CHILDINFO - TEACHERS INFORMATION FORMAT workingschoolinformation: Name of the District :: Name of the Mandal :: Name of the School : Date of Joining in the Present School : Health Card Number : Aadhaar Number(12 digits) : Employee Treasury ID (7 Digits) Name of the Employee : Surname : Father's Name : Gender : Date of Birth : Caste : Mobile No : (10 Digits) Native District as per SB : Email ID Local Status (As per 4th to 10th Study Certificate Or As per Service Book) :

Local/Non-local

If you are belongs to Non-Local, Mention District : Category of PHC : % of PHC : Other than District's trainings :

Mandal/Dist/State/National/NA

Awards at Level : if any others extra curricular activites :

ServiceDetailsof theEmployee: Date of Ist Appointment :

Ist Appointment Cadre :

Medium of the Post You are Appointed Date of Joining in Present Post : Date of absorbtion in Regular Post :

Management of the Ist Appointment : Present Designation : Date of Ist Appointment as Spl.V.V :

Spouse Occupation of the Spouse : Name of the spouse : Spouse's Aadhaar ID:

DSCDetails: Year of DSC :

Rank in DSC :

InterDistrictTrasnfered(IDT)Information whether Transferred under IDT : If yes metion Date :

YES/NO from which District :

SSC orEquivalent SSC Or Equivalent

Medium :

Month & Year of Pass

IntermediateorEquivalent Intermediate Or Equivalent

Medium :

Month & Year of Pass

Option 01 : Option 02 : Option 03 : AcademicQualifications: Degree:

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Medium :

Month & Year of Pass

Option 01 : Option 02 : Option 03 : University : PGParticualrs Medium :

PG Month & Year of Pass Subject :

Percentage of Marks :

University :

ProfessionalQualifications: HPT/TPT Particulars course in

Subject :

Month & Year of Pass Board/University :

TTC/D.Edparticulars DED/TTC

Medium:

Month & Year of Pass Board/University :

B.Ed.,Qualifications: B.Ed.,

Medium :

Month & Year Pass Method 1 Method 2 University :

Additional B.Ed., Particualrs Additional B.Ed.,

Medium :

Month & Year of Pass : Method : University :

M.Ed.,/M.Pd Particulars M.Ed.,/M.Pd.,

Medium :

Month & Year of Pass :

% of Marks :

University :

Department Test Particulars EOT (Y/N)

Month & Year of Pass :

GOT (Y/N)

Month & Year of Pass :

Salary Details Scale of Pay : Earnings : Basic Pay : CCA : FP/PP TG Increment Total Deductios

Earnings D.A: IR HM allowance Others

Earnings HRA Spl Pay PHC all/PP

Gross Earnings

Net Amount

Medical,Surender Reiumbersment Leave,Half Pay Leave and Earned Leave Details

Medical Claimed

Amount

Surendar Leave Claimed Month&Yr

Signature of the Teacher

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Days

Half Pay Leave Total Credited

Balance

Signature of the HM

Earned Leave Total Credited

Balance

Signature of the MEO

Remarks