CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
61-65, Institutional Area, D-Block, Janakpuri, New Delhi-110058
PROFORMA FOR ANNUAL PERFORMANCE APPRAISAL
REPORT (APAR) OF SCIENTISTs (For DD (H)/AD (H) / Scientist- 2, 3
and 4/ROs of
all Disciplines/ AROs./ Field Botanist
Report: for the year/period ending-----------------------------General Information:
i)
Name:
ii)
Father’s/Husband’s Name:
iii)
Name of the Institute/Unit
iv)
Date of Birth/age:
v)
Field of specialization:
vi)
Basic degree and the Institution the degree was obtained from
vii)
Date of induction into Council’s Research Cadre and Grade
viii)
Date of entry into Council’s service:
ix)
Present position and scale of pay:
x)
Present salary and scale of pay:
xi)
Duties assigned to the post for which the person has been recruited:
xii)
Duration of service, if any, in difficult areas e.g. hilly, tribal, neglected backward, etc. (to be indicated
with period of service)
xiii)
Any other basic information:
xiv)
(Besides the above information, the office maybe required to furnish at the time five yearly assessment
all the information relevant to a Scientist’s career before and after entry into the Council):
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PART – I
(To be filled in by the Reviewee)
Please furnish the following information
1.
Educational career:
Degree/Diploma/Certificate
Class/Grade
University/Board/Institute
Year
Doctorate
Master’s Degree or
equivalent
Bachelor’s Degree
Matriculation/School
leaving Certificate Hr.
Secondary/P.U.C.
2.
a) Major field of the highest degree and the one lower to that:
b) Highest Degree Specialization and Subjects:
c) Next Lower degree specialization and subjects:
3.
Additional qualifications/training acquire in India and/or abroad:
(list of all part-time or short-term training not included in education career. Give dates; duties and duration
of course).
4.
Employee’s record of last five years ending_________________starting with your present post, list in
REVERSE ORDER every employment you have had.
Name of
employing
organization
Designation
Salary/pay
scales
Date of
joining
Date of
leaving
-2-
Nature of
duties
actually
performed
specifying
teaching/res.
Admn.
Management
etc.
Duration of
service in
difficult
areas (to be
indicated) if
any:
5.
What were the priority areas of work during the past five years of your services ending. Please mark
priorities against each area as 1, 2, 3, etc. one being the highest and so on; and indicate the percentage of time
approximately allotted to each priority area. (Normally, you should not assign more than three priorities. An area
should be considered a priority area, only if it stakes at least 25% of your working time).
Area
Research
Teaching/Guiding
Extension (including items like
National Demonstration
Operational Research Projects
etc.)
Research Management/Coordination
Administration
Consultancy
Conducting coordinated or other
regular field/experiments/tests
Scientific Support
Any other.
6.
Priority
Time allocation
a) Contribution in difficult area served, if any:
b) Honors/Awards etc.
c)
I) Membership of Scientific Societies:
ii) Officers and Committee assignments
held in Professional Societies
d) Special invitations (this should refer
to specific invitation to an individual to present
a paper before scientifically oriented meeting or to
Participate/conduct a seminar).
e)
Special assignments (list each one giving date
covered and briefly describe the work done):
f)
Duration of absence from the Institute
for foreign Visits, consultancy etc.,
during the 5 yearly period (the number
of months may be specified):
g) Total amount of honoraria, fee etc. received:
-3-
7.
How would you rate your over all performance Priority
in each of the Priority area as indicate in item 5
above a 0.5 scale (1=poor; 2= below average;
3=average; 4=above average and 5=outstanding)
Please indicate appropriate score for each area.
Area
1
2
3
4
5
Total Score:
Assigned
Score
Is there any other type of work than your present job/assignment that you would rather do in the
Institutes/Laboratory or outside? If yes, please indicate.
Signature:
………………………………….
Name: ……………………………..
Designation: ………………………
Date: ……………………….
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PART-2
PRODUCTIVITY AND PROJECTION
(To be filled in only by the Reviewee)
This part is intended to be both an evaluation as well as projection of a future programmed of action. It seeks
information on past performance and projected output of work. In ability to meet projected targets/expectations next
year, would not necessarily mean insufficient or poor performance. Due consideration will be given to the reasons for
not completing certain projected targets. Proper care should however, be taken in making future projections, for you
may have to evaluate your performance next year against the objectives you set for yourself now. Please indicate
numbers only.
Past
5 years
1.
Proposed
to do next year
Project work such as:

