KENDRIYA VIDYALAYA SANGATHAN 18, INSTITUTIONAL AREA SHAHEED JEET SINGH MARG NEW DELHI

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1 C m KENDRIYA VIDYALAYA SANGATHAN 18, INSTITUTIONAL AREA SHAHEED JEET SINGH MARG NEW DELHI TOP PRIORITYIMOST URGENT F /03/ /KVS HQ (Estt-II) Dated: The Assistant Commissioner, Kendriya Vidyalaya Sangathan, All Regional Offices. Sub: Annual request transfer in respect of teaching and non -teaching staff of Kendriya Vidyalayas for the year applications regarding. Madam/ Sir, In view of the new transfer guidelines which have come into force w.e.f as amended from time to time, it has been decided to invite fresh applications from teaching and Non-teaching staff of Vidyalayas, (excluding Principals, Vice-Principals and other Group A and B officers above Supdt. of KVS (Hqrs) and ROs) Regional Office, ZIET and, KVS (Hqrs) for effecting request transfers during the year All are eligible to apply except those covered by clause 12.1 & 9.1(A) of the New Transfer Guidelines, the eligibility date being except for those serving in NER (including Sikkim) A&N Islands, declared hard station/very hard station for whom it is The format of application has been modified and accordingly instructions have been revised to that extent. Hence those employees who had preferred applications for their request transfer in response to KVS (HQrs.) circular number F.11046/3/ KVS (E.III) dated are also requested to apply afresh in the new format for "request transfers" for as the earlier applications do not conform to the present requirements and those will be rejected. The Principals of KVs must ensure this.. 2. PUBLICITY There have been general complaints that the instructions accompanying application form are not made available to the applicants. It is made clear that the awareness of the Instructions in proper perspective is necessary to fill up the application form without mistakes and with the correct code (s) wherever necessary. New transfer guidelines with amendments from time to time w.e.f and the application format along with the instructions are available on KVS website. All Assistant Commissioners of the Regions will down load the same and will get printed sufficient number of copies to be sent to Kendriya Vidyalayas under their Region. The KVS (HQ) will not send any copy of the same. 3. HOW TO APPLY (i) Eligible employees desirous of seeking transfer can prefer only one application (in triplicate for intra-regional and In quadruplicate for inter-regional) in the enclosed format (either for intra-region, i.e., within Region or for inter region, i.e., out side the Region). It means they can apply for either intra or inter Region transfer and not for both. (ii) The applications must conform to the given format both in form and content. (iii) No enclosure is allowed with the application except wherever specifically asked for. (iv) Medical Certificate in support of request on medical grounds and/ or declaration regarding employment of spouse are part of the application. They should be obtained/ recorded on the body of the form itself to avoid detachment. (v) Over-writing must be avoided. (vi) Utmost care should be taken to fill up correct Employee Code No., KV code and Station codes after careful reading of all the instructions in the prescribed columns, respectively. Wrong codes, even if filled inadvertently, may lead to wrong transfer/posting, which cannot be changed later on.

