Teacher's Transfer Form
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Fill in the details and click on Submit to proceed.
Fields marked with* are mandatory.

For any issues, Clarifications please contact CCIM Helpdesk Email-Id: helpdesk@ccimindia.org or Mobile Numbers: 9654401726, 9654401763
 
*Teacher's Code:
*Name Of Teacher: *Date of Joining in Relieving Institution:
*Date of Birth: State of Institution Currently Joining:
*System of Medicine: District of Institution Currently Joining:
*Department: Name of Institution Currently Joining:
*Designation: *Email Id:
*State of Relieving Institution: *Confirm Email Id:
*District of Relieving Institution: *Mobile Number:
*Name of Relieving Institution: *Confirm Mobile Number:
Upload Required Documents
 *Please upload Resignation Letter submitted by the teacher to the relieving Institute Upload here   
 Please upload proof of acceptance of Resignation by the Institute Upload here   
 Please upload the copy of relieving order issued by the Institute Upload here   
 
Declaration
 

I, solemnly confirm that if any information provided by me found false, I shall be held responsible in the matter. I shall have no objection if any legal action is taken by the CCIM against me


 
    I Agree
   
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