FORM E
1 Ins. by G.S.R. 1320 , dated the 1st August, 1963
Service Register
See rule 37(i)
(1) Name of working journalist…………………
(2) Native place……………..
(3) Father’s name and residence………..
(4) Date of Birth…………
(5) Educational and other qualifications………..
(6) Date of first appointment and nature of job…………….
(7) Date of termination of employment, resignation, retirement, or death………………….
(8) Reasons for termination…………….
(9) Personal marks of identification……………….
(10) Signature of the working journalist………………….
(11) Signature with date and designation of the employee…………….
Name of Scale of pay Whether : Emolument drawn Period
Post held of the post (i) apprentice; ----------------------- ---------------------
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(ii) part-time; Pay Other emolu- From To
(iii) permanent ments
(iv) probationer;
(v) temporary;
1 2 3 4 5 6 7
Signature of working Signature of the employer Reference to any recorded
Journalist or any other officer of the increment, reward of
appreciation
Establishment of the working journalist
8 9 10
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