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NEW TRANSFER GUIDELINES W.E.F.
14-03-2006 1. BASIC PRINCIPLES 1.1 All employees of the KVS are liable to be transferred and posted anywhere in India, at any time, and for any period, as requirements of public service and of the Sangathan may dictate. Transfers and postings are a right of the Sangathan which it would endeavour to exercise in the best interest of the students, with due regard to the principles of equity and transparency vis-a-vis its employees. 1.2 These guidelines regarding transfers are meant essentially for the internal use of the Sangathan and do not vest any employee with any right. 1.3 Objectives of the Sangathan’s transfer policy are: - i.) To deploy available staff in an optimum manner so that, inter-alia, employees are evenly distributed across regions and schools, with special regard to the interest of students in Priority Areas [as defined in para 2(1)(xi)] ii.) To maximize the overall satisfaction level of its employees, subject always to the paramount need to protect academic interests of students and administrative efficiency of the organization. 2. DEFINITIONS (1) In these guidelines unless the context otherwise requires: i) “Category whose Dislocation will be Avoided (CDA)” means persons falling in one or more of the following categories: - · ‘MDG’, as defined in Clause (viii) below, · ‘DSP’, as defined in Clause (iv) below, and who have been transferred on ground of DSP in the last three years as on 31st March of year. (Amended on 15.11.2007) · ‘LTR’, as defined in Clause (vii) below, · Physically challenged employees, as defined in Clause (x) below, · Employee whose spouse is also a KVS employee and is posted at the same station, and · President/General Secretary of recognized service associations of KVS, who are also members of JCM. ii) “Commissioner” means Commissioner, Kendriya Vidyalaya Sangathan, including any officer thereof who has been authorized or delegated to exercise all or any of the powers and functions of the Commissioner. iii) “Dependent son/daughter”: - Son will be deemed to be dependent till he starts earning or attains the age of 25 years, whichever is earlier or suffers from permanent disability of any kind irrespective of age limit. Daughter will be deemed to be dependent till she starts earning or gets married, whichever is earlier, irrespective of age limit. iv) “DSP” means an employee whose spouse has died within two years, as on 31st March of the year. v) “Employee spouse” means a spouse who is a paid employee in an organisation, and does not include a self-employed spouse. vi) “Hard station” means a place notified as such by the Sangathan. vii) “LTR” means an employee who has less than three years to retire, as on 31st March of the year. viii) “MDG” means an employee seeking transfer on the basis of one or more of the medical conditions listed in Annexure-1, affecting himself/herself, spouse or dependent son/daughter. ix) “PS” means Posting with Spouse. x) “Physically Challenged Employee” means an employee who has been sanctioned Conveyance Allowance due to visual and/or orthopedic disability, as per instructions of the Central Government. xi) “Priority Areas” means the North Eastern Region (including Sikkim), A&N Islands and Hard and Very Hard Stations elsewhere. xii) “ Priority Category for Grant of Request Transfer (PCGR)” means a person falling in one or more of the following categories : - · MDG, · DSP, · LTR, · person who has completed his tenure in Priority Areas. xiii) “Region” means a region as notified by the Commissioner, comprising Kendriya Vidyalayas in a specified area of the country and placed under the charge of an Assistant Commissioner. xiv) “Sangathan” means the Kendriya Vidyalaya Sangathan (KVS). xv) “Service” means the period for which a person has been holding charge of a post in the Sangathan on a regular basis. xvi) “Station” means any place or group of places as notified by the KVS for the purpose of transfers, from time to time. xvii) “Stay” means service at a station excluding the period or periods of continuous absence from duty exceeding 30 days (45 days in case of Priority Areas) at a stretch other than on training or vacation. xviii) “Teacher” means all categories of teachers in the employment of Sangathan but does not include functionaries in the rank of Vice-Principals, Principals, Education Officers and above, for the purpose of transfer. xix) “Tenure” means a continuous stay for a specified period by different categories of employees in