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Application for Probation Declaration

Dr. Vinsa S Vincent is applying for declaration of probation as an Assistant Surgeon. She was appointed on 27 March 2019 with a 2 year probation period ending 26 March 2021. During this time, she worked at the Family Health Center in Noolpuzha and took no leave other than casual leave. She passed the required Account Test for Executive Officers in 2020 and 2021 and has been contributing to various pension schemes since her appointment date with no disciplinary issues reported.

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7K views2 pages

Application for Probation Declaration

Dr. Vinsa S Vincent is applying for declaration of probation as an Assistant Surgeon. She was appointed on 27 March 2019 with a 2 year probation period ending 26 March 2021. During this time, she worked at the Family Health Center in Noolpuzha and took no leave other than casual leave. She passed the required Account Test for Executive Officers in 2020 and 2021 and has been contributing to various pension schemes since her appointment date with no disciplinary issues reported.

Uploaded by

health inspector fhc noolpuzha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Employment Details
  • Applicant Information
  • Examination and Disciplinary Actions
  • Remarks

APPLICATION FOR DECLARATION OF PROBATION

(GAZETTED/ NON GAZETTED)

1) Name of Probationer : Dr Vinsa S Vincent

2) Date of Birth ; 17/04/1990

3) Permanent Employee Number (PEN) : 859170

4) Designation and station now working : ASSISTANT SURGEON

5) Present pay and scale of pay : 73600, 63700-123700/-

6) a) Nature of appointment : FRESH APPOINTMENT.


b) Advice No./ Govern order & date : RIE(3) 12257/13/GW, 07.03.2019
c) No & date of appointment order : EA3-18567/2019/DHS, 19/03/2019
d) Date of entry in service : 27-03-2019

7) Details of station he/she has worked


during the period of probation : 1. Family Health Center Noolpuzha
2.

8) Date of commencement of probation : 27-03-2019

9) Period of probation : 2 YEARS

10) Normal date of completion of probation : 26-03-2021

11) Details of leave other than casual leave taken during


the period of probation : Earned Leave from ……Nil

HPL from …… Nil

LWA from …… Nil

12) Other non-qualifying service : Nil

13) Test to be passed during : Account Test for Executive Officers


the period of probation
14) Details of test passed with date
Test Name Paper Year of passing Register Number
Account Test for Paper I – Kerala Financial Code
Executive Officers. 2021 200139

Paper II – Kerala Service Rules


2020 102219

15) Last date of dept. test examination which


the incumbent passed completely : July 2021
16) Details of:

Scheme Name A/C No Joining Date


a) GPF NDL- 581676 01/09/2019
(A/C No. Date, etc)

b) SLI Scheme KSID/LI/110121907162 24/06/2019


(A/C No. Date, etc)
c) GIS Scheme 1200121900893 12/06/2019
(A/C No. Date, etc)

d) NPS (if applicable) 110163876582 13/08/2019

e) Whether above details has been YES


entered in service book/ Gazetted
Entitlement Register

17) Details of disciplinary action if


any pending against him/her : Nil
18) Details of suspension/ punishment
or awarded, if any or given during
the period of probation : Nil
19) Whether increment has been
awarded during the probation : Yes ( first increment from 01/03/2020 )

20) Remarks : Nil

I hereby declare that the particulars given above are true to best of my knowledge and
belief.

Place: NOOLPUZHA Signature:


Date: 05/02/2022 Name: Dr. Vinsa S Vincent
Designation: Assistant Surgeon

APPLICATION FOR DECLARATION OF PROBATION (GAZETTED/ NON GAZETTED) 1) Name of Probationer : Dr Vinsa S Vincent 2) Date of Birt
Test Name Paper Year of passing Register Number Account Test for Executive Officers. Paper I – Kerala Financial Code 2021

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