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Batchwise Appointment List of TGT (Medical) - Government of ...

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23 Sonika Sood D/o Late Sh.Ishwar Dass Sood, C/oSansar Hotel, Near HighCourt The Mall Shimla24 Sunita Devi D/o Sh. SitaRam Vill. Doh, PO BadhaniTeh. Bhoranj Distt. HMR25 Leena Kumari D/o Sh.Uttam Singh C/o Sh. S. S.Patyal, Vill Thana POGopalpur Teh. Sarkaghat,Distt.(Mandi)26 Ranjan Lata Ahulawalia D/osh. Jagdish Chand, W/o Dr.Rajiv Walia, SudershanCottage, Vill. Sughar, POBundla, Teh. Palampur distt.KGR27 Anurag Sharma D/o Sh.Manohar Lal Vill. MehrinKathla, PO Nalti Teh.Ghumarwin, Distt BLP28 Kanchan D/o Sh. Yash PaulChandel, H.No. 117 BasantBagh, Sai Road Baddi Distt.Solan 17320529 Leela Vatti Thakur D/o Sh.Sota Ram Thakur, Vill Stoh,PO Rajgarh, Teh. & Distt.Mandi, HP30 Shakuntla Devi D/o Sh.Bansi Lal, H. No. 32/5 Teh.Sundernagar, Haripur,Distt.(Mandi)31 Babit Devi Thakur D/o Sh.Bhup Chand Thakur VillBehar, PO & Teh.Sarkaghat, Distt. (Mandi)32 Deepika Rani D/o Sh.Shyam Chand Sharma Vill.Pipliwala, PO Purwala, ViaNahan distt. (Sirmour)33 Sonali Sharma D/o Sh.Surender Sharma, VPOMohtali, Teh. Indora DisttKGR34 Alka Rani D/o Sh. O.PSharma Vill. Gauna, POKaraur, Teh. Nadaun, Distt.HMR35 Nidhi Sharma D/o Sh. OPSharma, Mehandi RattaNiwas 238/7 Adarsh Nagar,Beow Thodo Ground Solan36 Soni Guleria D/o Sh. AmarSingh Guleria VPO GalmaTeh. Sadar, distt. (Mandi)37 Sanjeev Kumar S/o Sh.Deep Kumar Vill & POlNagehar Teh. Baijnath,Distt. Kangra38 Virender Parmar S/o sh.Man Singh Parmar VillBhadrohi Po Jamni Teh.Sarkaghat, Distt. Mandi1265/2003Mall Shimla200709979BhoranjM-607/04SarkaghatW-200701654PalampurM377/98SarkaghatW-200801601BaijnathW-6504/10MandiM768/05SundernagarW-5639/07SarkaghatW-671/2000Poanta Sahib20110049IndoraW-734/98Nadaun201001201Shimla201000492Sadar(Mandi)05.01.75 Gen 16539-9630.12.73 Gen 12074-10008.02.76 Gen 14795-11120.08.76 Gen 13206-9414.08.74 Gen 10077-9431.05.76 Gen 17153-10618.03.72 Gen 14794-10419.02.74 Gen 15318-9211.11.69 Gen 11075-9927.05.77 Gen 16775-11810.02.77 Gen 13634-9306.05.75 Gen 10901-9826.05.75 Gen 17283-9920.02.75 Gen 15367-1011084 Baijnath 17.12.73 GenIRDP995/2002Sarkaghat04.10.75 GenIRDP13375-9215531-118GSSSKhaneti(Shimla)DeoriGSSS Namlehri(Una)GSSS Gopalpur(Mandi)GSSS Garola(Chamba)GSSS Saloa(Bilaspur)GHS ManlogKalan (Solan)GHS Ghagnu(Mandi)GHS Khoddar(Mandi)GHS(Kullu)KanonGHS RampurGhat (Sirmour)GSSS Simni(Chamba)GHS Jandrah(Kangra)GSSS Shargaon(Sirmour)GHS Sudharni(Mandi)GSSS Poolan(Chamba) assubstiute <strong>of</strong>Naresh KumarGHS Hidab(Kullu)


39 Subhash Chander S/o Sh.Roop Chand, VPOTripalghat Teh. Sakaghat,Distt. Mandi413/02Sarkaghat12.06.75 GenIRDP12018-94GSSS Kashapat(Shimla) assubstitute <strong>of</strong>Sh.PramodKumar40 Dalip Kumar S/o sh. HiruRam Vill. Talangra POmaseran Teh. SarkaghatDistt. Mandi, HP41 Gagan Lata D/o Sh. MuniLal Vill. Tkri PO Mandal,Teh. & Distt. Mandi, HP42 Surender Pal S/o Sh. BalakRam vill Oddi Po lPaura -Kothi Teh. SundernagarDistt. (Mandi)43 Meenu Sharma D/o Sh.Devender Kumar SharmaVill. Lokvan Bassa POBhalakh, Teh. Nurpur Distt.KGR44 Renu Sharma D/o Sh. RamChand Sharma VPOChanger, Teh. & Distt.Hamirpur45 Kushal