PART I - Biodata of Government Servant

IFHRMS Employee Number 43010691646

CPS/GPF/TPF/PRAN Number CPS7062295/EDN

Salutation Mr.

Initial Name M.K MOHAMED IBRAHIM

Father / Spouse Name G.MOHAMED KASIM

Religion Muslim

Community BC (M)

Caste Name MUSILIM LEBBAI

Address at the time of joining : 147/2,S.V.INGERSOL

NAGAR,UDAKULATHUPATTY,
FATHIMANAGAR(PO),VIRALIMALAI(T
K),PUDUKKOTTAI(DT)

Present Address : 147/2,S.V.INGERSOL

NAGAR,UDAKULATHUPATTY,
FATHIMANAGAR(PO),VIRALIMALAI(T
K),PUDUKKOTTAI(DT)
Gender Male

Date of Birth 29-May-1965

Place of Birth MADURAI

Mother Tongue TAMIL

Physical Fitness Certificate Yes

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Family Details

# Name Relationship Date of Birth Marital Status

1 M.HUMMAIRA BANU Daughter 30-Jan-1999

2 D.ASHRAFUNISSA Spouse 27-Sep-1971 Married

3 M.KASIFA BANU Daughter 21-Jun-2001

Educational Qualification
Month & Year Board / University
# Qualification Certificate No.
of passing

1 B.SC MATHS R.NO:643999 Apr-1985 MADURAI KAMARAJAR UNIVERSITY

2 B.ED R.NO:922187 Nov-1992 MADURAI KAMARAJAR UNIVERSITY

3 SSLC-Pass A712081 Mar-1980 STATE BOARD

4 +2-Pass A293969 Apr-1982 STATE BOARD

R.NO:015D12041P00631
5 MA Dec-2012 ANNAMALAI UNIVERSITY

Height (cms.) 167

Weight (kgs.) 74

Personal Identification mark

A MOLE ON THE LEFT SIDE OF NOSE

A MOLE ON THE RIGHT SIDE OF THE LIP

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Joining Details

Mode of
recruitment Regularization Ref
Entry Level Department & Office Time scale / Probation
# Rank / Seniority Joining details No. & date Confirmation
service&Post Name Payband Completion
No.
Ref No. & date

Subordinate TEACHER
4303 RECRUITMENT RC.NO.128358/C3/E
Service
BOARD 724 2/2008 19-May-2011
1 12-Jan-2009 5500-175-9000 11-Jan-2011
RC.NO
BT ASST 128358/C3/E2/2008
29-Dec-2008

Departmental Test
Month & Year of Authority Conducting Additional
# Test Name Ref No. & date Passing Grade Exam date Board
passing Test Qualification

BULLET IN NO:6 PG NO:244

1 OTHERS-DOM Dec-2014 Pass TNPSC
REGNO:018885

Promotion/Appointment,Regularization,Probation in Higher Posts in regular Line

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Page No: 4
 PART II - Other appointments viz., Outside Regular Line / Deputation on Foreign Service
First Appointment
Timescale / PayBand &
# Present Post & Pay Pay fixed rule Date of effect Reference No. & Date
GradePay

RCNO:128358/C3/E2/2008
29-Dec-2008
1 5500-175-9000 Ruling 6 under FR 22(B) 12-Jan-2009
5500

Transfers and Postings

Assumption of charge Date of relief Transferring
# Name of the post Joining Dept. & Office
Ref. No & Date Ref. No. & Date Authority

4303 RC.NO.1933/B4/2011 19-Sep-2011 RC.NO.1933/B4/2011 19-Sep-2011

HEAD MASTER ,GOVT HIGH
1 BT ASST
GOVT HIGH SCHOOL SCHOOL SOORIYUR
SOORIYUR
4303 RCNO:6508/(1)/B2/2010 29-Jul-2010
RCNO:6508(1)/B2/2010 29-Jul-2010 HEAD MASTER GOVT HIGHER
RCNO:2828/B4/2010 19-May-2010
2 BT ASST SEC SCHOOL,MANAMELKUDI
GOVT GIRLS HIGHER SEC
SCHOOL,MANAMELKUDI

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Page No: 6
Service Verification

