre (District) to which he/she belongs
ADILABAD
ANANTAPUR
CHITTOOR
EAST GODAVARI
GUNTUR
HYDERABAD
KADAPA
KAREEMNAGAR
KHAMMAM
KRISHNA
KURNOOL
MEDAK
MEHBOOBNAGAR
NALGONDA
NELLORE
NIZAMABAD
PRAKASAM
RANGAREDDY
SRIKAKULAM
VISAKHAPATNAM
VIZIANAGARAM
WARANGAL
WEST GODAVARI
5. Local cadre (District) to which transfer is sought
ADILABAD
ANANTAPUR
CHITTOOR
EAST GODAVARI
GUNTUR
HYDERABAD
KADAPA
KAREEMNAGAR
KHAMMAM
KRISHNA
KURNOOL
MEDAK
MEHBOOBNAGAR
NALGONDA
NELLORE
NIZAMABAD
PRAKASAM
RANGAREDDY
SRIKAKULAM
VISAKHAPATNAM
VIZIANAGARAM
WARANGAL
WEST GODAVARI
6. Is the transfer sought on account of spouse being
brought to one place
Yes
No
7 Status of Local / Non-local candidature in the district
to which transfer is sought
8. If the transfer sought is on account of spouse being
brought to one place, nature and place of
employment etc., of the spouse. Please give details
about your SPOUSE as per following :-
i) Name of the Spouse
ii) Whether the spouse is
a) State Government employee
b) Central Government employee
c) State Public Sector employee
d) Central Public Sector employee
e) University employee
f) Local bodies
iii) Department/Institution presently working
iv) Is spouse working in non-transferable post
(Certificate to be obtained from the employer that
whether he/she is under non-transferable post)
Yes
No
v) Year of Marriage
/
DD
/
MM
YYYY
vi) Date of appointment in present organization/
institution
/
DD
/
MM
YYYY
vii) Designation
viii) Place of working with full address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
ix) District
ADILABAD
ANANTAPUR
CHITTOOR
EAST GODAVARI
GUNTUR
HYDERABAD
KADAPA
KAREEMNAGAR
KHAMMAM
KRISHNA
KURNOOL
MEDAK
MEHBOOBNAGAR
NALGONDA
NELLORE
NIZAMABAD
PRAKASAM
RANGAREDDY
SRIKAKULAM
VISAKHAPATNAM
VIZIANAGARAM
WARANGAL
WEST GODAVARI
x) Scale of pay
xi) Basic pay
xii) Nativity of the spouse
9. Whether a certificate is obtained from the employer
of the spouse regarding the employment of thespouse
Date on which the certificate is obtained (Thecertificate obtained prior to 01-07-2012 will not beconsidered)
Yes
No
10. If the transfer sought on reciprocal (mutual) basis ?
If so, provide the details of the CANDIDATE, who has
given consent :-
Yes
No
a) Name of the candidate
b) Date of Birth
/
DD
/
MM
YYYY
c) Category of the Post
d) Medium
e) Subject
f) Management
g) Day, month and year from which the post held
/
DD
/
MM
YYYY
h) Date from which working at present place
/
DD
/
MM
YYYY
i) Scale of pay
j) Basic pay
k) Place of working with full address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
l) District
ADILABAD
ANANTAPUR
CHITTOOR
EAST GODAVARI
GUNTUR
HYDERABAD
KADAPA
KAREEMNAGAR
KHAMMAM
KRISHNA
KURNOOL
MEDAK
MEHBOOBNAGAR
NALGONDA
NELLORE
NIZAMABAD
PRAKASAM
RANGAREDDY
SRIKAKULAM
VISAKHAPATNAM
VIZIANAGARAM
WARANGAL
WEST GODAVARI
11. Whether the consent of the candidate obtained
Date on which the candidate has given the consent
(The certificate obtained prior to 1-7-2012 will not be
considered)
Yes
No