Bharti S/o Sh. KalipSingh VPO Basantpur , Teh.Sarkaghat, Distt. Mandi46 Sonia Thakur D/o Sh.Bakhtawar Singh W/o Sh.Rohit Thakur VPO Nakroh,Teh. Amb Distt.Una47 Vijay Laxmi D/o Sh. MeghSingh W/o Sh. Vijay KumarVPO Darbar, Teh.Sarkaghat, Distt. Mandi48 Deepak Kumar S/o Sh.Karam Singh VPO BarotiTeh. Bas\rsar, Teh. & Distt.Hamirpur91/2007Sarkaghat199911155Mandi22/02SundernagarW-192Nurpur200723899Una3073/04Sarkaghat200703872Amb1869/2010Sarkaghat200801089Barsar27.02.72 GenIRDP01.02.76 GenIRDP06.09.76 GenIRDP12.02.77 GenIRDP12.12.73 GenIRDP11.03.77 GenIRDP23.11.76 GenIRDP25.09.78 GenIRDP26.02.78 Gen(WFF)13962-9814590-10915422-10712820-9712198-9811304-11418223-10012165-11311133-104GSSS Cheuni(Mandi) assubstitute <strong>of</strong>Sh.PushpinderKumarGSSS Jhungi(Mandi)GSSS(Mandi)GSSS(Chamba)GSSS(Solan)GHS(Kullu)TaleliAuraBailaTunanGHS DurgapurDhardi (Solan)GHSBatwara(Mandi)SeriGSSS Sarachi(Mandi)49 Rajeev Gautam S/o Sh.Muni Lal Vill Kayara, POChandpur Teh. Saddar,Distt. Bilaspur50 Bandna Mehra D/o Late. Sh.Amir Chand Ward No. 2Upper Chaugan Bazar,Nurpur Distt. Kangra1103/05Bilaspur200626989Dharmashala11.10.78 Gen(WFF)10368-10615.05.76 OBC 12461-93GHS ChhotaKhamba(Kinnaur) assubstitute <strong>of</strong>Sh.Shiv CharanGHS Lahra(Chamba)51 Neelam D/o Sh. KhemSingh W/o Sh. JagjeetKumar Sain, C/o BhagwanRam Niwas H.No. 92 A/10Handeti, Puran BazarSundernagar Mandi52 Durgesh Nandini D/o Sh.Shayam Singh Kaushal,VPO Dari, Teh.Dharamshala Distt. KangraW-169/04Sarkaghat563/2003Dharamshal24.10.76 OBC 14930-8421.11.77 OBC 12566-85GSSSBhadarwar(Mandi)GSSS Bhunad(Chamba)


53 Pardeep Kumar S/o Sh.Ramesh Chand VPO SarotriTeh. Baroh, distt. Kangra54 Anupam Singh Rialch D/oSh. Harbans Singh W/o Sh.Anil Kumar Vill KairooJattan, PO Sihorepain Teh.Jawalamukhi Distt. Kangra55 Manju Bala D/o Sh. JasbirSingh W/o Sh. Anurag VPOJambal Teh. Dehra Distt.Kangra56 Puja Saini D/o Sh. PremSukh Vill Bhour PO KanaidTeh. Sundernagar, Distt.Mandi57 Rajeev Kumar S/o Sh. BrijLal VPO Jalari Teh. & Distt.Kangra58 Ajay Kumar S/o sh. SherSingh Vill Sukhar, POChalali Teh. Dehra, Distt.Kangra59 Priti D/o Late Sh.Bishamber Dass, W/o Sh.Sanjeev Kumar Vill Kuthor,PO Tripal Teh. Dehra Distt.Kangra60 Meenakshi Sharma D/o Sh.Pritam Praksh SharmaH.No. 1920 ChapsleeQuarters Near AucklandHouse School Shimla-161 Renu Kumari D/o Sh.Gurdev Chandla VillManjhat, PO Mohian, Teh.& Distt. HMR62 Minikshi Sandal D/o Sh.Amar Chand Sandal, VillKaner PO Fatehpur Teh.Sarkaghat, Distt. Mandi63 Archana Chaudhary D/o Sh.Purshotam Lal Vill DhanChowk, PO Matlahar, Teh.Jawali Distt. Kangra64 Arti Devi D/o Sh. AmarSingh C/o Amin Chand H.No. 76 Koserian SectorNo.6 Bilaspur65 Dinesh Kumar S/o Sh. OmDutt VPO. Lower Bassar,distt. Una66 Umesh Kumar S/o Sh.Himmat Singh Vill BhourPO Kanaid, Teh.Sundernagar, Distt. Mandi67 Sanjay Kumar S/o Sh.Parkash Chand ChoudharyVPO Nandpur Bhatoli, Teh.Dehra, Distt. Kangra, HP68 Naresh Kumar S/o Sh.Ghunghar Ram VPOKaloha, Teh. Rakkar, Distt.Kangra200700045Baroh200713118DehraGopipur201102372DehraW-822/05Sundernagar2609/2003Palampur200700238DehraW-1082/03DehraW-455/04ShimlaW-544/09Hamirpur3128/10Sarkaghat201202260DharamshalaW-245/2011Bilaspur02.09.78 OBC 13017-11518.02.79 OBC 11004-10127.06.81 OBC 