FROM OF CONFIDENTIAL REPORT ON STATE CIVIL SERVICE OFFICERS
(ACS I ONLY)
Report for the year /period from_____________to____________________
& Department /office of __________________________________________
PART-I (TO BE FILLED BY OFFICE)
1.Name of officer and designation :-
2.Date of birth :-
3.continuous appointment to the state civil
4.Date of appointment to the present post :-
5.Periods of absence on leave during the rep- :-
6.Training received during the period/year
indicating the course attended, duration
of the course and the institution where
PART-II (TO BE FILLED BY THE OFFICER REPORTED UPON)
Item of work Physical or financial target/ Achievements
3.(a) In case of shortfall of expected quality/ quantity of performance please state the reasons.
(b) Please indicate your contribution in case of significantly higher achievement of the target/goal /objective.
Date:- Name :-
PART-III (TO BE FILLED BY REPORTING OFFICER)
A. Applicable for all officers
(i) Promptness and quality of performances :-
(ii) Communication skill(both oral and in writing):-
(iii) Sincerity and devotion to duty:-
(iv) Initiative, creativity, resourcefulness, willingness to take responsibility and leadership qualities.
(v) The capacity of the officer to motivate his subordinates by his own conduct.
(vi) The officer level of knowledge of function, related instruction and their application.
B- For officers working in secretariat
(vii) Ability of critical examination, weighing the pros and cons of
C- For field officer only
(viii) Behaviour with members of public, including impartiality in dealing.
(ix) Ability to coordinate implementation of tasks and programmes by
different functionaries involved.
Please comment on the officer understanding and response of the problems of SCs and STs and his/her efforts to deal with team.
6.(i) Please state with details if the officer has been punished during the period under report.
(ii) Please state with details if the officer has received any commendation during the period under report.
Special responsibilities, extenuating or aggravating circumstances etc.
(Please put a ring round the Outstanding
appropriate grading and strike Very Good
out other gradings) Good
PART-IV Remark or the reviewing Officer
1. Length of Service under the Reviewing Authority.
2. Do you agree with the assessment of the officer given by the Reporting Officer ? If not, indicate the items/ Aspects on which you disagree and give your own Assessment on those aspects /items.
3. General remarks with specific comments about the general remarks given by the Reporting officer including grading.
4. Has the officer any special characteristics and /or any abilities which would
Justify his /her promotion out of turn ? If so, please specify.
Signature of the reviewing officer
Name in block letters
(During the period of report)
PART-V REMARKS OF THE ACCEPTING AUTHORITY
(AUTHORITY NEXT SUPERIOR TO THE REVIEWING AUTHORITY)
Signature of the Accepting.
Name in block letters
Place :- Designation
Date :- (During the period of report)