different parts of the country. Reference date for Priority Areas for determination of tenure is 30th June of the year. For all other places the reference date shall be 31st March of the year. xx) “Very hard station” means a place notified as such by the Sangathan. xxi) “Year” means a period of 12 months commencing from 1st April. xxii) "No taker vacancy" means a vacancy which remains vacant after the operation of priority list - I and II of request transfers (Inter as well as Intra regional request transfers). (Amended on 15.11.2007) (2) Unless the context otherwise indicates: a) words importing the singular number shall include plural number and vice-versa. b) words importing the masculine gender shall include the feminine gender. 3. AUTHORITIES COMPETENT TO EFFECT TRANSFERS: (1) Subject to the general powers of the Commissioner to effect all manner of transfers of persons upto the level of Education Officers, transfers of the kind shown in Col. 1 below will be effected by the authorities shown against them in Col.2:-
(2) The Regional Transfer Committee mentioned in sub para(1) above will consist of the following, viz.,
Provided that if both the senior-most Principals in a Region are male, then only the senior of the two will be nominated as a member, and the senior-most lady Principal of the Region will be nominated as the second member: PROVIDED further that if the senior-most Education Officer of the Region, or any of the two Principals who is otherwise eligible to serve as member of the Regional Transfer Committee, as per the above provision, has been punished in the last ten years, or disciplinary/criminal proceedings are currently either pending or contemplated against him, the next senior-most Education Officer/Principal, not suffering from such a disqualification, will be nominated to the Committee. (3) Recommendations of the Regional Transfer Committee shall as far as possible be unanimous. However, in case of irreconcilable difference of opinion amongst its members, the majority view will prevail. In case of equality of votes, the Chairman will have a casting vote. (4) It will be the responsibility of the Chairman to ensure that recommendations of the Committee are fully in accordance with these guidelines. In case, in his opinion, a majority recommendation is inconsistent with these guidelines, he will not implement it but will refer the matter to the Commissioner for orders. 4. TYPES OF TRANSFERS Transfers shall be of two types, namely: - i) “Administrative transfers” which Sangathan orders, suo-moto, and ii) “Request transfers” which are ordered by the Sangathan on the basis of requests made by an employee. Admissibility for transfer TA in the case of the two types of transfers shall be as given in Para 20, below. 5. SCHOOL-WISE ALLOCATION OF POSTS FOR THE NEXT ACADEMIC SESSION. Since the number of students, classes, sections and subjects to be taught in a Kendriya Vidyalaya vary from year to year, the Commissioner will issue, by 30th November every year,* an order allocating the posts of various categories to each Kendriya Vidyalaya for the next academic session. This allocation order will form the basis of determination of school-wise surplus/deficit of personnel till the end of the next academic session. 6. DETERMINATION OF SCHOOL-WISE SURPLUS STAFF AND VACANCIES. Based on the post allocation order issued under Para 5, the Assistant Commissioner of the region will determine for each Kendriya Vidyalaya of the region, by 15th December, the school-wise number of (i) persons in surplus, and (ii) vacancies. 7. ADMINISTRATIVE TRANSFERS TO ELIMINATE STAFF SURPLUS. 7.1 In the Kendriya Vidyalayas where teachers are in surplus, action will be taken to reduce such surplus to zero, in the following manner: (i) All teachers of relevant category working in Kendriya Vidyalayas having a surplus in that category will be notified that teachers of that category in requisite numbers need to be transferred out to eliminate the surplus, and it will be ascertained whether any of them are willing to be transferred out to other KVs within the region having vacancies in relevant category. To the extent possible, surplus will be eliminated by transferring willing teachers, who respond to the above notice, to vacant posts within the Region. (ii) Since some surplus may remain after (i) above, person(s) in requisite numbers will also be identified at the station where each school having a surplus is located for effecting administrative transfer to the extent of such remaining surplus. This will be done on the basis of highest station seniority of teachers not belonging to the CDA category. Preferences of such teachers from among available vacancies in KVs of the Region will also be ascertained. Preference of such persons (Amended on 15.11.2007) under (i) above and those identified under (ii) above will be called at the time of calling for the details of surplus staff (Amended on 15.11.2007) by 10th January, and transfers will be effected, in that order, with due regard to their choice from amongst available vacancies, and as per the guidelines in paras 13 and 14, below, by 15th January. 