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Transfer of Dispensary

This document outlines the transfer of a government employee from one dispensary to another. It requests information including the employee's CGHS identity card number, name, department, previous and new residential addresses, and signatures from the employee and authorities. Signatures are needed from the medical officers in charge of the dispensaries being transferred from and to.

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Mohit Rawat
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324 views1 page

Transfer of Dispensary

This document outlines the transfer of a government employee from one dispensary to another. It requests information including the employee's CGHS identity card number, name, department, previous and new residential addresses, and signatures from the employee and authorities. Signatures are needed from the medical officers in charge of the dispensaries being transferred from and to.

Uploaded by

Mohit Rawat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TRANSFER OF DISPENSARY

1. No. of CGHS Identity Card

2. Name of the Government Servant

3. Ministry/Department in which employed :

4. Previous residential address & dispensary from


which transferred

5. New Residential Address

6. Signature/Thumb impression of Govt. Servant

7. New dispensary allotted by the issuing authority

8. Signature & Designation of issuing authority


(Tel.No.)

Dated :.................................................

Intercom No. .

Telephone No.

Email Address

9. Signature of Medical Officer incharge dispensary


from which transferred.

10. Signature of Medical Officer Incharge dispensary :


to which transferred.

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