Annexure-II

Assam State Electricity Board

(Proforma For Class-II Officer and above)
Form of ACR

Annual Confidential Report for the year 2016-2017 w.e.f. 1st April 2016 ending on 31st
March2017
Section - A: To be filled in by the Officer

1. Name of officer :
(Full name in capital letters)
2. i. Educational qualification :
ii. Professional Qualification acquired during the year :
iii. Training (name of the course, duration of training) :
3. Date of Birth :
4. Date of first joining in the Board along with designation :
5. i. Post held during the period of report :

ii. Office held during the period of report :

6. Nature of duties :
7. A.( In the case of field) Officers involving revenue target
Assigned and achieved :
B. (In case of other field officers) task assigned and
Achievement. :

Signature of the Officer

Date:
Section B
Attributes
(E=Excellent, V.G. =Very Good, G=Good, A=Average, NA= Not Applicable)
1. Attitude towards work-dedication, motivation,
Commitment to objectives, willingness to learn and
systematic. :
2. Decision making ability and judgment insight and ability
to weight pros and cons and take decision. :
3. Initiative- Capacity and resourcefulness in planning and
handling unforeseen situation, willingness to take.
:
4. Ability to guide, inspire and motivate
Capacity to guide, motivate, review, performance,
obtain willing support by own conduct and to inspire
confidence. :
5. Communication skill (written and oral Ability to
formulate and present sects and
conciseness and persuasiveness. :
 6. Interpersonal relation, teamwork and coordinating
ability. Personal relation with superiors, colleague, sub-
ordinate, capacity to work as a member of a
team and to promote team spirit, inter-departm- ental
cooperation. :
7. Please comment the following:
i. Safety consciousness : ii. Approach to customers : iii.
Innovation new technology progression : iv. Human
Resource Development :
v. Cost and expenditure control :
vi. Environment improvement :

Section C

1. State specifically in details the state of health : .

of the officer, whether he suffered from
diabetes, hyper-tension, cardiac problem etc. or
any other prolonged illness.

2. Comment specifically in details on the officers

performance of task assigned to him. In the case
of 7(A) and 7(B) your comment must include his
capacity to supervise and get work from the
subordinate. Refer to your own inspection of the
officers establishment. If he was deficient and you
had to bring that to his notice, mention this in your
report. If any warning is or caution was
issued, please mention this in details.
3. Integrity: Comment must be specific and not vague. ........................................................
4. On the basis of your assessment, would you
Recommend him for any specific tasks if so give
reason.

Signature of Recording Officer

Name : Designation :
Date :

Seal
Section D
Give your assessment specifically on Section A and B. .
If you do not agree give reason. Now grade the officer .
on the basis of your assessment. The grades are .
Outstanding/ Very Good/Good/Average/Below average .
(In case of grading outstanding and below average .
specific instance should be given. An officer should .
not be graded outstanding unless exceptional quality in .
performance have been noticed and ground for giving .
such a grading should clearly be brought out). .

Signature of Reviewing Officer

Name:
Designation:
 Date:

Seal
Section - E

Remarks of the accepting authority :

Do you accept the assessment in Section D. If not

Give reasons and record your assessment.

Signature of Accepting Officer

Name:
Designation: Date:

Seal