Annexure II-A (CPS to OPS) - G.O.Ms.No. 158 Application Form

Government Orders Reference & Purpose:

Govt has issued the G.O.Ms.No. 158, Dated 09.11.2026 for – One-time option for coverage under the Old Pension Scheme (OPS) to eligible employees whose recruitment notification/advertisement was issued prior to 01.09.2004 and were appointed on or after 01.09.2004 and are presently covered under the CPS – Detailed Guidelines Issued.

Note: This requisition form should be submitted to the Initial Appointing Authority (IAA) for issuing certified copies of initial service records.

Initial Department & Appointing Authority Details

Department *

Initial Appointing Authority (IAA) *

Initial Appointment District (Erstwhile 13 Districts / Telangana) *

Personal & Initial Service Particulars

Prefix *

Name of the Employee (as per Service Register) *

Initial Appointed Designation *

Initial Joining Date *

Forenoon / Afternoon (FN/AN) *

Initial School / Office Name *

Initial Appointed Mandal *

Present Working Details

Present Designation *

CFMS ID / HRMS ID (7 or 8 digits) *

0/8

Must be exactly 7 or 8 digits. Numbers only.

Present Working School / Office *

Present Working Mandal *

Present Working District (Erstwhile 13 Districts) *

Mobile Number (10 digits) *

+91

Valid 10-digit Indian Mobile Number.

Application Form Preview Ready

Review all details formatted strictly as per G.O.Ms.No. 158 Annexure II-A.

ANNEXURE. II-A

Application to the Initial Appointing Authority for Certified Copies of Documents – For serving and retired/resigned employees

To,

Dated: 09.11.2026

The Initial Appointing Authority (IAA),

District Educational Officer,

Visakhapatnam District.

Sub:

PS – School Education Services – Sri/Smt/Kum ______________, Appointed as Secondary Grade Teacher – G.O.Ms.No.53, Finance (HR.III-Pension, GPF) Department, Dt:13.07.2026 – Conversion from Contributory Pension Scheme (CPS) to Old Pension Scheme (OPS) – Certified Copies of initial recruitment and appointment records – Requested for – Reg.

Ref:

1. G.O.Ms.No.53, Finance (HR.III-Pension, GPF) Department, Dated: 13.07.2026.

2. G.O.Ms.No. 158, Finance (HR.III-Pension, GPF) Department, Dated: 09.11.2026.

***

Respected Sir/Madam,

The Government of Andhra Pradesh, vide the reference first cited, have issued orders providing a one-time option for eligible employees whose recruitment notifications were published prior to 01.09.2004 and who were appointed to Government service after the introduction of the Contributory Pension Scheme (CPS), to migrate from CPS to the Old Pension Scheme (OPS), subject to fulfilment of the prescribed conditions. As part of the mandatory verification process to exercise this option, I am required to submit certified copies of my initial recruitment, selection, and appointment records to the competent authority.

I was initially appointed as Secondary Grade Teacher and joined duty on FN of 01.11.2004 in MPPS School, Bhimunipatnam Mandal, Visakhapatnam District in School Education Department. As your office was the Initial Appointing Authority in respect of my initial appointment, I request that certified copies of the following documents available in the records of your office may kindly be issued:

Recruitment Notification/Advertisement under which my selection was initiated.
Selection List/ Allotment List Issued by the District Educational Officer, Visakhapatnam District.
Appointment Orders issued by your office.
Orders admitting me to duty.

In view of the prescribed timeline for submission of the option for conversion from CPS to OPS, I request that the above certified copies may kindly be issued at the earliest to facilitate timely submission and processing of my application.

Thanking you, Sir/Madam.

Name of the applicant: SRI K. RAMESH

Present Designation: School Assistant (English)

CFMS ID / HRMS ID: 10293847

Office / School: ZPHS Anandapuram, Anandapuram Mandal, Visakhapatnam District

Mobile Number: 9876543210

Yours faithfully,

(Signature of Applicant)

Forwarding Authority Signature and Stamp