Vigilance Clearance Proforma

Confidential

DIRECTORATE OF EDUCATION: DISTT. CENTRAL

JHANDEWALAN, PLOT NO-5, NEW DELHI- 110005

PROFORMA FOR ISSUE OF VIGILANCE CLEARANCE

(To be submitted in triplicate to the zone to Vigilance Clearance)

1.      Name of School _____________________________ School ID: ________________

2.      Name & Designation of the Official ___________________ Official ID: ________

3.      Father’s/ Husband’s Name  _____________________________________________

4.      Date of Apptt. ____________ Birth ________________ Retirement ____________

5.      Particulars of last Vigilance Clearance  ___________________________________

6.      Particulars of last NOC etc. (with detail) __________________________________

7.      Purpose of Vigilance Clearance _________________________________________

8.      Vigilance report at the school level (whether DP ending/contemplated/complaint pending)_____________________ with detail_______________________________

9.      Posting as per as Service book of the official.

Sr. No.	School/Office where posted	Designation	Period of Stay    From                         To		Remarks

E. O. Zone 27                         A. O. Distt. Central               Sig. of Head of School