12775-10114.04.79 OBC 17348-9820.04.81 OBC 13161-8417.02.81 OBC 17627-10318.10.80 OBC 13116-8624.02.78 OBC 16029-9303.06.81 OBC 11768-8427.04.80 OBC 12200-10517.09.80 OBC 12385-9525.07.77 OBC 10083-1082465/06 Una 12.11.79 OBC 17751-1041596/07Sundernagar200702004N/Surian3776/05Dehra08.03.80 OBCIRDP26.01.82 OBCIRDP17.07.78 OBCIRDP15468-9913373-10212898-86GSSS ThanaBargran(Kangra)GSSS Bharari(Chamba)GSSSBadalthore(Kangra)GHS(Kullu)SinwinGSSS Darkali(Shimla)GSSS Kewar(Shimla)GHS Adhwani(Kangra)GSSS SariMolag (Kangra)GHS Tepra(Bilaspur)GHS Riagari(Mandi)GSSS Khajiar(Chamba)GSSS Bhakhra(Bilaspur)GHS Kharkahan(Sirmour)GSSS Shansha(Lahaul)GSSS(Shimla)BhaluGHS Chobia(Chamba) assubstitute <strong>of</strong>Sh.Jang Bahadur


69 Kavita Saini D/o Sh. ParmaNand Saini Vill. Khandla,PO Kummi Distt. Mandi,HP 17500670 Manesh Kumar S/o Sh. TejSingh Vill. Samaryali, PORajpura, Teh. & Distt.Chamba, HP71 Navneet Jaswal S/o Sh. BalKrishan VPO Mehre, Teh.Barsar, Distt. HMR72 Neelam D/o Sh. ManshaRam W/o Sh. Shi ShaktiPrashad VPO Bangoli ViceHaripur, Teh. Dehra, Distt.Kangra, HP 17602873 Chandresh Kumar s/o LateSh. Gurpal Singh H. No.301 Ramnagar Warm NO.10Una Distt. Una HP74 Nisha Kumari D/o Late Sh.Prem Dass Kashyap, Jailndra Cottage, ChampaColony Vill. Shakrala, POMalyana, Distt. Shimla HP75 Vinay Chander S/O Sh.Amar Nath, Vill. Bhatka,P.O. Samot, Teh. Bhatiyat,Distt. Chamba.76 Rachna Kumari D/o Sh.Jagdish Chand W/o Dr.Ashok Kumar VPO Bella,Teh. Nadaun Distt. HMR77 Pradeep Kumar S/O Sh.Pandit Ram Dhima, VillMadhani, P.O. Booni, TehsilNadaun, Distt. Hamirpur78 Renuka D/o Sh. Gian ChandVPO Loharara, via BanirTeh. Barsar, Distt. Hamirpur79 Satvinder Kaur D/o Sh.Rachhpal Singh H. No. 126Sector Diara, distt. Bilaspur80 Anjana Devi D/o Sh. MangoRam, W/o Sh. NareshKumar, Vill. Tihar, P.O.Dhasoli, Teh. Jawali, Distt.Kangra, H.P.81 Sarv Dayal S/o sh. ShivRam Vill. Odidhar, PO &Teh. Nirmand, Distt. Kullu82 Raghubir S/o Sh. MilkhiRam VPO Amroh, Teh.Bhoranj, Distt. Hamirpur83 Sangita Kumari D/o Sh.Ram Singh H. No. 121/11Behind session HouseShashtri Nagar Kullu, Distt.Kullu, HP84 Vinod Kumar S/o Sh.Wattan Singh VPO RaipurMaidan, Teh. Bangana,Distt. Una, HP200619133Mandi417/2003Chamba114/2006BarsarW-200801314/08 Dehra2318/2003Una201009772Kumarsain200706861ChowariW-569/2003Nadaun751/2005NadaunW-476/2008BarsarW-229/2009BilaspurW-611/2003Jawali200608318Anni200702372Bhoranj01.01.88 OBCWFF17161-9609.12.79 SC (UR) 10708-9617.04.80 SC (UR) 11441-9618.01.80 SC (UR) 12909-11327.12.79 SC (UR) 17727-10130.10.73 SC (UR) 16123-10428.05.79 SC (UR) 10854-10031.12.78 SC (UR) 11629-11120.07.78 SC (UR) 11582-9512.04.77 SC (UR) 18084-9410.01.81 SC (UR) 10487-8917.05.79 SC (UR) 12314-11603.04.81 SC(IRDP)23.07.81 SC(IRDP)16435-8811633-120W-618 Kullu 24.09.79 ST (UR) 14204-86201100080Una27.11.78 ST (UR) 12183-105GHS Kashoul(Mandi)GHS Churi(Chamba)GHS(Kullu)GHS(G)Haripur,(Kangra)GHSPunnerdhar(Sirmour)GHS(Mandi)GhatuReurGSSS Sach(Pangi) assubstitute <strong>of</strong>Sh.Hem RajGSSS Bihani(Mandi)GSSS Mandhol(Shimla)GHs Kharkhari(Bilaspur)GHS Domehar(Sunni)(Shimla)GHS Banoli(Kangra)GSSS(Kullu)BagipulGSSSRamnagar (K)(Shimla)GHS Sharvi(Kullu)GSSS Ratnari(Shimla)


