APPLICATION (in duplicate) TO REGISTER THE PRIORITY FOR
OWN REQUEST TRANSFER
1. NAME ...……………………………………………………………
2. FATHER’S NAME ...……………………………………………………………
3. DESIGNATION ………………………………………………………………
4. PF NO./PRAN NO. ………………………………………………………………
5. PAN\ECS (YES\NO) ………………………………………………………………
6. GRADE PAY ………………………………………………………………
7. EXISTING H.O. ………………………………………………………………
8. DATE OF RESUMPTION ………………………………………………………………
NAME OF LOBBYFOR WHICH REQUEST IN MADE IN ORDER OF PREFERENCE:-
OPTION-1 LOBBY ……………………….. TRACTION ……………………………………
OPTION-2 LOBBY ……………………….. TRACTION ……………………………………
OPTION-3 LOBBY ………………………. TRACTION ……………………………………
DATE OF APPLICATION ………………………………………………………………………
REMARKS IN CASE OF RENEWAL ………………………………………………………………………
SIGNATURE OF EMPLOYEE …….………………………………………………………………...
SIGNATURE OF LOBBY IN-CHARGE
STAMP
FOR OFFICE USE ONLY
RECEIVED ON DATE ……………………… AND YOUR PRIORITY STANDS AS UNDER
OPTION-1 …………………………………………………………………………
OPTION-2 ………………………………………………………………………...
OPTION-3 …………………………………………………………………….......
SIGNATURE