Service Verification Exempted Period

# From Date To Date From Date To Date Reason Free Text

1 12-Jan-2009 31-Dec-2009

2 01-Jan-2010 31-Jul-2010

3 01-Aug-2010 31-Dec-2010

4 01-Jan-2011 30-Jun-2011

5 01-Jul-2011 20-Sep-2011

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Service Verification

Service Verification Exempted Period

# From Date To Date From Date To Date Reason Free Text

6 21-Sep-2011 31-Dec-2011

7 01-Jan-2012 31-Dec-2012

8 01-Jan-2013 30-Jun-2013

9 01-Jul-2013 31-Dec-2013

10 01-Jan-2014 31-May-2014

11 01-Jun-2014 31-Dec-2014

12 01-Jan-2015 31-May-2015

13 01-Jun-2015 31-Dec-2015

14 01-Jan-2016 31-May-2016

15 01-Jun-2016 31-Dec-2016

16 01-Jan-2017 31-May-2017

17 01-Jun-2017 31-May-2018

18 01-Jun-2018 31-Dec-2018

19 01-Jan-2019 28-Feb-2019

20 01-Mar-2019 31-May-2019

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Service Verification

Service Verification Exempted Period

# From Date To Date From Date To Date Reason Free Text

21 01-Jun-2019 31-May-2020

22 01-Jun-2020 31-Dec-2020

Earned Leave Encashment

# Due date of surrender Number of days surrendered Reference No. & Date Free Text

49/2010 10-Oct-2010
1 10-Oct-2010 15

165/2012 20-Oct-2012
2 20-Oct-2012 15

151/2013 25-Oct-2013
3 20-Oct-2013 15

116/2014 27-Oct-2014
4 20-Oct-2014 15

95/2015 03-Nov-2015
5 20-Oct-2015 15

104/2016 20-Oct-2016
6 20-Oct-2016 15

95/2017 20-Oct-2017
7 20-Oct-2017 15

98/2018 10-Oct-2018
8 20-Oct-2018 15

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 Earned Leave Encashment

# Due date of surrender Number of days surrendered Reference No. & Date Free Text

99/2019 10-Oct-2019
9 20-Oct-2019 15

PART III - Leave Details

Leave Account

# Date Leave Type Days

1 11-Jan-2010 Earned Leave 17

2 31-May-2010 Earned Leave 23

3 31-May-2011 Earned Leave 29

4 31-May-2012 Earned Leave 51

5 31-May-2013 Earned Leave 53

6 26-Aug-2013 Un-Earned Leave on MC 7

7 31-May-2014 Earned Leave 54

8 31-May-2015 Earned Leave 56

9 31-May-2016 Earned Leave 58

10 31-May-2017 Earned Leave 60

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Leave Account

# Date Leave Type Days

11 31-May-2018 Earned Leave 62

12 31-May-2019 Earned Leave 64

13 31-Dec-2019 Earned Leave 74

14 31-May-2020 Earned Leave 66

PART IV - Pay Fixation

Pay Fixation - First Appointment

Timescale / PayBand &
# Present Post & Pay Pay fixed rule Date of effect Reference No. & Date
GradePay
RCNO:128358/C3/E2/2008 29-Dec-2008
1 5500-175-9000 Ruling 6 under FR 22(B) 12-Jan-2009
5500

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NOC Details

# NOC Type Reference No. & Date Applied Date Free Text

RCNO:5/2009 10-Aug-2009
1 HIGHER EDUCATION

SPF Opening & Closing (2000)

Joining Month Closing Month
Installment
& Year & Year Amount Reference No. & Date
recovered

Jan-2009 - 70 0

Selection grade / Special grade

Date of Amount of
# Present Date of effect Future Reference No. & Date
movement increment

1 2056/B1/2019 29-May-2019
07-Mar-2019 55100 3400 01-Jan-2019 58500.00

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Increment - Advance / Incentive
No. of Amount of Date of Reference No
# Type Exam name Exam date Present Future
increment increment effect & Date

12110 13130

Advance / Incentive RCNO:B4/2013 20-Sep-2013

1 MA 2 1020 01-Jan-2013

Increment - Annual
Present Timescale / PayBand Amount of Date of Timescale / Reference No & Date FR 26(d)
# Post held Future pay
Pay & Inc. Inc PayBand & received