85 Kumari Anita D/o Late Sh.Ram Nath VPO dobhi Teh.& Distt. Kullu, HP86 Shiv Kumar S/o Sh. SadhuRam VPO Goli Teh.Dalhousie, Distt. Chamba201000114 L& S142/2012Dalhousie16.05.78 ST (UR) 14032-8630.08.81 ST(IRDP)16913-87GHS Buchher(Kullu)GSSS RunuKothi (Chamba)as substitute <strong>of</strong>Sh.VirenderKumarNote:- In case <strong>of</strong> non-availability <strong>of</strong> vacancy due to pending litigation/ PTA-GIA case orany other administrative reasons in the <strong>of</strong>fered school the concerned head <strong>of</strong> the school isdirected to immediately refer back the individual to this directorate for amendment. It willalso be the duty <strong>of</strong> the candidate to intimate such a problem to the undersigned within theprescribed period <strong>of</strong> <strong>of</strong>fer alongwith the report <strong>of</strong> the concerned Head <strong>of</strong> Institution failingwhich the <strong>of</strong>fer shall stand terminated without any notice.Endst. No. even dated Shimla-171001 the 18 th August, 2012.Copy for information and n/a to:-1. The Secretary (Education) to the Govt. <strong>of</strong> Himachal Pradesh, Shimla-171002.2. The Director <strong>of</strong> Higher Education, H.P Shimla-171001.3. The Secretary, Himachal Pradesh Subordinate Services Selection Board, Hamirpur.4. All the Deputy Directors <strong>of</strong> Elementary Education, Himachal Pradesh. They are directed thatthe character and antecedents <strong>of</strong> the candidate appointed may be got verified within threemonths <strong>of</strong> the date <strong>of</strong> his joining and report be sent to this directorate within 10 days aftercompletion <strong>of</strong> the scheduled date /time <strong>of</strong> three months. The intimation <strong>of</strong> the joining <strong>of</strong> thecandidate may also be sent.5. The concerned Principal with the directions that before accepting the joining report <strong>of</strong> thecandidate a bond on Judicial Paper(in triplicate) is required to be executed between the Head<strong>of</strong> the institution and the contract appointee as per specimen copy enclosed. Original copy <strong>of</strong>the bond will be retained in the <strong>of</strong>fice <strong>of</strong> the school, other copy is to be handed over to theappointee and third copy will be forwarded to this directorate alongwith joining report. Thejoining will be treated incomplete if this <strong>of</strong>fice has not received aforesaid documents. Thejoining <strong>of</strong> appointee will be treated from the date <strong>of</strong> signing <strong>of</strong> the bond. It is further directedthat on the joining <strong>of</strong> substitute the present incumbent be relieved immediately with thedirection to report to the Directorate <strong>of</strong> Elementary Education for further postingforthwith.6. The D.A. dealing with seniority/Transfer matters in the Establishment Branch-II(Internal)Directorate <strong>of</strong> Elementary Education with the directions that the separate seniority <strong>of</strong>the teachers appointed on contract basis be maintained.7. The Concerned Employment Exchange.8. Individual concerned through Registered Post.9. The Guard file.


