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Document Sample


Pariculars of employees of Kendriya Vidyalaya
S.No. Particulars Information Supplied
1 Name of the Employee
2 Marital Status (Married /Unmarried /Divorcee /Widow/Widower)
3 Date of Birth (DD/MM/YYYY)
4 Category(SC/ST/PH/OBC)
5 Wheather belongs to minority community(i.e.
Sikh/Muslim/Christian/Jain/Buddhist,etc)
6 Post to which initially appointed
7 Date of initial appointment in KVS(DD/MM/YYYY)
8 Designation(as on date)
9 Date of appointment to present post(DD/MM/YYYY)
10 Mode of appiontment to the present post.(Direct/Promotion/Departmental
exam/Under Speacial Drive)
11 Subject in case of PGT/TGT(as on date)
12 Seniority No.in present post
13 Personal Information System (PIS) no.
14 Wheather optee of CPF/GPF
15 Provident Fund Account No.
16 Wheather probation period was extented or not? If yes specify the details
and also attach a copy of order
17 Post in which confirmed.
18 Date of confirmation.
19 Letter no. & date vide which confirmed.
20 Home Town as recorded in service book on (initial state)
21 Whether hometown changed or not (If yes, where?)
22 If yes, please mention letter no. and date of kvs (HQ), vide which change of
Home Town was allowed
23 Scale of pay being drawn with pay band
24 Basic pay as on 01.01.2010
25 Details of period of EOL/unauthorised absence/dies-non-during the entire
service carrier if yes the details and reasons there of for not regularizing
(Also attach a copy of letter)
26 Details of penalties awarded under rule 14/16 of CCS (CCA) rules 1965 after
01.012003
27 Academic qualification from the stage of +2 or minimum level of the post except for sub staff i.e. Gp 'D' (in case of ,
Gp 'D' and Lab Attendant post from the level of class VIII or as the minimum may be )
S.N. Name of Year of Subjects Studied Maximum Marks Obtained Percentage of Name of
Examination Passing Marks Marks Obtained Board/University
1 2 3 4 5 6 7 8
28 Professional qualification (i.e. JBT/B.Ed./M.Ed/Ph.D/EIL or as the case may be in the case of Teaching Posts and
computer or professional qualification or other required qualification in the case of miscellaneous category of posts or
Non Teaching posts as the may be.
S.N. Name of Year of Subjects Studied Maximum Marks Obtained Percentage of Name of
Examination Passing Marks Marks Obtained Board/University
1 2 3 4 5 6 7 8
29 If professional qualification of B.Ed acquired after appointment
Name of Date of issue of marksheet Date of regularization Letter no. & date vide which trial Name designation of
university from by the university of appointment (initially basis appointment was authority issuing letter of
where B.Ed made on trial basis by regularized regularization of appointment
passed KVS)
30 Details of in-service Course attended after 01.04.2003 onwards
Name of venue Duration of Dates of course Wheather participated as Remarks
vidyalya where course (no.of Director/resource/ person/participant
asked to attend days
the course From To
31 Details of in-service course for which name was sponsored but course was not attending during the last six years
Venue of course Letter no. & Reasons for not attending the Wheather exempted or not from If exempted, Remarks
date course attending the course letter no.& date
of KVS
32 If name was not sponsored for in-service course during the last six years,mention reasons thereof
33 Details of grant of ACP to the non-teaching staff.
S.No Date of grant of Letter no. and date of grant of 1st Date of grant of 2nd Letter no. and date of grant of Remarks
1st scale ACP ACP 2nd ACP
34 Date of grant of senior /selection scale to the teaching staff
S.NO Date of grant of Letter no. and date of grant of Date of grant of Letter no. and date of grant of Remarks
senior scale senior scale selection scale selection scale
35 Details of award of incentive award by KVS,if any.
36 Details of award of national award by KVS ,if any.
37 Details of visits made abroad during the last five years on official/personal visits
Name of the Period during which visited abroad Whether If official letter no. Wheather period of visit of If peroid of
country visited period of visit &date of sangathan abroad regularizied by grant visit not
abroad was of leave or not regularized
From To official/ mention
personal details
thereof
38 Details of posting from the date of initial appointment in KVS i.e.,from first day of appointment
S.No Post Nature of appointment Period Name of vidyalya Remarks
(Direct/Promotion/
Deputation/ Transfer) From To
Certificate:
Above particulars have been checked thoroughly from the service records and are found correct
Signature of the Employee Signature of the office clerk
With Date With name and date
Counter signed by
The Principal
With date and rubber seal
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