7.2 In some cases there may be surplus staff in a particular category, in a region as a whole. To that extent, persons of that category will have to be transferred out of the region. Such persons will be those who can not be accommodated within the region by following the exercise spelt out in para 7.1 above. List of such persons, along with their preference for other regions, will be sent by the Assistant Commissioner to the Commissioner by 20th January, who will then transfer them to regions having net vacancies in that category, in the manner provided in paras 13 and 14, by 31st January. 7.3 Vacancies arising on account of superannuation upto 31st July of the year at stations from which teachers are transferred out on administrative grounds under paras 7.1(ii) and 7.2 above, shall be filled up by re-posting of teachers who are so transferred out, in pursuance of the above paras. While doing so, priority would be given to teachers who are transferred out of the region, and wherever applicable, it will be specified in their initial transfer order itself that they will stand re-posted to their original station on superannuation of the person concerned. 8. ADMINISTRATIVE TRANSFERS ON OTHER GROUNDS Besides transfers to eliminate surplus, as indicated in Para 7 above, other administrative grounds on which staff may be transferred are as follows: - i) Due to completion of maximum tenure prescribed for certain posts as specified below:
In case of Principal, Commissioner may extend the period of service beyond five years at a Vidyalaya in order to promote academic and overall quality of administrative excellence. The transfer cases of Principals who have not completed five years in the same school (Amended on 15.11.2007) will be examined and transfer effected to the extent necessary in pursuance to the objectives spelt out in para 1.3. ii) To fill up vacancies in Priority Areas. iii) To accommodate requests of teachers belonging to PCGR category for a place where no vacancy is available. iv) On grounds of misconduct or unsatisfactory performance, as evidenced by issue of a charge-sheet under Rule 14 of the CCS (CC&A) Rules, 1965 or imposition of a minor penalty under Rule 16 of the CCS (CC&A) Rules, 1965. v) Closure of a Kendriya Vidyalaya. vi) Other administrative exigencies. 9. 9. CRITERIA FOR EFFECTING ADMINISTRATIVE TRANSFERS INTO AND OUT OF PRIORITY AREAS:
(1)
(1) One tenure posting of all male teachers/officers and non-teaching staff in
the rank of Superintendent and above in Priority Areas will be mandatory
before they complete 35 years of age.
Explanation: - Where a person has worked in stations of both the kinds mentioned above, tenure at a Station of category (2), will be treated as being equivalent to 1 ½ times the tenure at a station of category (1) for purposes of determining whether he has completed the minimum prescribed tenure. (2) After completion of the tenure prescribed above, if a person requests to be transferred out, he will, as far as possible, be given a posting of his choice in the PCGR category. (3) As per objectives of the transfer policy as mentioned in para 1.3 (i), the procedure for transferring teachers to fill up vacant posts in Kendriya Vidyalayas situated in Priority Areas shall be as follows: - (i) Vacancies in KVs in Priority Areas shall be published on the website of KVS and all Regional Offices, by 31st January, and applications of willing persons will be invited upto 15th February, for transfer to such vacancies. Based on applications received, orders posting teachers/employees to vacant post in KVs, of their choice, shall be issued by the Commissioner, by 25th February. (ii) In addition to (i) above, 25% of anticipated vacancies in KVs located in Priority Areas as on 1st April of the following year will be filled up through administrative transfers. To fill up vacancies to this extent, senior-most male teachers upto 35 years of age, as on 31st March of the year, based