TERMS AND CONDITIONS <strong>of</strong> Contract <strong>Appointment</strong>(<strong>TGT</strong>)Annexure-“A”1. The concerned candidate will have to produce the medical fitness certificatefrom the Chief <strong>Medical</strong> Officer/<strong>Medical</strong> Officer <strong>of</strong> the Illaqa/area concernedat the time <strong>of</strong> his/her joining.2. The candidate concerned shall have to submit a declaration to the effect thatif married, he/she has only one spouse living. The woman candidate(s) willdeclare that she has not married a person having a living wife.3 The concerned candidate shall have to produce attested copies <strong>of</strong> his/heracademic/pr<strong>of</strong>essional qualification/domicile/ date <strong>of</strong> birth etc. certificates4 The concerned candidate shall have to produce a character certificate fromcompetent authority or Gazetted Officer to whom he/she is known for the lastten years5 The concerned candidate shall furnish a declaration to the effect that he/she isnot a dismissed employee <strong>of</strong> any Govt./Semi Govt. Department/Organization.6 The appointment may be terminated at any time by a month’s notice on eitherside without assigning any reason.7 The concerned candidate will have to make an oath <strong>of</strong> allegiance/faithfulnessto the constitution <strong>of</strong> India.8 The candidate(s) belonging to SC/ST/OBC etc. will furnish the requisitecertificate on the prescribed form only issued by the competent authorityfrom H.P.9. His/her retention in service is subject to his/her character and antecedentbeing found satisfactory which should be got verified by the concernedDeputy Director/Head <strong>of</strong> concerned school within scheduled period <strong>of</strong> threemonths.10 He/she will have to give in writing whether he/she was ever convicted by acourt <strong>of</strong> law and if so the particulars <strong>of</strong> the <strong>of</strong>fence and punishment be stated.Failing to disclose the facts, he/she will render himself/herself liable to beremoved from service without any notice as and when the factual facts comesto light.11 The candidate(s) concerned shall have to produce the certificate <strong>of</strong> his/herbeing a citizen <strong>of</strong> India.12. In case the candidate belongs to Antodaya/IRDP family he/she shall have toproduce a certificate to this effect from Block Development Officer <strong>of</strong> thearea concerned.13 In case <strong>of</strong> any <strong>of</strong> the certificates/information produced/given by the candidateis found false/wrong, later on his/her services will be terminated.14 The appointee shall have to serve in the difficult area Sub-Cadre for aminimum period <strong>of</strong> five years.15. The appointee shall have to submit an undertaking to the effect that he/shehas passed educational/pr<strong>of</strong>essional qualification from a recognizedUniversity/institution. If at any stage it is detected that the educational &pr<strong>of</strong>essional qualification are not from a recognized University/institutionthen the services are liable to be terminated forthwith.16. The appointee shall have to submit an undertaking <strong>of</strong> having passed TETexam from HPSSSB Hamirpur. He/she shall have to place a copy <strong>of</strong> the TETcertificate on record immediately after being issued by the HPSSSBHamirpur.Sd/-Director <strong>of</strong> Elementary Education,Himachal Pradesh


Annexure-A-IName <strong>of</strong> the candidateFather Name/husband nameDate <strong>of</strong> BirthCategoryDate<strong>of</strong> joiningSignature <strong>of</strong> the candidatesSignature <strong>of</strong> the Principal/Head Master


