Name of the Employee*:

Email*:

Address:

Designation *:

Place of Posting*:

Date of Birth *:

Date of First Appointment *:

Date of Present Posting *:

Please write below the last three places of posting:

Posting One*:

Posting Two*:

Posting Three*:

Please write below the Choices of Places for Transfer:

First Choice*:

Second Choice*:

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Mobile/ Phone No.*:

Medical Complicacy if any*: Choose Yes No

Choose your Sector*: Choose Sector Polytechnic ITI

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