Table for broken service
     Name of Teacher with designation: 

     Name of school                                  :

     Date of commencement of continuous service :         

     Details of broken period of service admissible for service weightage

             

Sl.No	Name of school where  served	Period of service   From                     To		Total service   Y            M             D			In days
1
2
3
4
	Total

	Y	M	D
Total broken service
Regular Govt .service
Total