Scribd
Upload
49 views3 pages

Telangana State Public Service Commission:: Hyderabad NOTIFICATON NO.30/2018, Dated: 10/09/2018

This document is an application form for lecturers, physical directors, and librarians in Telangana state government polytechnic colleges to apply for senior scale or selection grade pay scales under the AICTE career advancement scheme. The 3 page form requests information such as the applicant's name, designation, qualifications, date of appointment, details of orientation courses and refresher trainings attended, performance appraisal reports, periods of leave without pay, and a declaration signed by the applicant and certification signed by the principal.

Uploaded by

Navaneeth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
49 views3 pages

Telangana State Public Service Commission:: Hyderabad NOTIFICATON NO.30/2018, Dated: 10/09/2018

This document is an application form for lecturers, physical directors, and librarians in Telangana state government polytechnic colleges to apply for senior scale or selection grade pay scales under the AICTE career advancement scheme. The 3 page form requests information such as the applicant's name, designation, qualifications, date of appointment, details of orientation courses and refresher trainings attended, performance appraisal reports, periods of leave without pay, and a declaration signed by the applicant and certification signed by the principal.

Uploaded by

Navaneeth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

(To be submitted in Triplicate)

TELANGANA STATE PUBLIC SERVICE COMMISSION :: HYDERABAD


NOTIFICATON NO.30/2018, Dated: 10/09/2018.
APPLICATION FOR AWARD OF SENIOR SCALE / SELECTION GRADE SCALE
UNDER CAREER ADVANCEMENT SCHEME OF AICTE SCALES OF PAY 2006 TO
THE LECTURERS/PHYSICAL DIRECRORS/LIBRARIANS WORKING IN TELANGANA STATE
GOVT. POLYTECHNIC COLLEGES IN T.S.T.E.S.
(Strike off which is not applicable).

SUBJECT: ________________________________________________________

Regd. No.
(To be assigned in the Commission’s Office)

APPLICANT SHOULD FILL-IN ALL THE COLUMNS. WRITE “N.A.” AGAINST THE COLUMNS
WHICH ARE NOT APPLICABLE

1. Name of the Applicant :


(In capital Letters) 5. Photograph
2. Father’s Name : Past passport
3. Designation : size photograph
dully attested by
4. Name of the Institution & :
concerned
Address
Principal
6. Qualifications :

Month & Year


Percentage of
Name of the of acquiring
Qualification Subjects(S) Marks / Division
University this
/ Grade
qualification
Bachelors
Degree
P.G. Degree in

M.Phil.

Ph.D.

7. Date of appointment as Associate Lecturer :


(Re-designated as Lecturer under AICTE
Scales in the Department)

8. IN THE CASE OF SENIOR SCALE:

(a). Whether participated in Orientation Course / Induction Training (As per AICTE pay scales
2006)

Name of the
Course / Conducted by Form Date To Date No. of Days
Training
i)

ii)

iii)
(b). Whether participated in Refresher Course / Industrial Training (As per AICTE pay scales
2006)
Name of the
Course / Conducted by Form Date To Date No. of Days
Training
i)

ii)

iii)

(c) Whether eligible for relaxation for Orientation :


Course / Induction Training and Refresher
Course / Induction Training (Specify details)

(d) Whether eligible for relaxation in the specified :


9 years service due to acquiring
(i) Ph.D.
(ii) M.Phil / M.E. / M.Tech. . M.Arch. / M.Pharm.

(e) Total accountable service for Senior Scale :


as per Rules as on

(f) Date of completion of 4/5/6/9 years of service :

9. IN CASE OF SELECTION GRADE SCALE:

(a) Whether participated in two AICTE approved refresher programs of not less than two weeks
duration each (As per AICTE pay scales 2006)

Name of the
Course / Conducted by Form Date To Date No. of Days
Training
i)

ii)

iii)

(b) Whether participated in two refresher programs of one week each TEQIP / ISTE / NITTTR /
SBTET sponsored programs (As per AICTE pay scales 2006)

Name of the
Course / Conducted by Form Date To Date No. of Days
Training
i)

ii)

iii)

(c) Date of Senior Scale awarded by the CAS :


Selection Committee (enclosed photo copy of
CTE proceedings)

(d) Total accountable service for Lecturer (Selection :


Grade) scales

(e) Date of completion of 5 years of service :

(f) Date of eligibility for SELECTION GRADE SCALE :


10. Details of EOL, which affects the period of :
9/6/5/4 years of service, if any, availed by the
incumbent from time to time (Copies of EOL
sanction proceedings to be enclosed)

11. Has he earned consistently Minimum :


“Satisfactory” for SENIOR SCALE / “GOOD”
for Selection Grade Performance Appraisal
Report (Appraisal Report to be enclosed)

12. Any other relevant information which is not :


covered in the proforma.

I hereby declare that all the particulars made in this Application are true,
complete and correct to the best of my knowledge and belief.

STATION :
DATE : SIGNATURE OF THE CANDIDATE

Certified that

(i) The application of the above candidate has been scrutinized with reference to the
Service Register along with instructions given by the Department / Government from
time to time and found that all entries made therein are true and correct.
(ii) The candidate is eligible for the award of Senior Scale / Selection Grade from
_______________________ (Date).
(iii) The recommendation for the award of Senior Scale / Selection Grade made in this
regard is final.

Counter Signature of the Signature of the Principal


Head of the Section with seal with seal

NOTE: Enclose photo copies for evidence wherever necessary.

Sd/-
SECRETARY

You might also like