Projects (to be) undertaken

Projects (to be) completed experiments

Field trips/surveys

Pilot Surveys/research

Routine tests

New Projects (to be) started

Project targets (to be) met

Work which have been proved to be significant
for recommendation).
2.
3.
Extension education work: please furnish quantitative
Details as much as possible on the following items:

National Demonstrations/Operational Research

Projects

Radio/television talks

Field trips

Exhibitions

Others
Team work and co-operation mentioning specifically
Inter-disciplinary, inter-institutional and intra-institutional
Activities in which you were involved
4.
Scientific services provided as support:

Number of projects served (may also include
services such as statistical and economic analysis).
-5-
5.
Institutional building activities, such as




Membership in institutional committees
Membership in special committees/task force
Organizing seminars/symposia in the institution.
Any other (please specify)
6.
Consultancy assignments:
7.
Special lectures/seminar:
8.
Unpublished reports, papers etc.
9.
Published work such as







Books/monographs
Research papers/scientific articles in
indexed/peer reviewed journals
Popular articles
Book reviews
Professional communication to journals/magazines
Professional abstracts
Technical reports
10.
Papers (to be) presented at professional meetings:
11.
Participated in professional meetings
12.
Relationship between the Scientists and his professional Colleagues:
a)
Guidance received.
b)
Guidance given.
c)
Participated in collaborative Research Programme.
13.
Please furnish the most salient features of the work done in each of the top 3 priority areas as marked in
question number (5) in Part 1.
This should include the following points: a) description of
project(s)/assignment(s)_include code numbers here available; (b) objectives of the stated projects(s)/assignment(s):
(c) any major progress, accomplishment, utilization etc., for the work done. (Be sure that this is not a detailed
description of various projects/activities you may have undertaken during the past five years, rather a summary
statement of the most significant aspects of your overall professional performance (with supporting evidence).
-6-
Priority Area 1 :
Priority Area 2 :
Priority Area 3 :
14.
Please append a precise resume of the work
done during the period ending on 31.3…….
with full supporting evidence if any:
15.
If some or all the your professional work
remained incomplete or fell below your expectations,
please furnish reasons for that, and suggest
improvement, if any:
Part 3A: Self: Assessment of Performance
16.
List of your key achievements in terms of the following other importance outputs. (Please define
appropriate outputs relevant to functions that you carry out and state your achievements in terms of those outputs.
Later, please use similar output categories while defining your targets.)
Outputs relevant to the
following responsibilities
and functions
State briefly key achievements and shortfalls with reasons including
barriers/difficulties. (If necessary, attach supporting information as
an appendix and refer to it here).
Management of functional
unit/division/institute
Public relations, publicity,
popularization, organization
of exhibitions etc.
Human resource
management, recruiting,
mentoring
-7-
R & D planning: Project
monitoring, evaluation and
management
Management of international
scientific collaborations
Organization of events,
including conferences,
exhibitions etc.
General infrastructure
management and maintenance
(includes engineering services)
Human resource development,
awards research fellowship
programmes etc.
Acquisitions of certifications
etc. like ISO
Others (please specify)
17.
Honors/awards/distinctions/citations/fellowships received, membership of national and international and
internal-level committees and offices.
Date of award/nomination/appointment
Information regarding award/nomination/appointment
-8-
18.
Personal growth (for the year under evaluation)
Time period (start-end date)
Additional qualifications/training received, gathering of
experience attendance of conferences
Signature of Reviewee: ………………………………….
Name: …………………………………………………..
Designation: ……………………………………………
Date: …………………….
-9-
PART – 4
(To be filled by Reporting Authority)
1.
Evaluation of performance (100 marks)
Quantity of
results
Accomplishment
Marks range
5-30
Quality of results
Accuracy and
thoroughness
Marks range
10 - 40
Relevance of results
Importance of
achievement
Marks range
5 - 30
2.
Evaluation of capabilities and potentials:
2A.
General Professional capabilities
2B
2C
2D.
o
Intellect
o
Analysis
o
Synthesis
o
Initiatives
o
Ability to work in teams
Expertise and the knowledge of the field
o
Breadth in knowledge of field
o
Depth in knowledge of field
o
Uniqueness of knowledge and skills
Managerial skills
o
Planning and organizing
o
Communication skills
o
Relationship with others
o
Delegating (Subordinate empowerment)
Leadership skills
o
Vision, foresight and judgment.
o
Creation of work climate.
o
