Form No. 6
GOA PUBLIC SERVICE COMMISSION
Form for referring proposal for GRANT OF EXTENSION to the Temporary/Ad-hoc
appointments made without consultation of the Commission
1. (a) Designation of the post :-
(b) Scale of pay :-
2. Service Rules.
If any, under which the post is covered:-
3. (a) Whether the post is permanent or temporary :-
(b) Duration of the post if temporary :-
(c) whether the post is likely to be made permanent :-
4. (a) How and from which date the vacancy has arisen, and by whom the post was last held :-

(b) Whether the Commission were consulted on his transfer/promotion/ appointment, etc :-

5. Qualification required :-
6. Age limit prescribed for the post
Relaxation if any, to be granted :-
7. Number and date of communication under which the requisition for advertising the post has been sent. If not sent, the reasons thereof :-
8. Whether none from those last selected by the Commission including those on the reserve list is available to fill the post: -
9. Particulars of the incumbent from whom extension is required.
(a) Name :
(b) Age:
(c ) Qualification Possessed :-
(d) Date of appointment to the present post:-
(e) Substantive post held and substantive pay with scale :-
10. Number and date of communication under which a copy of the appointment order regarding his initial appointment on this post has been sent :- (enclose a copy of the order)
11. Period upto which concurrence for extension is asked for :-
12. Period upto which last concurrence was accorded and the number and the date of this office communication :-
13. (a) whether the present incumbent is the senior-most person already serving in the next lower cadre and has been appointed by temporary promotion according to the Government instructions/service rules. If any. if not. Why not?
(b) The reasons for supersession. If any involved along with full particulars of service with complete service records, namely confidential rules copy of service card duly authenticated of the persons superseded :-
14. (a) If he has been directly recruited what was the emergency necessitating the appointment
in question in anticipation of selection by the Commission :-
(b) Whether an advertisement was issued for the above post and the official in question was selected as a result if not. Why not?
(c) Whether the incumbent has been selected by personnel contact, if any?
(d) Whether the incumbent had appeared at an interview for the same or similar post and whether he was rejected by the G.P.S.C. for the same?
(<signature>),
Principal Secretary (Personnel)
Place:
Date:
Office
Seal