Period from :
1
CONFIDENTIAL REPORT FOR
DEPARTMENT / OFFICE
Period from :
2. Date of Birth:
2
PART–II To be filled by the Officer reported upon.
Physical or financial
Item or work achievements / targets /
objective / goal
1.
2.
3.
4.
5.
3
4. Please specify the number of inspections conducted
/ tours performed. (only in case of field
Officers).
PLACE: SIGNATURE:
DATE: NAME :
DESIGNATION:
PART – III To be filled in by Reporting Officer.
4
Note: Every answer shall be given in a narrative
form using unambiguous and simple language.
Works & phrases should be chosen carefully
and should accurately reflect the intention
of the authority recording the answer. Please
do not use omnibus expressions like
‘Outstanding’ ‘Very good’ ‘Good’ ‘Average’
‘below Average’ Poor’ while giving comments
against any of the attributes. Space provided
indicates the desired length of the answer.
2. QUALITY OF OUTPUT.
5
B. ATTRIBUTES.
1. ATTITUDE TO WORKS.
3. INITIATIVE.
6
5. COMMUNICATION SKILL (WRITTEN AND ORAL)
7
C. ADDITIONAL ATTRIBUTES.
(For Officers of 12 years of service and above only)
1. PLANNING ABILITY.
2. SUPERVISORY ABILITY
3. COORDINATION ABILITY
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4. APTITUDE AND POTENTIAL
1. Personnel Administration
3. Financial Administration
6. Planning
8. Industrial Administration
5. TRAINING.
9
6. Please given your assessment commenting upon
the following traits / attributes of the Officer.
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9. (i) Please state with details if the Officer
has been punished during the period under report.
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13. Please comment on the Officer’s character in
general and value system with respect to tendering
frank and honest advice to superiors, trust
worthiness in fulfilling assurances of performance
given by him / her, and the Officer’s behavioral
pattern in dealing on matters having self –
interest.
Average
Below average
Date: Designation:
(During the period of Repot).
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PART – IV Remarks of the Reviewing Officer.
13
Date: Designation
(During the period of Report).
14
PART – V Remarks of the accepting Authority.
(Authority next superior to the Reviewing Authority).
Designation:
15
INSTRUCTIONS
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5. Every answer shall be given in a
narrative form. The space provided indicates the
desired length of the answer. Words and phrases
could be chosen carefully and should accurately
reflect the intention of the Authority recording
the answer. Please use unambiguous answer in
simple languages. Please do not use omnibus
expressions like ‘Outstanding’ ‘Very Good’ ‘Good’
‘Average’ ‘below average’ while giving your
comments against any of the attributes.
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(i) If the Officer’s integrity is beyond doubt, it may
be so stated.
18