O / o Zilla PraiaParishad,
Prakasam District, dt.1 5.08.2 024.
[Link], A3/201412024
***
I enclosed herewith the transfer application form duly directing the Drawing
and Disrbursing Officers in the jurisdiction of Zilla Praja Parishad Prakasam district to
obtain the Transrfer proposals from the concerned Employees those, who are request for
transfer and completed five years of service at present working place (all categories) as
on31.07.2024.
The Drawing and Disrbursing Officers are requested to submit the
information in return mail through zpprakasam@[Link] on or before 76.08.2024.
(Excel and PDF with concerned signaturesJ as the matter is to be submitted to the
Commissionarate.
Treat this as most urgent.
EnrJosurg:'
Transfer Application
[Link].$$l*f,,0.""
Zilla Praja Parishad, Ongole.
d -
.,fi'o"t
To
All staffin Z,P.P., Ongole.
All the [Link]./[Link]./[Link]. in the erstwhile Prakasam district.
Copyto the P.D., DWMA /MEPMA/APSHCL, Ongole.
Copy to the E.D., SC/BC, APSMFC, Ongole.
Copy to the C.E.O., STEP, Ongole.
Copy to the DMWO, Ongole.
Copy submitted to the Commissioner, PR&RD, Tadepalli for information.
DEPARTMENT OF PANCHAYAT RAJ AND RURAL DEVELOPMENT
Govemment of Andhra Pradesh
Emplovee Transfer Request Aoplicaton Form
[Link] Description Details
1 Name of the Employee
2 Gender
3 Designation
4 Cadre GP / Mandal / Division / District
5 Mobile Number
6 CFMS Id
7 Date of Birth as per SR
8 Native Gram Panchayat
I Native Mandal
10 Native Division
11 Native District
12 Present Working Place
13 Present Working Mandal
14 Present Working Zone
15 Present Working District
16 Designation of DDO
17 DDO Code
18 Transfer on completion of 5 Years of Service
19 Transfer on Request
Whether worked in ITDA Area previously specify
20
length of Service
Length of Service in Plain Area for consideration post
21 in ITDA subject to 50 Years age completion as on 37-
07-2024
Length of Service from which the individual is
working in the Present Station in all Previous
22
Categories of Posts (Continuously)
as on 31-07-2024
Whether Spouse is Employee of State Govt / Local
23
Body
Whether the individual availed the benefit under
24
individual / spouse category during the last 5 Years
25 Whether intersted to avail spouse benefit
g
26
Whether the individual want to claim under
Preferential Category if sospecif Category
27 Preferential Category
27l l Visually challenned employees
Employees who worked for more than two years in
27lBl
Tribal areas.
Employees with disabilites of 40o/o or more as certied
27lcl by a competent authority as per the norms of
'persons with disabilitess
Employees havinn mentally challenged children to a
27(Dl
place where medical facilites are available.
Medical Grounds for the diseases (either self or
spouse or dependent children and dependent
27lEl parents) of Cancer, Open Hea( Operatons, Neuro
Surgery, Kidney Transplantaton to places where such
facilites are available.
Widow employee appointed on compassionate
27(Fl
appointments.
27lcl Single Parent Employee
Whether both Husband and Wife are Government
27lHl
Employees
27(tl Unmarried Women Employee
28
Whether any disciplinary case (General I ACB I
Vigilance) pending specify
Nature of Transfer / 5 Years completed / Request /
Administrative Grounds (Ihere is no option for
29
employees facing Charges and on Administrative
Grounds)
Signature of the Applicant D.D.O. Signature
