FORM-A
PART-II
ANNUAL CONFIDENTIAL REPORT OF GAZETTED OFFICERS
Period from
1.a) Name of the Officer :
b) Designation
c) Date of Birth :
2. Appointment held during the year (with :
date) and pay and scale of pay
3. General qualifications and aptitude for post :
held including any special of Technical and
professional attainments
4.a) Acceptance or otherwise of the self :
appraisal report of the Gazetted officer
indicated in part-I, and if not agreed to, the
reasons therefore.
b) Manner in which the officer discharged his :
duties during the year i.e., satisfactory or
otherwise (specific instances of
unsatisfactory work if adversely
commenced on to be citied with number
and date of orders passed.
5. Does the officer exhibit :
a) Patience :
b) Tact :
c) Courtesy :
d) Impartiality in his relations with the public :
and subordinate or superior staff with
whom he comes in contact.
6. In this officer :
i) of good character :
ii) of sound constitution :
7. Is the officer :
i) Physically energetic :
ii) Mentally alert :
8. How the officer :
i) Initiative and drive :
ii) Powers of control :
iii) Powers of application :
9. Has the officer any special characteristics :
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& / or any outstanding merits or a abilities
which would justify his achievement and
special selection of higher appointments in
the services.
10. Is he confirmed in the post if not, what is :
his substantive post
a) Date of submission of Annual Property :
Return statement
11. Punishments, censures or special :
commendations in the period under report
12.a) Date of communication adverse remarks :
since last report.
b) Orders on the representation if any arising :
from (a) above.
13. General remarks: (comment generally on :
the way the officer has carries out his
duties estimate of his personality etc)
14. Grading :
i) Outstanding :
ii) Very Good :
iii) Good :
iv) Satisfactory :
v) Poor :
(clearly indicate the reasons for grading of
the officers)
15. Reporting officer :
Date:
(SIGNATURE)
Name and Designation
(in block letters)
16. Remarks of the countersigning officer :
Date:
(SIGNATURE)
Name and Designation
(in block letters)
17. Opinion of the Head of the department :
(when not reporting officer) on conduct and
efficiency of officer reported on.
(SIGNATURE)
Date: Name and Designation
(in block letters)
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