Schedule – 2
(Relating to Sub-rule (1) of Rule 26)
Format of Personal Description (Sheet roll) of Armed Police
Form No. – 01
01. Full name and surname :
02. Permanent address :
Zone : 8. Sex :
District:
Village / Town :
9. Peculiarity :
10. If married, name of spouse :
Ward No. : Mr. / Mrs .
Village / Tole :
Block No. :
11. Profession of spouse :
12. Number of sons :
03. Temporary Address : 13. Number of daughters :
Zone: 14. Name of father :
District : 15. Occupation of father :
Village / Town : 16. Name of grand-father:
Ward No.: 17. Of nominee :
Village / Tole : Name, surname:
Block No. Address :
04. District of Home: Zone:
05. Date of birth : District :
Year : Month: Day: Village / Town :
06. Citizenship:- Ward No. :
Village / Tole :
07. Religion : Block No.:
18. Description of Appointment:
Name of Office:
Relation of the employee:
Post:
Level:
Service/group:
Date of appointment:
Year: Month : Day :
19. If worked in any governmental permanent post before it, description of the
same:
Name of Office:
Post:
Level:
Date of appointment:
Date of leaving:
The details written above are true. I have not been convicted of any
offense with being disqualified for government service. I hereby make signature
covenanting that I shall accept the punishment as per the law, in case it is
proved that any matters written herein are written false or written with the
intention of hiding the truth.
Of employee’s :-
(Thumb impressions) Signature:
Signature of certifying
Chief of office :
Seal of Office
To be used by Police Records Keeping Office
1Employee’s code No :
2. Date of attainment of age pursuant to Rule 49 :
Signature of Departmental Head or
Authorized Officer :
Seal of Office:
Form No. 02
Description of service
Name of employee Code Number | |||||||||||
SN 01 | Service and post 02 | Name of post 03 | Class 04 | Name of office 05 | New appointment transfer and promotion 06 | Date of assumption of office 07 | Date of decision 08 | Salary 09 | Allowanc e 10 | Book registration (to be filled in by Police Records Office 11 | Remarks 12 |
Form No. 03
Educational qualification, training, seminar, conference
(SLC or degree, diploma upto the highest degree above SLC)
Name of employee Code number | |||||||
Period of study | Educational institute’s | SN 01 | Certificate of degree 02 | Subject of study 03 | Division 06 | Details of training, seminar or conference 09 | Remarks |
From 04 | To 05 | Name 07 | Address 08 |
Form No. 04
Decoration, Letter of Appreciation conferred by
HIS MAJESTY THE KING
Name of employee : Code No.:
Serial No. 01 | Details of decoration, letter of appreciation 02 | Received on (date) 03 | Reason of conferring medals/ letter of appreciation 04 | Facility 05 |
Form No. 05
Details of Departmental Punishment
Name of employee : Code No.:
Serial No. 01 | Type of Punishment 02 | Date of order for punishment 03 | Of appeal | Remarks 06 |
Decision 04 | Date 05 |
Form No. 06
Description of Leave and Medical Treatment
Name of employee: Code No.:
Home leave | Sick leave | Maternity leave | Study leave | Extra ordinary leave | Medical expenses | Details | Period of absent | Remarks | ||||||||||
Total | Utilized | Due | Total | Utilized | Due | Total | Utilized | Due | Total | Utilized | Due | Obtainable period | Utilized | Due | Obtained date | Amount | ||
01 | 02 | 03 | 04 | 05 | 06 | 07 | 08 | 09 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 |
Form No. 07
Details of work done in Categorized Area
Name of employee
erial No. | Period | Place or region of Posting | Place or region of work | To make the group of region of working by giving (3) sign | Signature of concerned employee or certifying | Remarks | |||||
01 | From 02 | to 03 | 04 | 05 | 1 | 2 | 3 | 4 | 5 | 07 | 08 |
01 | |||||||||||
02 | |||||||||||
03 | |||||||||||
04 | |||||||||||
05 | |||||||||||
06 |
Name of employee : Code No. :
To be filled by the Police Records Keeping Office in case of necessity to
alter except as mentioned above.
(1) Change of address:
(2) Change of nominee, if any, details thereof:
(3) In case of alteration in any other details and details thereof:
Of concerned employee: Signature: Date: | Certifying officer’s: Signature: Date : |