on all-India Seniority list, who have not completed prescribed minimum tenure in Priority Areas shall be transferred to such areas subject to their not belonging to MDG, DSP and Physically Challenged categories. In addition, during 2007, those teachers who have completed less than one year at the present place of posting as on 31.3.2007 shall not be transferred to Priority Areas except on request. (iii) Inter-regional Transfer of Teachers as per (ii) above will be ordered by the Commissioner, specifying the region but generally without specifying the school, by 25th February. Posting to specific schools will be done by the Assistant Commissioner on the recommendations of the Regional Transfer Committee, by 10th March. 10. DISPLAY OF VACANCIES IN NON-PRIORITY AREAS ON KVS WEBSITE School-wise vacancies in KVs outside Priority Areas, determined after issue of transfer orders as per paras 8 and 9 above, will be displayed by the KVS (HQ) and Regional Offices on their Website by 5th December. 11. RECEIPT OF APPLICATIONS FOR REQUEST TRANSFERS. 11.1The Assistant Commissioner of the region shall receive applications for request transfers through the respective Principals of Kendriya Vidyalayas till 22nd December. The applications received in the Regional Offices shall be sorted and intra-regional applications will be retained. Applications for inter-regional transfers shall forwarded to KVS (HQ) so as to reach it by 10th January. 11.2 Applications for transfers will be made in Form – 1 appended to these guidelines. In this proforma a person requesting for transfer may indicate choice of upto 05 stations in one or more Regions. 12. 12. REQUEST TRANSFERS 12.1 Cases where requests for transfers shall not be considered: - In following cases, requests for transfer shall not be considered: i) Request of a direct recruit for transfer from the place of first posting shall not be considered, before completion of a period of three years in case of male, and one year in case of female employee except to KVs of priority areas (Amended on 24.11.2006). ii) Request for transfer of a person posted on promotion will not be considered before completion of three years in the case of Assistant Commissioner/ Education Officer and one year in other cases except to KVs of priority areas (Amended on 24.11.2006). iii) Principals, Education Officers and Assistant Commissioners will not be transferred back to the same station from where they were transferred earlier, unless a period of three years has elapsed. iv) Teachers, Education Officers or Assistant Commissioners, who were transferred on administrative ground mentioned in Para – 8(iv) shall not be considered for transfer before completing five years. Further, they will not normally be transferred to the station from where they were transferred out on the said administrative ground. However, persons posted to Priority Areas shall be considered for transfer on completion of their tenure as specified in Para 9. v) A person who has been transferred on request, will not be transferred on request again in the same academic session.
vi)
Cases of MDG,
DSP and LTR categories, where request for transfer has already been
granted on these grounds previously. 12.2 Extent to which requests from persons belonging to PCGR and non-PCGR categories ` will be accommodated. Extent to which requests from persons belonging to PCGR and non-PCGR categories will be accommodated will be as follows:
12.3 Criteria for considering request transfers to fill up available vacancies. Subject to the provisions of Para 12.1, requests made for transfers shall be disposed of in the sequence indicated below: - i) Requests coming under PCGR will be granted as per the options specified in the applications. Within the PCGR, the order of precedence will be as under: - a. MDG, b. DSP, c. LTR, d. Those who have completed their tenure in Priority Areas. ii) Vacancies for which no requests are received from teachers coming under PCGR will be considered for posting of applicants belonging to non-PCGR category. In the event of there being more than one request for the same vacancy, priority for transfer shall be given in descending order of aggregate entitlement points calculated as per para 13 below. 12.4 Posting with an Employee Spouse As far as practicable, request for transfer to join an employee spouse, either at the same station or at a nearby station, shall be considered and for this reason specific entitlement points have been provided in Para 13. In the event of a tie among the same category of spouses, lady employee would be given preference over male employee, and inter-se priority among different categories shall be as follows:
NOTE: - For ‘Spouse Cases’ the aforesaid priority will be considered only where the teacher seeks transfer to a station (a) other than the one where he is currently posted, and (b) where the employed spouse is posted either at the desired station or a nearby station. 13. ENTITLEMENT POINTS FOR DETERMINING PRIORITY AMONG RIVAL CLAIMANTS For purposes of Para 12.3, requests will be disposed of based on highest entitlement points assigned as per the following criterion:-
NOTE:- Although the persons covered under S.No. 1 and 2 come under PCGR category, entitlement points are assigned to facilitate decision making as their number may be quite large and there would be competition among them for some specific stations/K.Vs. 14. FIRST PRIORITY LIST: INTER-REGIONAL REQUEST TRANSFERS AGAINST AVAILABLE VACANCIES. 14.1 The first priority list shall be prepared by listing of applications received for inter regional transfers against available vacancies taking into account the entitlement points as per Para 13 above and shall be displayed on KVS website by 20th February. This priority list shall be prepared in accordance with para 12 and 13 above. 14.2 Representations against transfers proposed in the first priority list shall be received up to 10th March. 14.3 After taking into consideration the representations received as per para 14.2, final transfer orders will be issued by 5th April. 15. SECOND PRIORITY LIST: INTER-REGIONAL TRANSFERS OF PERSONS IN PCGR CATEGORY BY DISPLACEMENT OF OTHERS AND CERTAIN CONSEQUENTIAL TRANSFERS 15.1 Where transfer is sought by a teacher coming under PCGR and no vacancy is available at the station of his choice, required vacancy will be created by displacing a teacher of the same category (post/subject) with longest stay at the said station, and not belonging to CDA. However, nobody shall be displaced in this manner, as far as possible, before completing a tenure of three years. If no non-CDA category employee with more than 3 years’ tenure is not available at the station of first choice of a PCGR category employee, the exercise will be done for locating such a person at stations of his second, third and lower choices, in that order. If no non-CDA employee with more than 3 years’ tenure is available at any of the stations of choice, the non-CDA employee with longest tenure out of all the preferred stations taken together, will be displaced. The displaced teacher will be accommodated against available nearby vacancy as far as possible within the region. The resultant vacancies arising out of transfers orders as per first priority list, will be used to accommodate non-PCGR category requests, who could not be accommodated in the first priority list, to the extent possible.
Further, a teacher who has
completed tenure in priority area and wants to come to his/her choice
place in the priority area, may be transferred on request by displacing
the senior most teacher (in the manner as stated above) at the station
in case of non availability of vacancy at his/her choice station. This
will be applicable to both intra and inter region transfers. The request
of the displacee for modification to the choice places will be considered
against the vacancies arising up to 30th November of the year
15.2 Second priority list prepared as per para 15.1 above, shall be displayed on KVS website by 5th April, and representations against it will be received up to 15th April. Final Transfer orders, after taking representations into consideration, shall be issued by 20th April. 15.3 Any correction/modification which become necessary in transfers as per first and second priority lists by KVS (HQ) shall be issued by 10th May. 16 TRANSFERS BY REGIONAL OFFICES Applications for intra region request transfer shall be considered by the Regional Transfer Committee only after the inter region transfer orders have been issued by the KVS (HQ). 16.1 Request Transfers against available vacancies by Regional Office.
The first priority list
shall be prepared by listing of applications received for intra-regional
transfers taking into account the entitlement points as per para 13
above. This priority list shall be displayed on RO website by
12th
May. Representations against transfers proposed in first
priority list shall be received by 20th May, and
final transfer orders shall be issued by 25th
May.
The first priority list shall be prepared as per provisions of para 12
and 13 above.