2 4. CODE OF CONDUCT REGARDING CANVASSING OF NON-OFFICIAL /OUTSIDE INFLUENCE Attention of all concerned is drawn to the provision of Article 59 (27) of Education code and Rule 20 of CCS (Conduct) Rules. The employee concerned be informed that any violation thereof shall render them liable for disciplinary action. Canvassing in any form, overt or covert, direct or indirect will automatically disqualify teacher/staff from being considered for transfer and his/her name will be removed from the priority list of transfer and disciplinary action will be taken against the teacher as per the CCS (CCA) Rules ENDORSEMENT: (i) The application and declaration wherever necessary must be signed by the employee himself/herself, Applications endorsed by spouse, parents etc for and on behalf of the employee are not acceptable and hence should not be forwarded. Medical Certificates rust have the signature of Civil Sueon/Chief Medical Officer. (ii) The forwarding note must be endorsed by the Principal after satisfying himself / herself personally of the correctness of the entries made by the applicant. It has been observed that the details furnished by the applicants are not subjected to proper verification before endorsing the forwarding note. Therefore, the Principals are requested to pay their personal attention to ensure correctness of the entries, so that wrong information does not affect prioritization. Any wrong information filled in by the applicants and duly counter signed by the Principal will attract disciplinary action against the individual as well as the counter signing,authority. 6. CALENDAR OF ACTIVITIES FOR SUBMISSION OF APPLICATION AND ISSUE OF TRANSFER ORDERS ETC.: - As given in Para 19 of the Transfer Guidelines w.e.f the time schedule given in the Calendar of activities should be strictly adhered to since each activity is interlinked with other. Application of the employees who are not eligible to be considered for transfer in terms of Clause 12.1 & 9.I(A) of the Transfer Guidelines should not be forwarded to the ROs im diatel alon with the reasons for but they should be intimated accordingly. The Head Quarters will not entertain rejection. Failure to do so will be taken seriously advance copy of application( s) forwarded directly by the Principals. Principal shculd forward the applications to ROs as a d when received after corn letin the formalities instead of waitin for the la t date. Once the transfers are effected re uest for cancellation of transfer will not be entertained. 7. LATE APPLICATION: of activities, will Applications received after the stipulated dates mentioned in calendar not be considered. The applicants and the Principals should, therefore, strictly adhere to the target dates. In order to avoid an) i rejection of a lication for want of correct information from the anplicant and subsequent rectification at RO level the applicants are requested to submit their applications for transfer well in time. 8. OTHER INSTRUCTIONS: Committee as (a) The Assistant Commissioner and all other members of Regional Transfer each set of per Para 3 (2) of the transfer guidelines are requested to go through application carefully. One set of application for inter Regional transfer as per Para I I.1 of the transfer guidelines is to be sent to KVS (HQ.) duly completed in all respects along with the data fed in as per Computer programme in CD so as to reach by (b) Regional Offices shall retain the application for intra - Regional transfers for further necessary action at their end as per Transfer Guidelines. (c) The entitlement points as at SI.No.6 (e) of the transfer application should be verified carefully. (d) The entries filled in the application submitted by the applicant should be verified with utmost care.

3 (e) In case of receipt of transfer applications on medical grounds, the same may be forwarded/verified by the Regional Medical Board. After feeding in the data, one set of application for Inter-Regional Transfer along with medical certificate in original and list of applicants, category-wise separately for eligible and rejected (with reason) should be sent to KVS (HQ). The Regional Office will retain intra-regional Transfer application for further necessary action at their end as per Transfer Guidelines. J for (f) Teachers/staff coming under PCGR category other than MDG/DSP and appiyi,ib request transfer shall have to indicate 05(five) choices of different stations where post of, in case any of such teacher/staff fill in less than 05 that category has been sanctioned choices of station or fill in any of the five choice station where post of that category has not been sanctioned, his/her application for request transfer will not be entertained under transfer Priority List-II as per the provisions of Para 15 and 16.2 of KVS Transfer Guidlelines w.e.f (g) As regard completion of tenure in priority area crucial date as per office memorandum No.F.11-19/2004-KVS (Admn.-I) dated , and 22/ for inclusion/deletion of HardNery Hard Station in the existing list may be kept in mind for allotment of entitlement points. (h) No request for mutual transfer should be sent along with the application of annual request transfer; however the request for Inter Regional Mutual transfers only shall be forwarded to KVS Hqrs in the month of July by in the prescribed proforma positively. No request for mutual transfer received either directly or through proper Channel after will be entertained. (i) All ACs are to check the KVS Website and their three to four times a day. Please note that the Inter Regional Transfers will be effected first followed by ln ra- Regional Transfers. (RANGLAL JA`MUDA) COMMISSIONER forwarded for information and necessary action to :- Couv l. All Officers and Sections of KVS (HQ), New Delhi 2. The Director, all 7IETs, Kendriya Vidyalaya Sangathan.