Ability to set challenging goals
o
Motivate, communicate and guide
o
o
Tenacity
Decision-making
-10-
Total:
3.
4.
Evaluation of qualities:
o
Passion for excellence
o
Responsibility, accountability and discipline
o
Industrious and had working
o
Energy and speed
o
Attitude and interest
Integrity
Comment on employee’s integrity by reporting officer:
5.
Comment on employee’s suitability for career advancement, research, opportunities.
Signature of Reporting Authority
Name: ……………………………….
Designation: …………………………
Place: ……………………………..
Date: ……………………………..
-11-
Part – 5 :
Remarks of Reviewing Authority
1.
Recommendations for career advancements, rewards, incentives, opportunities.
2.
Recommendations to employee for improvements and career growth planning.
Areas of strengths
Areas needed improvement/strengthening
Suggestions
3.
Total Score =
Signature & Name of Reviewing Officer
Date:
Signature of Reviewing Authority
Name: ……………………………….
Designation: ……………………….
Place:
Date:
-12-
INSTRUCTIONS
1.
The annual appraisal Report is an important document. It provides the basis and vital inputs for assessing
the performance of a scientist and for his/her further advancement in his/her career. The Officer reported
upon, the Reporting Authority and the Reviewing Authority should, therefore, undertake the duty of filling
out the form with a high sense of responsibility.
2.
Performance appraisal should be used as a tool for human resource development. Reporting Officers should
realize that its objective is to develop an officer so that he/she realizes his/her true potential. It is not meant
to be a faultfinding process but a development one. The reporting officer and the reviewing officer should
not shy away from reporting shortcomings in performance, attitudes or overall personality of the officer
reported upon.
3.
The reporting officer should at the beginning of the year, preferably in April, set;
quantitative/physical/financial targets or draw up a work plan in consultation with each of the scientists
(where target are not feasible) reporting to him. Performance appraisal is a joint exercise between the officer
reported upon and the reporting officer. In the case of a scientist taking up a new assignment in the course
of the reporting year, such targets goals may be set or work plan within one month of the officer assuming
the charge. Both the officers should clearly know and understand the targets or work plan.
4.
It should be the endeavor of each appraiser to present the truest possible picture of the appraisee in regard to
his/her performance, conduct, behaviour and potential. Assessment should be confined to the appraisee’s
performance during the period of report only. Some posts of the same rank may be more exacting than others.
The degree of stress and strain in any post may vary from time to time. These facts and external constraints
should be borne in mind during appraisal and should be commented upon appropriately. Aspects on which
an appraisee is to be evaluated on different attributes are delineated below each item. The appraiser should
deal with these and other aspects relevant to the attributes.
5.
The main emphasis in reporting/reviewing an officer should be on:
i.
Professional performance in relation to duties and task assigned
ii.
Spirit of cooperation and team work
iii.
Managerial / Organizational abilities / contributions
iv.
Personal / Behavioral abilities / contributes
Word and 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”. In respect of scientists working as Director/Head of Department/Programme
Units, greater emphasis should be given on the management and leadership qualities and initiative, planning
and conceptual abilities. Overall marks given against item no. 1, Part 4; and item no.3 Part 5 should sum
up performance assessment and general assessment.
6.
Time schedule: Officer reported upon shall record his self-appraisal within the prescribed period. If the
Officer does not submit his self-appraisal within the specified period, the reporting officer may take the
initiative to remind the officer reported upon in writing asking him to submit his self-appraisal by the
stipulated date. If no self-appraisal is received by the stipulated date, the reporting officer shall record his
comments on the performance of the officer to be reported upon even without any self-appraisal
7.
The Reviewing Authority should similarly record its comments on the CR within 60 days of receipt of the
remarks of Reporting Authority.
8.
The Scientists after filling part 1,2 & 3 of the form will send the form directly to reporting officer under
intimation to administrative section of the Ministry, if working with affairs of Union of India or the Personnel
Department of the State Government, if working with the affairs of the State Government. Similarly, the
reporting officer will fill in part 4. The reviewing authority will complete the form and send it to the custodian
of ACR dossier.
9.
Integrity-Instructions:
i.
ii.
If the Officer’s integrity is beyond doubt, it may be so stated
