A.C.R. (H.P.) DEPARTMENT OF ELEMENTARY EDUCATION , GOVT.

OF HIMACHAL PRADESH Annual Confidential Report of the teachers working in Government Primary/Elementary Schools Year: Session : 1. 2. 3. 4. 5. 6. 7. Name of the Teacher( In block letters): Designation : . Date of Birth ( In figures and words) : . Date of first Appointment : . Grade of Pay : . Basic Pay : . Name of School where working : . Block-. Distt. (H.P.)
Sr. No. Class taught Session No. of students appearing in exam No. of students passing the exam No. of failed students Percentage of pass students in the class No. of students passing with 60% or above marks No. of students passing with less than 60% marks

It is certified that all the above mentioned details are correct according to me and the institutional record. Date: ( Signature of the teacher)

1. 2. 3.

Has the teacher done his / her work with due diligence ? Reputation for integrity during the period under report: . Has any incident occurred during the period under report which reflects credit/discredit on the teacher ? Special aptitude ( Speaking/ Writing/ Organization): .. Achievement of the teacher : (a) Academic: .. (b) Others : .. General Remarks Outstanding/ Very Good/ Good/ Average / Below Average Reporting Officer Reviewing Officer Accepting Officer

4. 5. 6. 7. 8.