4 UNIQUE APPLICATION NO. (FOR OFFICE USE ONLY) Employee Code No. (PIS) (Strike out whichever is not applicable) KENDRIYA VIDYALAYA SANGATHAN APPLICATION FOR TRANSFER ON REQUEST Note I : Read instructions carefully before filling up. Regional and in TRIPLICATE for Intra Regional. 2: Submit only ONE application in QUADRUPLICATE for Inter PRESENT REGION PRESENT STATION CODE CODE 1. Name nr^ PR E/ S f OFFICE CODE post HELD & SUBJECT (ALPHABETS) 1(a) Title : Shri/Smt./Miss: r-tt'-1 2, Whether Male/Female (M/F) 3. Date of birth (DD/MM/YYYY) 4 (i) Date of appointment in the present post W (ii) Date of joining in the Present Post: a.) In the present vidyalaya b.) In the present station c) In Priority areas (applicable for those posted in North Eastern Region/A&N islands Hard Station /Very Hard Station., for cases of combined stay in conjuction with present posting only) 5. Details of last transfer/posting m From 0= Reason Code ( See Year instruction at SI.No.5 at page No-10) Stn. Code KV Code 6. Grounds for seeking Transfer - PRIORI Y CATEGORY FOR GRANT OF RE UEST TRANSFER PCGR a) Medical Grounds (See Instructions) (Y/N) (Please see page 10) b) (i) Death of Spouse within a period of 2 years as on q (Y/N) (ii) If Yes, Date of Demise (DD/MM/YYYY) TT c) Less than three years to retire (LTR) ground (Y/N) q (due to retire on or before ) E T (i) Date of retirement

5 Persons who have completed their tenure in Priority- areas (Y/N) (Applicable in case of present stay alone and combined stay in conjunction with present posting.) e) Others (See instructions for following Codes): Category Code V Division Code FŌ Entitlement Points Applicable (Y/N) 4 Lo I N H C E P W S [ (see instructions for division code) 2 1 ID L E::::=- (v) E N S J (vi) S P 1 S (vii) L A Hj I I 1 (Please fill-u I I 5 icable) Total : II 7. For Office Use only(to be filled in by Regional Office) A) Whether `MDG' grounds accepted by Regional Medical Board (Y/N) B) Case of DSP verification done( whether accepted/not accepted) (Y/N) C) Case of LTR verification done( whether accepted/not accepted) (Y/N) D)* Whether Person completed tenure in Priority areas verification done (Y/N) (Cases of present stay alone and combined stay in conjuction with present posting.) Dated Signature of Assistant Commissioner Note: I. MDG/DSP/LTR /VHS/HS/NER verification certificate may kindly be filled up at RO level properly. It should be ensured that only accepted cases are to be indicated as `Y' and not accepted as `N' specifically. NO.F.11-19/2004-KVS 2.* As regard completion of tenure in priority area crucial date as per office memorandum (Admn.-I) dated , and 22/ for inclusion /deletion of Hard/Very Hard Station in the existing list may be kept in mind for allotment of entitlement points. 3. No entitlements points for PWS in /case of self employment of spouse.

6 8. Choice Vidyalaya(s) or Station(s) Station or Inter Station (within the Region ) SI.No. 8.1/8.2 OR Instructions : Employees are eligible to apply either for Intra Inter Region Transfers (outside the Reeion) SI.No Applications filled in for more than one type of transfers i.e. SI.No. 8.1, 8.2 and 8.3 will be summarily rejected. 8.1 For Intro Station transfer - Choice Vidyalayas [within the same station (within the Region)] (Please see instructions) K.V./ Office Code F-- I r I 8.2 For Inter Station transfer - Choice Stations [from one station to another ( within the Region)] (Please see instructions) (The teacher/employee coming under PCGR Category except MDG/DSPshalI have to indicate five choices of different stations where post of that category has been sanctioned) STATION Code 8,3 For Inter Region transfer - Choice Stations [from one station to another (outside the Region)] (Please see instructions) (The teacher/employee coming under PCGR Category except MDG/DSP shall have to indicate five choices of different stations where post of that category has been sanctioned) STATION Code 1 9. Category of place where spouse is working m Please fill up code 10. Have you given the declaration regarding the Employment and place of posting of spouse (Y/N) (In case claiming PWS points) 11, Have you obtained a MC on the form (Y/N) 12. Type of disease certified in the MC overleaf 13. Relationship of the patient with the applicant (Please see instructions at page No.12 for filling codes in SI. No.9,1 1& 13) I Please fill up code Please fill up code