If there is any doubt or suspicion, the column should be left blank and action taken as under:a.
b.
c.
d.
A separate secret note should be recorded and followed up. A copy of the note should
also be sent together with the Confidential Report to the next superior officer who will
ensure that the follow up action is taken expeditiously. Where it is not possible either to
certify the integrity or to record the secret note, the reporting officer should state either
that he had not watched the officer’s work, for sufficient time to form a definite judgment
or that he has heard nothing against the officer, as the case may be.
If, as a result of the follow up action, the doubts of suspicions are cleared, the officer’s
integrity should be certified and entry made accordingly in the Confidential Report.
If the doubts or suspicions are confirmed, this fact should be recorded and duly
communicated to the officer concerned.
If as result of the follow-up action, the doubts or suspicions are neither, neither cleared
nor confirmed, the officer’s conduct should be watched for a further period and thereafter
action as indicated at b. and c. above.
HISTORY SHEET
1.
Full Name (in Capital)
:
2.
Father/husband’s Name
:
3.
Date of Birth
:
4.
Place of Birth
:
5.
Home Village/Town (in accordance
with OM No.43/I/55-Estt.(A)-Pt.-II
dated 11.10.1956)
:
6.
Whether belongs to SC/ST/OBC
:
7.
If so, exact caste or tribe to be
specified
:
8.
A Educational Qualifications
Degree
Examination
Passed
(a)
photogr
University
Year
Division/Distinction
if any
(b)
(c)
(d)
Details of qualification in Hindi or other special qualification (e.g. in Science, Commerce, Accounts etc.)
Examination
Passed
(a)
University or other
recognized Institution
(b)
Year
Division/Distinction
if any
(c)
(d)
Name of Officer:…………………………………
Designation: ……………………………………….
9. Date of appointment
10. Brief record of service
Appointment held and
Scale of pay
(a)
Place of posting
Period
From to
(b)
(c)
11. Details of approved course of training/study including Refresher Course undergone if, any:
Particular of course of study
Whether completed
Details of Distinction obtained or
Training or department
successfully or
Special commendation received
Education
passed
if any.
12. Details of qualification in Hindi.
Certify that above information is correct to the best of my knowledge.
Signature of the Officer
Address:
Designation:
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
Form for Annual Performance Assessment Report of Assistant Director (A)
Report for the Year / Period ending -----------------------Part I – Personal Data
1.
Name of Officer
2.
Whether the Office belongs to Schedule Caste
Scheduled Tribe
3.
Date of Birth
4.
Date of continuous appointment to the present grade
Date
Grade
5.
Present post and date of appointment thereto
Date
Grade
6.
Period of absence from duty (on leave, training, etc.)
during the year. If he has undergone training, specify.
7.
Whether Annual Property Returns for the previous
year has been submitted.
Part II – Self – Appraisal
(To be filled by the Officer reported upon )
1.
Brief description of duties
2.
A. Please specify targets / objective / goals (in
quantitative or other terms) of work you set for
yourself or that were set for you, eight to ten items
of work in the order of priority, and your
achievements against each target.
(Example : Annual Action Plan for your Division)
Target / Objectives / Goals
Achievements
B. Please state, briefly, the target set and the
quantum of work done in regard to recording,
indexing and weeding out of files, maintenance of
Guard Files, Sectional Note Book and other
registers, furnishing of O & M and other
Returns, etc.
3. (a) Please state, briefly, the shortfalls with reference
to the targets/objectives/goals referred to in items
2. Please specify constraints, if any, in achieving
the targets.
(b) Please also indicate items in which there have
been significantly higher achievements and your
contribution thereto.
4.
Please state whether, the annual return on immovable
property for the preceding calendar year was filed
within the prescribed date, i.e., 31st January of the
year following the calendar year. If not, the date of
filing the return should be given.
Part III – To be filled in by the Reporting Officer
A.
Nature and quality of work
1.
Please comment on Part II as filled in by the Officer and
specifically state whether you agree with the answers
relating to targets and the objectives, achievements and
shortfalls. Also specify constraints, if any, in achievements
the objectives.
2.
Quality of output :
Please comment of the officer’s quality of performance
having regard to standard of work and programme
objectives, and constraints, if any.
3.
Knowledge of sphere of work :
Please comment specifically on each of these ; level of
knowledge of functions, related instructions and their
applications.
B.
Attributes
1.
Analytical Ability :
Please comment on the officer’s ability relating to analysis
of pros and cons; formulation of alternatives and their
evaluations of solving problems; ability to indicate decision
areas.
2.