Thereafter, second transfer list shall be displayed on RO
website by 31st May, representations, if any,
against transfers proposed therein shall be received up to
10th June, and final transfer orders shall be issued
by 15th June. 16.3 Any corrections/modifications in transfers as per first and second priority lists issued by ROs shall be issued by 30th June. 16.4 Soon after the operation of PL-I & PL-II against the existing available vacancies, the priority list, whether inter or intra, will become infructuous and there will be no claim of any teacher based on their priority position in any priority list against vacancies created subsequent to the operation of inter and intra regional priority list. (Added on 05.12.2008) 17. TRANSFERS UNDER SPECIAL CIRCUMSTANCES
17.1 Notwithstanding
anything contained in Para 11.1, transfer application of a teacher may
be entertained
i) Teacher who has made request
on LTR/TCP ground. In case of vacancies in Priority Areas requests of teachers shall be considered throughout the year. 17.2 KVS reserves the right to transfer any teacher to any place at any time due to administrative exigencies. Commissioner may pass orders in such cases.
17.3 Transfers on
account of serious illness, when it is not practicable to defer the
transfer till next year without causing serious danger to the life of
the teacher, his spouse or ailing son/daughter,
as well as the cases covered
under DSP ground (Amended on 15.11.2007)
may be effected by
Commissioner at any time during the year. Mutual transfers (involving two persons) (Deleted on 15.11.2007) of teachers within the same category will be allowed provided provisions of Para 12.1 are not attracted in either of the two cases. Request of the employees/ teachers received in the prescribed proforma only (Amended on 05.12.2008) by 25th of July of the year for mutual transfers shall be entertained and orders to this effect will be issued by 31st July of the year (Amended on 15.11.2007). Intra-regional mutual transfers will be finalized and orders issued by the concerned Assistant Commissioner. Requests for inter-regional mutual transfers shall be forwarded to KVS (HQ). by the Assistant Commissioners of the regions (Amended on 05.12.2008). Mutual transfers shall be considered only after inter and intra region transfers are over for all categories. (Amended on 25.04.2006) . The employee/teacher once transferred on mutual basis from one station to the other shall not be eligible for transfer back to the same privious station on mutual transfer. (Amended on 05.12.2008) 19. CALENDAR OF ACTIVITIES For ready reference, calendar of activities in respect of transfers is summarized below:-
20. ADMISSIBILITY OF TRANSFER TA Transfer TA as per KVS rules will be admissible in case of administrative transfers, but not in case of request transfers except in the following circumstances:- (i) Where request transfer is effected against a vacancy in a school located in a Priority Area, or (ii) Where a person posted in a school in a Priority Area is transferred out on request on completion of prescribed minimum tenure. 21. TEMPORARY CHANGE OF HEADQUARTERS Assistant Commissioner shall be competent to change the headquarters of a teacher for a period not exceeding 180 days at a stretch within an academic session to any other school within the region on following grounds of administrative exigencies: - i) In case no person is available for engagement on part-time contract basis to fill a vacancy (including a leave vacancy) in a school, and ii) For ensuring better utilization of manpower. However, the Assistant Commissioner shall take due care while changing such headquarters temporarily so that the academic interest of the students at the employee’s present place of posting are not adversely affected. 22. INTERPRETATION If any difficulty arises in giving effect to these guidelines, the Commissioner may pass such orders as appears to him to be necessary or expedient for the purpose of removing such difficulty. 23. TRANSFER OF NON-TEACHING STAFF These guidelines shall, mutatis mutandis, apply to non-teaching staff. 24. CODE OF CONDUCT All employees are expected to adhere to Rule 59 (27) of the Education Code and Rule 20 of the CCS (Conduct) Rules,1964, which read as under : Rule 59(27) of the Education Code: “No teacher shall represent his grievance, if any, except through proper channel, nor will he canvass any non-official or outside influence or support in respect of any matter pertaining to his service in the Vidyalaya.” Rule 20 of CCS(Conduct) Rules: “No Govt. servant shall bring or attempt to bring any political or other outside influence to bear upon any superior authority to further his interest in respect of matters pertaining to his service under KVS”.
Violation of above
provisions amounts to misconduct, and would be liable to be punished.
