PROFORMA 1 Name of post to which promotion is proposed        : 2 Name of the teacher (in block letter)            : 3 Designation                        : 4 Name of school at which working at present        : 5 Date of birth                        : 6 Qualifications as on 1-4-08                :   Exam passed Month and year of passing Reg. no Date of publication Name of university remarks general             professional                                                        7. Advice No &Date with Sl. No in the advice list of present category                    : 8. Category with which originally recruited with Rev. District.                        : PD Teacher 9. Whether Kannada/Malayalam medium            : Malayalam 10. Whether district board/PSC/surrendered school        : KPSC 11. Date of commencement of continuous service        :     a)    As part time                : nil     b)    As full time                : 12. Whether posting to third dist. Is by inter dist. Transfer If so give details date of joining duty in this district    : N A 13. Whether probation declared in the present category or not :Yes 14. Native place                        : 15. Remarks.                        :   DDE Kasaragod. DECLARATION I Shamsudheen CH do hereby solemnly declare that details furnished above are correct and true to the fact. Place : Date :                    Signature of the teacher with date   CERTIFICATE     I hereby certify that I have personally verified the details furnished above with reference to his/her service records and found correct Place : Date                            Headmaster