ABCDEFGHIJKLMNOPQRSTUVWXYZ
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www.sahayam.in
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APPLICATION FOR REGISTRATION IN THE PANEL FOR DEPUTATION TO THE
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……………………………………………………………………………………………………………………….
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1.Name of Department / Board to which deputation is desired:
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2.Ditrict to which request is being made :
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3.Category of Post to which the request is being made :
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4.Name (in Block letters):
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5.Present Designation and Office Address:
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6Date of Birth:
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7.Qualifications:
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General :
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Special if any:
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8.Date of Entry:
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9.Experience:
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10.Pay and Scale of Pay:
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Place :
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Date :Signature of Applicant
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COUNTER SIGNATURE OF THE HEAD OF OFFICE
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www.sahayam.in
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BIO-DATA
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1.Name :
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2.Post held and name of Office:
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3.Present Pay and Scale of Pay:
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4.Age and Date of Birth:
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5.Qualifications :
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(a) General:
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(b) Special :
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6Experience:
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7.Permanent Residential Address :
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8.Remarks :
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Place :
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Date :Signature of Applicant
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DECLARATION
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 ………………………………………………………………………………………………………………declare that I am willing to serve the entire period of deputation as …………………….………………………………….............. (Name of Post) under the …………………………………………………………………………………………………......... and will not require for revision before the tenure of present deputation expires.
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 Name :
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 Designation:
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Place :
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Date :Signature
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www.sahayam.in
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STATEMENT UNDER THE RULES 144 (KSR PART- I)
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(Vide Circular Memorandum No; 42765/Rule-3/62/Fin Dated: 15-08-1962)
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1.Name of the Government Servant:
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2.Date of Birth:
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3.To whom lent:
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4.Official Designation (Post held Subustantively before transfer):
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5.Scale of Pay of the post in Government Service held substantively by the officer:
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6Head of account to which pay was debitable before transfer:
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7.Monthly rate of pay sanctioned in Foreign Service:
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8.Service Rules applicable :
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9.Rate of monthly contributions provisionally fixed under Rule:
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(a) Leave Salary:
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(b) Pension :
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10.When lent:
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11.Where to be recovered :
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12.Whether creditable to State or Central:
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13.Date of termination of Foreign Service:
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SIGNATURE
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HEAD OF OFFICE / DEPARTMENT
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