RCNO:24/2009-2010
1st January
1 BT ASST 440 10670 25-Jan-2010
PB 2 (9300-34800) + 2010 PB 2 (9300-34800)
GP 4400 + GP

RCNO:11/2017 20-Jan-
1st January
2 BT ASST 590 15380 2017
PB 2 (9300-34800) + 2017 PB 2 (9300-34800)
GP 4600 + GP

RCNO:21/2011 14-Jan-
1st January
3 BT ASST 460 11130 2011
PB 2 (9300-34800) + 2011 PB 2 (9300-34800)
GP 4400 + GP

RCNO:11/2016 20-Jan-
1st January
4 BT ASST 570 14790 2016
PB 2 (9300-34800) + 2016 PB 2 (9300-34800)
GP 4600 + GP

RCNO:21/2013 28-Jan-
1st January
5 BT ASST 490 12110 2013
PB 2 (9300-34800) + 2013 PB 2 (9300-34800)
GP 4600 + GP

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Increment - Annual
Present Timescale / PayBand Amount of Date of Timescale / Reference No & Date FR 26(d)
# Post held Future pay
Pay & Inc. Inc PayBand & received

GOMSNO:23 12-Jan-
1st January
6 BT ASST 450 10680 2011
PB 2 (9300-34800) + 2012 PB 2 (9300-34800)
GP 4600 + GP

RCNO:009/2015 19-
1st January
7 BT ASST 550 14220 Jan-2015
PB 2 (9300-34800) + 2015 PB 2 (9300-34800)
GP 4600 + GP

RCNO;007/2014 20-
1st January
8 BT ASST 540 13670 Jan-2014
PB 2 (9300-34800) + 2014 PB 2 (9300-34800)
GP 4600 + GP

RCNO:17/12 25-Jan-
1st January
9 BT ASST 490 11630 2012
PB 2 (9300-34800) + 2013 PB 2 (9300-34800)
GP 4600 + GP

GOMSNO:23 12-Jan-
1st January
10 BT ASST 460 11140 2011
PB 2 (9300-34800) + 2011 PB 2 (9300-34800)
GP 4600 + GP

1st January 05/2019 21-Jan-2019

11 BT ASSISTANT 1600 55100
2019

1st January 07/2020 21-Jan-2020

12 BT ASSISTANT 1800 60300
2020

129/2021 25-Jan-2021
1st January
13 BT ASSISTANT 1800 62100
2021

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Increment - Annual
Present Timescale / PayBand Amount of Date of Timescale / Reference No & Date FR 26(d)
# Post held Future pay
Pay & Inc. Inc PayBand & received

1st January 05/2018 22-Jan-2018

14 BT ASSISTANT 1600 53500
2018

Pay Commission
Post Held, Type &
Option Date Effective date Notional Monetary Arrear Amt, Installment - 1 Installment - 2 Installment - 3
# Existing Pay Revised
dt dt Ref No. & Date

null,null

1 10230 12-Jan-2009

BT ASSISTANT null,null
01-Oct-2017
2 7th 48900 01-Jan-2016

18820

7290,2009-2010

3 2009-2010 Paid Paid Paid

RCNO:11/2009-2010 07-
Jul-2009

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PART V - Property Statement

Page No: 16
PART VI - Leave Travel Concession

Page No: 17
 PART VII - Nominations

Nominations
Reason Alternative Relationsh
Nominee Name & Relationship Age / Share (%)
# Type Filed date Share (%) (Applicable Nominee Name & ip & Age /
Address D.O.B
D.O.B
CPS D.ASHRAFUNISSA 39
1 (CONTRIBUTORY 18-Jun-2010 Spouse 100
PENSION 147/2 SV INGERSOL 27-Sep-
SPF-2000 D.ASHRAFUNISSA 40
2 (SPECIAL 18-Jun-2010 Spouse 100
PROVIDENT 147/2 SV INGERSOL 27-Sep-

FBF (FAMILY D.ASHRAFUNISSA 45

3 18-Jun-2010 Spouse 100
BENEFIT FUND) 147/2 SV INGERSOL 27-Sep-
DCRG (DEATH- D.ASHRAFUNISSA 39
4 CUM- 18-Jun-2010 Spouse 100
RETIREMENT 147/2 SV INGERSOL 27-Sep-

Loan and Advances

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