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Proforma for preparation of Seniority List of Pharmacist Gr II as on 31.12.2025

Please fill in your service particulars for the preparation of the seniority list.

Name (In capital)Required

PENRequired

DesignationRequired

Present Station with DistrictRequired

Date of BirthRequired

Qualification (General & Technical)Required

Method of AppointmentRequired

RegularOther

PSC Advice No. And Date (If more than one PSC appointment, the last PSC Advice No & Date should be attached)

Government Order if any

Appointment Order No. And date (Copy of order should be attached)

Date of joining in regular service

Date of entry in service

Whether availed extension of joining time

YesNo

If so, Period, Order No. & Date (copy should be attached)

Date of joining duty

Details of service Regularization in Pharmacist Gr.II - Order No. & Date (copy should be attached)

Details of Declaration of probation - Order No., date and date of effect of probation (Copy should be attached)

Inter District Transfer order No. & date (Copy should be attached)

District to which transferred

Date of joining in new district

Period of LWA, Purpose

Sanction Order No. and date (Copy should be attached)

Date of rejoining after LWA

Other relevant information

Whether supernumerary appointment (Yes/No) Details should be attached.

YesNo

Mobile No.Required

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