ANNEXURE-1
TYPE OF DISEASE
(i)
CANCER (viii) Any other disease with more than 50% physical and /or mental disability duly examined and recommended by respective Regional Medical Board with latest records/reports (with in three months). The brief description of illness which will be considered as medical grounds for the purpose of transfer, in terms of transfer guidelines is as under. Medical terms referred herein will bear meaning as given in the Butterworth’s Medical Dictionary. (i) Cancer It is the presence of uncontrolled growth and spread of malignant cells. The definition of cancer includes leukemia, lymphomas and Hodgkins’ disease. Exclusions: This excludes non-invasive carcinoma(s) in-Situ, localized non-invasive tumour(s) revealing early malignant changes and tumour(s) in presence of HIV infection or AIDS; any skin cancer excepting malignant melanoma(s) are also to be excluded. (ii) Paralytic Stroke (Cerebro-vascular accidents) Death of a portion of the brain due to vascular causes such as (a) Hemorrhage (cerebral), (b) Thrombosis (cerebral), (c) Embolism (cerebral) causing total permanent disability of two or more limbs persisting for 3 months after the illness. Exclusions i) Transient/Ischamic attacks. ii) Stroke-like syndromes resulting from a) Head Injury b) Intracranial space occupying lesions like abscess, traumatic hemorrhage and tumour. c)Tuberclosis meningitis, Pyogenic meningitis and meningococal meningitis. (iii) Renal failure It is the final renal failure stage due to chronic irreversible failure of both the kidneys. It must be well documented. The teacher must produce evidence of undergoing regular haemodialysis and other relevant laboratory investigations and doctor certification. (iv) Coronary artery disease where by-pass surgery has been actually done: The use of surgery on the advice of a consultant cardiologist to correct narrowing or blockage of one or more coronary arteries. Exclusions : Non-surgical techniques such as the use of either balloon or LASER via a catheter introduced through the arterial system are excluded. (v) THALASSAEMIA It is an inherited disorder and it is diagnosed on clinical and various laboratory parameters. Patient with Thalassaemia who is anemic and is dependent upon regular blood transfusion for maintaining the hemoglobin level. In addition he is on chelating agent and other supportive care. Inclusions: i) Thalassaemia major: - History of blood transfusion/ replacement at less than three months interval. It must be well supported by all medical documents. The history should include the periodicity/duration of blood transfusion/ replacement required by the patient/Chelation therapy. Exclusion: (a) Patient may have Thalassaemia minor. His anemia may become severe because of concurrent infection or stress. Anemia may become severe because of nutritional deficiency or other associated factor. (b) Blood transfusion is not required and these patients do not require Chelation therapy. (vi) PARKINSONS’ DISEASE Slowly progressive degenerative disease of nervous system causing tremor, rigidity, slowness and disturbance of balance. Must be confirmed by a neurologist. Inclusion : Involuntary tremulous motion with lessened muscular power, in parts not in action and even when supported; with a propensity to bend the trunk forward and to pass from a waling to a running pace, the senses and intellects being uninjured. Exclusion: (i) Patients who are stable with the support of medicine. (ii) Detection of Parkinsons’ disease within the duration of 5 years. Requirement : Date of detection of the disease, hospitalization extent of involvement, duration of treatment along with discharge summary should be furnished. Mention should be made about the progressiveness of the disease, and summary of inception of the patient must be confirmed by Neurologist. (vii) MOTOR-NEURON DISEASE : Slowly progressive degeneration of motor neuron cells of brain and spinal cord causing weakness, wasting and twitching in limbs and difficulty in speaking and swallowing. Must be confirmed by neurologist. Inclusions : Irreversible/progressive motor neuron disease with presence of weakness wasting and fasciculation of limbs with/without brisk tendon jerks and extension painter response. Exclusion: Weakness of muscle due to other causes like infections, neuropathy traumation, idiopathic, motor-neuron disease involving less than 02 limbs and the muscle power is more than 3 grades. Requirement : It should be duly supported by MRI, EMG and nerve conduction test. (viii) Any other disease with more than 50% physical and /or mental disability duly examined and recommended by respective Region Medical Board with latest records/reports (with in three months). |
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