7 /o W/o D/o do hereby affirm that the I, Shri/Smt./Kum. S information given in SI.No. 01 to 13 excepting SI.No,7 of this application are correct and that the medical certificate IM.C.)/declaration given is/are bona-tide and I understand that wrong/suppressed information shall render me liable for disciplinary action. Place: Date: Signature: Name Remarks: Principal of the Vidyalaya in which the applicant is working should state: a) Whether the teacher/staff member is working in excess to the sanctioned staff strength in the Vidyalaya State Yes/No (Y/N) I-)) Whether the teacher/staff member has completed tenure In Priority Areas i.e. NER ( including Sikkim)/A&N Island/Hard Station/Very Hard Station (Cases of present stay alone and combined stay in conjuction with present posting.) (Y/N) I f Yes. number of completed years Signature of the Principal with seal

8 MEDICAL CERTIFICATE avoid disqualification, please do NOT use abbreviation. Fill in with CAPITAL LETTERS only. Please do not attach any enclosure except where specifically asked for) Name of Patient Relation ol'patient with the employce(self/spouse/ son/daughter) Address Date I, Dr. with Medical Council Registration No. hereby certify th tt Shri/Smt./ Ms aged Sex son / daughter/wife/husband of Shri/Smt (name of KVS teacher/employee) is suffering from the disease/diseases with the details as follows and that treatment of this disease is not at all available at this station or its vicinity: A. In Case of Carcinoma : 1. Name of Carcinoma with site effected: 2. Date when it was detected first 3. Brief Histo-Pathological Report with reference no. & dates : 4. T.N.M. Classification (if applicable) : 5. Evidences in support of uncontrolled growth : 6. Evidences in support of Metastasis : 7. Condition of neighboring or surrounding structures : 8. Treatment being continued in brief : 9. Full name of Surgery/Surgeries in connection with dates : B. In case of Renal Failure : I. Name of the disease causing Renal Failure : 2. Evidences in support of Chronic Irreversible changes : 3. Number of Dialysis done with dates : 4. Single or both kidneys are involved : 5. Any surgery including Renal Transplantation done or not : C. In Case of Loss of Muscle Power: i. How many extremities are affected : 2. Grading of Muscle Power at present : 3. Grading of Muscle Power ac the onset of disease. 4. Duration of Loss of Muscle Power. 5. Any recovery after the onset till date : 6. Most direct cause of Loss of Muscle Power. D. In Case of Heart Diseases : I. Name of the disease 2. Date of first detection 3. Coronary Artery By Pass Grafting surgery done or not: If yes, please mention: a) Date b) Name of Doctor - Surgeon c) Name of Hospital. E. In case of Thalassaemia: 1. Name of the disease (with specification-major or minor); 2. Date of first detection; 3. Whether blood transfusion required? Y/N 4. If so, periodicity/duration of blood transfusion/replacement required by the patient/ Chelation therapy 5. Blood transfusion done last DD/MM/YYYY F In case of Parkinson ' s disease: 1. Date of detection of the disease: 2. Duration of treatment undergone; 3. Name and designation of treating neurologist; 4 Whether admitted in hospital and if so, details thereof; 5. Progressiveness of the disease- please specify; (To be certified by a neurologist)

9 G In case of Motor-neuron disease I. Date of detection of the disease: 2. Duration of treatment undergone; 3. Name and designation of treating neurologist; 4. Result of the EMG test report and MRI: 5. Grading of muscle power at present H Any other disease with more than 50% physical and or mental disability. I Name and date of detection of the disease which will be duly examined by respective Regional Medical Board. 2. Duration of treatment undergone/being continued in brief. 3. Name and designation of the Doctor. 4. Evidences in support of the disease. (Signature of signing authority) Name and signature of patient Name Name of the Deptt. Name of Hospital Place Date Seal

