to be submitted in Duplicate (A4 Size Back&Back)
Application for Transfer between NFCs and other DAE Units
1. Name of the applicant : Pawan Kumar
2. Present Designation w.e.f. : Technical officer/C W.e.f.23.06.1993
3. Emp. No. : 1778
4. CC No. : 593/171
Projects/ Mechanical
5. Section/Division/Plant :
division/DCSEM
6. Whether Probation closed : No
7. Qualification with Discipline : B. Tech. in mechanical Engineering
8. Field of Specialization : HVAC Work
9. Date of Birth : 25.06.1993
Initial Grade of entry / Date of joining / Unit of
10. : TO/C / 23.06.2023 / DCSEM
joining in DAE
11. Date of joining present Unit/Plant : 23.06.1993
12. Date of Superannuation : 30.06.2057
Whether any penalty has been imposed in No.
13. :
past
14. Whether any disciplinary inquiry in progress : No.
15. Transfer request to : NFC, KOTA (Unit/Plant)
Not more than 100 words
16. Reason for Transfer : (Lengthy justification will be a
disqualification).
Medical Reason: - My
Nearer to home and my
Mother had a heart surgery in past
17. If it is on Medical Reason : (cardiac patient) and also have
savior L4-5 compression in spine
and also a diabetic patient
If it is to take care of Parents, no. No.
18. :
of siblings with complete details.
Whether Parents are wholly Yes / No
19. :
dependent
Frequency of visit to Referral Once in 3 months
Hospital in last 2 years with date of
last consultation.
20. (please note that the life style diseases like BP, :
Diabetes, Joint pain are not serious enough and only
chronic cases
are considered)
No. of occasions applicant applied : This is first time applying.
21. for transfer in a current year and :
status
I hereby undertake that the above information is true and I am aware that my transfer is subject to Competent Authority
finding my suitability and other work exigencies in the Department. I will not bring any political influence, which will be a
disqualification and liable for disciplinary action as per CCS (Conduct) Rules, 1964.
Signature of HWP Employee & Date
to be submitted in Duplicate (A4 Size Back&Back)
--- For Office Use ---
1. The information furnished by the employee has been verified with Service Book
& Personal File.
2. No vigilance/Disciplinary Case is pending against the Official.
3. He/She has filed the AIPR for the yearon___________.
Specific Recommendation:
by the Plant Head
Substitute Requirement : Can be relieved immediately without substitute
Can be relieved only with substitute.
(Please cut the irrelevant portion)
Signature of CAO/AO-lll, HWP,____________
Signature of CGM/GM/OSD
With Seal (Name &Desgn.) and Date
Encl: (1) Detailed Medical Report from DAE Doctor.
(2) Mutual Consent Letter (for mutual transfer cases)
Transfer Request on mutual
Name of the employee willing formutual
1. : Dheeraj Kumar
transfer
2. Name of Unit : DCSEM,Mumbai
Qualification with Discipline Diploma Civil &B.Tech. in Civil
3. :
Engineering
4. Date of Birth : 03.09.1988
Initial Grade of Entry / Date ofjoining / Unit PB-6/25.06.2015/
5. :
of joining in DAE DCSEM,Mumbai
6. Date of Superannuation : 30.09.2048
7. Present Designation w.e.f. : S.A. /CW.e.f. Dt. 01.07.2020
8. Whether probation closed : Yes
9. Field of Specialization : Civil Engineering
Whether any penalty has beenimposed in No.
10. :
past
Whether any disciplinary inquiry in No.
11. :
progress
Transfer History (if any) From:N.A.To:N.A.
12. :
From:N.A. To:N.A.
13. Reason for Mutual Transfer : Near to Home Town State.
The information furnished above is true and I will forward the application through proper
channel.
Signature of mutual transferee with date
Encl:
Please note that the format and font size should not be modified.
Modified format and format exceeding 2 pages is liable for disqualification (Take Back &Back).
No enquiries/obligations with HWB. Local Administration may be contacted for further updates.
