(1) If the Government of Nepal  considers it necessary, it may, in consultation with the Public Service
Commission, change the group or sub-group of any employee from one to another group of the health service, based on the prescribed grounds.
(2) Where the Government of Nepal has sent any person holding a post in the health service to pursue study in order to acquire special qualifications, after such persons attends service following completion of study, the group or sub-group has to be changed that is related with his or her special qualifications in consultation with the Public Service
Commission.
38 (3) 39 In making change to other group or sub-group pursuant to Sub-section (1) or (2), such a change may be made only when a post in such a group or sub-group is vacant