10 DECLARATION (Kindly fill the Information in bold letters. Strike out whichever is not applicable) solemnly declare that my spouse is presently Employed at/ under orders of transfer to (Place)as (Designation) in ' - (Deptt./unit/branch) since (Date). His/her full office address with Name and Designation of immediate superior /detail of self-employment is/are as follows: Business Name and Address of Immediate Superior Officer Name and Office/Registered Or Professional Address of Spouse or Registration No. of Business/Profession Signature of the Employee Name Designation For Office use only in Kendriya Vidyalaya *(Strike out whichever is not applicable) I. *Disciplinary case is pending/contemplated/ not pending/not contemplated against Shri/Smt./Kum. 2. *The Medical Certificate/declaration given in the application itself is from the competent authority. 3. *Certified that the details including entitlement points furnished by the applicant have been verified from the service records and found correct. 4. *She/he was on leave/absent/absent without pay during (Period) and is still away/not away from duties. Signature Name of the Principal Office Seal records. They should take 8 to 13 have to be checked and verified by the Principal from the service Note: I SI.No. I to 6 and personal interest/care and ensure that the entries made by the applicant are correct before countersigning. Any wronf information filled in by the applicant and duly countersigned by the Principal will attract disciplinary action against th( individual as well as countersigning authority. No.5, 6(e), 7 and implement note i Commissioners have to ensure that the correct required points are given in SI. 2. Assistant above in letter and spirit with respect to entries to be checked by the respective Principals within their Region 3. Employee Code Number (PIS) also to be checked.

11 INSTRUCTIONS FOR FILLING UP APPLICATION FOR TRANSFER GENERAL (i) Transfers are regulated in a limited time frame. A single cancellation of transfer is enough to upset the schedule/chain and hamper the prospect of a group of needy persons getting transfer. Transfer, once effected, will not be cancelled. The employees are disuaded in their own interest from taking chance with the intent of obtaining cancellation later. (ii) All columns must be legibly filled in Block letters using alphabetical/numerical code, wherever prescribed. No enclosures are allowed except where specifically asked for. Medical Certificate/Declaration should be obtained/made on the appropriate page of the application form itself. Name of the Vidyalaya where the employee is working presently must be expressed in Code. Present region code, present station code, present K.V. code and shift/present office code must be filled in, from the codes given in the list of codes. In case of Non-teaching staff, the office code/kv code should be filled in accordance with the list of codes for office/kv code annexed. in the Vidyalaya, Note: Write 1 for I shift and 2 for II shift in the appropriate box. In case there is only one shift the teachers/ staff working in these Vidyalayas will write I in the box provided for shift. (iii) POST HELD: 'T'rained Graduate 'T'eacher Trained Graduate Teacher Trained Graduate 'Teacher Trained Graduate Teacher Trained Graduate Teacher Trained Graduate Teacher Post Graduate Teacher Post Graduate Teacher Post Graduate Teacher Post Graduate Teacher Post Graduate Teacher Post Graduate Teacher These boxes given in the Top row on the front page from the abbreviations given below. POST SUBJECT e.g. C Maths G T Biology TGT BIOL English TGT ENGL Hindi TGT HIND Sanskrit TGT SANS Social Studies TGT SOST Biology PGT BIOL Chemistry PGT CHEM Physics PGT PHYS Maths PGT MATH English PGT ENGL Hindi PGT HIND of the application ma, be filled in

12 Post Graduate Teacher History PGT HIST Post Graduate Teacher Geography PGT GEOG Post Graduate Teacher Commerce PGT COMM Post Graduate Teacher Economics PGT ECON Post Graduate Teacher Comp.Sc. PGT COMP Post Graduate Teacher Bio-Tech PGT BTEC Post Graduate Teacher Sanskrit PGT SANS Primary Teacher PRT PRT ---- Head Master HDM HDM Trained Graduate Teacher Drawing teacher TGT DRGT Trained Graduate Teacher Physical Edn.teacher TGT PETR Miscellaneous Yoga teacher MSC YOGA Trained Graduate Teacher Work Exp.teacher TGT WETR Primary Teacher Music teacher PRT MUST Miscellaneous Librarian MSC LIBR Non-Teaching Staff Assistant NTS ASST Non-Teaching Staff UDC NTS UDCL Non-Teaching Staff LDC NTS. LDCL Non-Teaching Staff Lab. Asstt. NTS LAST Non-Teaching Staff Lab Attdt. NTS LATN Non-Teaching Staff Senior Steno NTS SRST Non-Teaching Staff Junior Steno NTS JRST Non-Teaching Staff Hindi Translator NTS HITR Non-Teaching Staff Staff Car Driver NTS DRIV Non Teaching Staff Group `D' NTS GRPD Except Primary Teachers and Head Masters/Head Mistress all others would use both the block of the boxes. Primary Teachers and Head Masters/Head Mistress may leave the second block of boxes blank.

