APPLICATION FOR DECLARATION OF PROBATION
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1
From / To Details
From: Name
Employee ID / Treasury ID
Designation & Subject
School Name
Mandal & District
To: DEO District
Through Proper Channel: Headmaster / MEO (concerned)
2
Subject & Reference
Sub: (Default auto - editable if needed)
Ref 1: Appointment Proc. Rc. No.
Ref 1 Dated
Ref 2: Memo No. 253/Genl/2026, Dated: 24.10.2026 (Default)
3
Service Particulars - Main Application Proforma (Table 1 to 12)
1. Name of the Teacher (in Block Letters)
2. Employee ID / Treasury ID / CFMS No.
3. Designation & Subject (SGT / SA / LP)
4. School & U-DISE Code
5. Hall Ticket No. (HT No.)
Rank
Category
-- Blank --
OC
BC-A
BC-B
BC-C
BC-D
BC-E
SC
ST
EWS
6. Date of Appointment Order & Joining - Appt Date
Joining Date (FN/AN)
Session
FN
AN
7. Date of Completion of 2 Years Service
8. Leaves Availed during Probation Period - CLs (days)
EOL (days)
Other (Medical / Maternity etc) (days)
9. Educational / Professional Qualifications - Academic
Professional
10. 1st Annual Grade Increment Details - Sanctioned Date
Scale / Basic Pay
11. 2nd Annual Grade Increment Due Date - Due Date
Status: Pending formal probation order
12. Whether any Allegations / Disciplinary Action / Criminal Cases are pending against the teacher
NO (NIL)
YES
Declaration - Station
Date
Signature - Name (as in declaration)
4
Endorsement & Verification of DDO (HM / MEO)
Dispatch Rc. No.
Date
Forwarded to DEO Officer, District
Certified - Sri/Smt/Kum. Name
Designation of certified teacher
Enclosures Checked (Tick)
Original Service Register (SR)
Appointment & Joining Order
1st Increment Proceeding
Qualification Certs
Signature of HM / MEO (DDO) - Name
5
PROFORMA - II (Proposals for Declaration of Probation)
Category of ................... of the incumbent
1. Name of the Incumbent (In Bold Letters)
2. Designation
3. Date of 1st Appointment in the Category
4. Date of Promotion
5. Category in which the Probation of the Incumbent Has to be declared
6. Office in which incumbent is working at Present
7. No and date of orders in which his previous service Were.
8. Date of regular appointment i.e. Date From which the incumbent is on Probation
9. Date of completion of 3 years from the date of Regular appointment (including all kind of Leaves availed)
10. Leave availed if any by the incumbent with and Without pay and allowance during the above Period.
11. The year duty period of service incumbent the Date of regular appointment deduction leaves
12. Date of Completion of 2 Years
13. Date from which the probation of the incumbent Has to be declared as satisfactory by conferred
14. Remarks
6
Certificates - No Allegation, No Court Case, Service Satisfaction, Non Availing EOL (All Optional)
NO ALLEGATION CERTIFICATE
Name (Sri.)
S/o
Designation
Working Place (School)
Village
Mandal
NO COURT CASE AGAINST INCUMBENT
Name (Sri.)
S/o
Designation
Working Place
Village
Mandal
SERVICE SATISFACTION CERTIFICATE
Name (Sri.)
S/o
Working in this School as (Designation)
CERTIFICATE OF NON AVAILING OF E.O.L
Name (Sri.)
S/o
Working in this School as (Designation)
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