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C:\Project Works\NEW PALLIKALVI\Documents\ApplicationForms\VRS Form.doc 1 / 4

 Û©L« gâthŒò nfhu kh£nl‹
v‹gj‰fhd cWÂbkhê
Ïiz¡f¥g£LŸsjh?
19 mt® ÛJ xG§F elto¡if
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20 éU¥g XŒÎ nfhçÍŸs ehëš
muR¥gâ brŒa nt©oa ã®gªj«
(Contractual obligation to serve the
Government) VJ« cŸsjh?
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C:\Project Works\NEW PALLIKALVI\Documents\ApplicationForms\VRS Form.doc 2 / 4

 muR¡F brY¤j nt©oa bjhif vJΫ ãYitæš ÏUªjhš
mjid cl‹ brY¤Jtj‰fhd cWÂbkhê

MÁça® bga® :

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gŸëæ‹ bga® :

cWÂbkhê

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jiyikahÁça® ifbah¥g«

C:\Project Works\NEW PALLIKALVI\Documents\ApplicationForms\VRS Form.doc 3 / 4

 Service Particulars

1 Name of the Officer and

Designation
2 Father’s Name
3 Permanent Address
4 Date of Birth
5 Service Particulars
Post Period of
Sl.No Name of the School Remarks
held Service

6 Total Period of Service

7 Date of Regularization
8 Date of Voluntary Retirement
9 Date of Superannuation
Whether she is under any
enquiry on the basis of director
10
of Vigilance and Anticorruption
Department

Signature of the Headmaster

C:\Project Works\NEW PALLIKALVI\Documents\ApplicationForms\VRS Form.doc 4 / 4