13 Sl. NO.1: NAME Write full name without any prefix like SHRI/SMT/KUM. One box is meant for one alphabet. Add additional box, if necessary. Leave one box blank between initials and name. e. g. Shri A a Kumar Ram will be written as _ A K R A - J M ] Or A J A Y K U M A R R A M SI.No.1 (a): Please mention the title appropriately i.e. Shri/Smt./Miss Sl. NO.2 : WHETHER MALE/FEMALE Write M for Male and F for Female. Sl. NO. 3 / 4 (i) & (ii) (a),(b) & (c): Date of Birth/Date of Appointment in the present post/ DATE OF JOINING THE PRESENT K.V./STATION (IN THE PRESENT POST/DATE OF JOINING IN PRIORITY AREAS) These columns are to be filled in Christian era, the date followed by month and year in "DD MM YYYY" format. For example, Third September, Nineteen Eighty Four will be written as I 9 I 8 4 (Date of appointment in the present post should exclude any service on ad-hoc contractual basis.) SI. NO.=5 DETAILS OF LAST TRANSFER: The reason col. has to be filled in by the Code No. as detailed below: Code No. Explanation I. Transfer on Surplus grounds (Excess to requirement) in Public interest due to withdrawal of post/closure of stream/k.v. 2. Transfer in Public interest on displacement (for accommodating the request of other teacher /staff) 3. Transfer in Public interest on Administrative Grounds. 4. On direct appointment 5. On promotion including selection through departmental examination. 6. On request transfer (other than those transferred on MDG/DSP/LTR ground) 7. Request transfer on MDG, DSP and LTR ground 8. Transfer under para 9.1(A) of KVS transfer guidelines. 9. Other grounds including return from long leave. Sl. NO.6 GROUNDS FOR SEEKING TRANSFER The grounds envisaged in the transfer guidelines have been assigned Category Codes (alphabetical ). Division Codes ( numerical ) having entitlement points as follows: GROUNDS CATG DIVISION ENTITLE-MENT CODE CODE POINTS _ (e) OTHERS i) Very Hard stations VHS 04 Staff posted in declared Very hard 40 stations completed/going to complete their tenure of 2 years as on (Please see note (iii) page-9) ii) North East and NEH 05 Staff posted in 07 NE States, Sikkim, 30 Hard Stations A&N Islands and declared Hard Stations completed/going to complete their tenure of 3 years as on iii) Physically PCE 06 Visually and orthopedically 20 challenged employee handicapped persons iv) Ladies not LNS 07' Unmarried/Divorced/Widowed Lady 15 having spouse

14 V) Posing with PWS Category of Employee Priority spouse spouse(as per para 12.4 of Transfer Guidelines) 08 Spouse in KVS I 09 Spouse in Central II Govt. 10 Spouse in Central Autonomous Bodies /PSUs III 10 I 1 Spouse in State Govt./State Autonomous Bodies/ PSUs IV 12 Spouse working in an V Org, other than I-IV above vi) On completion SPS 13 Other grounds on completion of 3 years 01 for each year of of more than 3 Stay, as on / as stay exceeding 3 years stay at the applicable. years subject to present station maximum of 20 except those points covered under VHS and NEH vii) Lady teachers LAH who are posted to places more than 500 Kms away from their home town. The self employed spouse does not fall under the ground PWS (posting with spouse), therefore will not get any entitlement points for the same. lote:- The above Codes are just indicative of the grounds and not to be construed as the order of priority. Applicants having more than one ground amongst the above may indicate their choices in Category Code, Division Code and Entitlement Points accordingly. While calculating the period of stay, the period or periods of absence from duties exceeding 30 days (45 days in case of NE Region, Sikkim and A&N Islands) at a stretch ocher than on maternity leave, training or vacation is to be excluded. Listed Stations as Hard/Very Hard as per Annexure 2 of transfer guidelines..no. 7 : To be filled up at Regional Office level as per rules..no.8.1 For Intra Station Transfers (within the Region) Code Numbers of five choice KVs/Office according to your order of preference SI.No. 8.2 and 8.3 should be left blank.