Annexure-BForm <strong>of</strong> contract/ agreement to be executed between the Trained Graduate Teacher (Name <strong>of</strong> thepost) and the <strong>Government</strong> <strong>of</strong> Himachal Pradesh through Director <strong>of</strong> Elementary Education.(Designation <strong>of</strong> the Appointing Authority).This agreement is made on this _______________ day <strong>of</strong> ____________ in theyear____________between Sh./Smt.___________________ S/O Shri ______________ R/O___________________________________________Contract appointee (hereinafter called the FRISTPARTY), AND The Governor <strong>of</strong> Himachal Pradesh through Director <strong>of</strong> Elementary Education(Designation <strong>of</strong> the Appointing Authority)/Head <strong>of</strong> the Institution i.e Principal/Headmaster ( here-inafterthe SECOND PARTY). Whereas , the SECOND PARTY has engaged the aforesaid FIRSTPARTY and the FIRST PARTY has agreed to serve as a Trained Graduate Teacher (Name <strong>of</strong> the post)on contract basis on the following terms & conditions:-1.That the FIRST PARTY shall remain in the service <strong>of</strong> the SECOND PARTY as a Trained GraduateTeacher ( Name <strong>of</strong> the post) for a period <strong>of</strong> 1 year commencing on day <strong>of</strong> ________________ andending on the day <strong>of</strong>__________ It is specifically mentioned and agreed upon by both the parties that thecontract <strong>of</strong> the FIRST PARTY with SECOND PARTY shall ipso-facto stand terminated on the lastworking day i.e on _________________And information/ notice shall not be necessary.2.The contractual amount <strong>of</strong> the FIRST PARTY will be Rs.13900/- PM.3.The service <strong>of</strong> FIRST PARTY will be purely on temporary basis. The appointment is liable to beterminated in case the performance/ conduct <strong>of</strong> the contract appointee is not found good or if a regularincumbent is appointed/ posted against the vacancy for which the first party was engaged on contract.4.The contractual appointment shall not confer any right to incumbent for the regularization <strong>of</strong> serviceat any stage.5.Contractual Trained Graduate Teacher ( Name <strong>of</strong> the post) will be entitled for one day casual leaveafter putting in one month service. This leave can be accumulated upto one year. No leave <strong>of</strong> anykind is admissible to the contractual Trained Graduate Teacher (Name <strong>of</strong> the post). He will not beentitled for <strong>Medical</strong> Reimbursement and L.T.C etc. Only maternity leave will be given as per Rules.6. Unauthorized absence from the duty without the approval <strong>of</strong> the Controlling Officer shallautomatically lead to the termination <strong>of</strong> the contract. A contractual Trained Graduate Teacher ( Name <strong>of</strong>the post) will not be entitled for contractual amount for the period <strong>of</strong> absence from duty.7.Transfer <strong>of</strong> an <strong>of</strong>ficial appointed on contract basis will not be permitted from one place to another inany case.8.Selected candidate will have to submit a certificate <strong>of</strong> his/her fitness from a <strong>Government</strong>/ Registered<strong>Medical</strong> Practitioners. In case <strong>of</strong> Woman candidates pregnant beyond twelve weeks will render hertemporarily unfit till the confinement is over. The woman candidate should be re-examined for fitnessfrom an authorized <strong>Medical</strong> Officer/ Practitioner.9. Contract appointee will be entitled to TA/DA, if required, to go on tour in connection with his/her <strong>of</strong>ficial duties at the same rate as applicable to regular counter-part <strong>of</strong>ficial.10 The Employees Group Insurance Scheme as well as EPF/GPF will not be applicable to contractualappointee(s).IN WITNESS the FIRST PARTY AND SECOND PARTY have herein to set their hands the day,month and year first, above written.IN THE PRESENCE OF WITNESS:1._______________________________________________________________________________(Name and full Address)(Signature <strong>of</strong> the FIRST PARTY)2.______________________________________________________(Name and full Address)IN THE PRESENCE OF WITNESS:1.______________________________________________________________________________(Name and full Address)2.______________________________________________________________________________(Signature <strong>of</strong> the Second PARTY)(Name and full Address)

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