15 Sl. N8.2: For Inter Station Transfers (within the Region) Code Numbers of five choice stations according to your order of preference. Si. No. 8.1 and 8.3 should be left blank. (The teacher/employee coming under PCGR Category except MDG/DSP shall have to indicate five choices of stations where post of that category has been sanctioned) Sl. No. 8.3: For Inter Region transfers (outside the Region) Code numbers of five choice stations can be filled in, according to your order of preference subject to the grounds chosen, choice station is permissible. Sl. No. 8.1 & 8.2 should be left blank. Note: (i) Employees are eligible to prefer only one application in triplicate FOR INTRA STATION OR INTER STATION TRANSFER (WITHIN THE REGION) OR IN QUADRUPLICATE FOR INTER REGION TRANSFER (OUTSIDE THE REGION). Any application form found filled in for more than one type of transfer i.e. Sl No 81, 8.2 and 8.3 would summarily be reiected. SI. NO.9: CATEGORY OF PLACE WHERE SPOUSE IS WORKING. SI. NO.10 The Codes prescribed are: Code PARTICULARS 01. Spouse working at or under orders of transfer to the station of choice, or nearby. 02. Spouse working at the same station where applicant is currently working. 03. Choice stations bear no relation to the place where spouse is working. In case the answers is in the affirmative write Y: Otherwise Write N. SI.No.11 In case the answers is in the affirmative write Y: Otherwise Write N. The Medical Certificate or declaration is to be obtained on the body of the application itself. Only Cancer, Paralytic Stroke, Renal failure, coronary artery disease where by-pass surgery has been actually done, Thalassaemia, Parkinsons' disease or Motor-Neuron disease for self, Spouse and dependent children are considered as valid for transfer on medical grounds when facilities for treatment are not available at the station of posting (duly certified by a Govt. Medical Officer not lower than the rank of a Civil Surgeon). Sl. NO.12 : TYPE OF DISEASES: AS PER ANNEXURE- 1 of transfer guidelines w e f CODE TYPE OF DISEASE CN CANCER PS PARALYTIC STROKE RF RENAL FAILURE CA CORONARY ARTERY DISEASE WHERE BYPASS SURGERY HAS BEEN ACTUALLY DONE TS THALASSAEMIA Pk PARKIN SONS' DISEASE MN MOTOR-NEURON DISEASE OD ANY OTHER DISEASE SI. NO.13 : RELATIONSHIP

16 This column is applicable where transfer is sought on Medical Grounds and SI.No. I I and 12 are also filled in. The relationship of the patient with the applicant should be indicated in the following Codes: SF - Self SP - '^ Spouse CH - Dependent Children PHYSICALLY CHALLENGED EMPLOYEE- Explanation Transfer of employees with visual and orthopedic disabilities, provided they fulfill the following conditions: (a) Blind Employees having vision less than 3/60 or field vision less than 10 both the eyes as certified by the Head of the Ophthalmologic Department of Government Civil Hospital. (b) Orthopedically handicapped employee who has a minimum of 40% permanent partial disability of either upper or lower limbs or 50% permanent partial disability of both upper and lower limbs together, as certified by the Head of Orthopedics Department of a Government Civil Hospital according to the standards contained in the manual for Orthopedic Surgeon in Evaluating Permanent Physical Impairment brought out by the American Academy of Orthopedic Surgeons, USA and published by Artificial Limbs Manufacturing Corporation of India, Kanpur.