Communication skill :
Please comment on the officer’s ability to communicate
with brevity, clarity and accuracy and both Orally and in
writing; ability to draft notes, Cabinet Notes, brief for
Parliamentary matters etc.
3.
Initiative :
Please comment on the capacity and resourcefulness of
the officer in handling normal as well as unforeseen
situations, willingness to take additional responsibilities
and new areas of work.
4.
Attitude to work :
Please comment how far the officer can be relied upon;
his sense of responsibility ; the extent to which he / she is
dedicated and motivated; his/her willingness to learn and
systemize his/hers work
5.
Ability to inspire and motivate :
Please comment on the capacity of the officer to
motivate, to obtain willing support by own conduct
and capacity to inspire confidence.
6.
Supervisory ability :
Please comment on the office’s ability relating to
(i)
Guidance in the performance of tasks
(ii)
Review performance (monitoring of key areas
including finance, sanctions, etc.)
7.
Inter-personal relations and team-work :
Please comment on the officer’s quality of
relationship with superiors, colleagues and
subordinates, and on the ability to appreciate other’s
point of view and take advice in the proper spirit.
Please also comment on his/her capacity to work as
member of a team and to promote team spirit and
optimize the output of the team.
8.
Relationship with the public (wherever applicable):
Please comment on the Officer’s accessibility to the
public and responsiveness to their needs.
9.
Attitude towards Scheduled Castes/ Scheduled
Tribes/Weaker Sections of Society (applicable in
case of Officer’s dealing with the development and
protection of Scheduled Castes and Scheduled
Tribes and Weaker Sections of Society)
10. Aptitude and potential :
Please indicate possible lines of growth and
development of the Officer
11. Training :
Please give recommendations for training with a view
to further improving the effectiveness and capabilities
of the Officer.
Part IV – General
1.
State of health
2.
Integrity
(Please see note below the instructions)
3.
General assessment :
Please give an overall assessment of the officer with
reference to his / her strength and short comings and
also by drawing attention to the qualities, if any, not
covered by the entries above
4.
Grade (Outstanding/Very Good/Good/ Average/
Below Average)
(An officer should not be graded outstanding unless
exceptional qualities and performance have been
noticed; grounds for giving such a grading should be
clearly brought out.)
Place :
Date :
Signature of the Reporting Officer :
Name in Block Letters :
Designation :
(During the period of report)
Part V – Remarks of the Reviewing Officer
1.
Length of service under the Reviewing Officer
2.
Is the Reviewing Officer satisfied that the Reporting
Officer has made his/her report with care and attention
and after taking into account all the relevant material.
3.
Do you agree with the assessment of the officer given
by the Reporting Officer?
4.
General remarks with specific comments about the
general remarks given by the Reporting Officer and
remarks about the meritorious work of the officer
including the grading.
5.
Has the officer any special characteristics and / or any
abilities which would justify his/her selection for
special assignments or / out of turn promotion.
Place :
Date :
Signature of the Reviewing Officer :
Name in Block Letters :
Designation :
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
NEW DELHI
FORM OF CONFIDENTIAL REPORT OF ASSISTANTS
Ministry / Department / Office ……………………………
Report for the year / period ending ……………………..
Part-I (Personal Data)
1.
Name of the Officer
:
2.
Designation / Post held
:
3.
Place of posting
:
4
Date of Birth
:
5
Whether the officer belongs to SC/ST
:
6
Date of continuous appointment to the present grade viz.
:
7.
Whether permanent / Quasi-permanent or temporary
:
8.
Section(s) in which served during the year under report and period of
service in each
:
8.
Period of absence from duty on leave, training etc.), during the year
:
Contd…..2
Section
Period
PART-II (Self Appraisal)
(To be filled by the officer reported upon)
1.
Brief description of duties
2.
Brief resume of the work done by you during the
year/period from ..……… to………….. bringing
out any special achievement during the year /
period. In the event of shortfall in achievements
furnish reasons.
(The resume is to be furnished within the space
provided, limited to 300 words and is required to
be signed)
PART-III
(Assessment by the Reporting Officer)
(Please read carefully the instructions given at the end of the form before filling the entries)
1.
Does the Reporting Officer agree with the
statement made in Part-II?
If not, the extent of disagreement and reasons
therefor
2..
State of health
3.
General intelligence and keenness
4..
Please state briefly the quantum of O and M
aspects of work done in regard to recording,
indexing and weeding out of file, maintenance of
Guard files and registers, furnishing of returns,
etc.
5.
Knowledge of office procedure
6.
Knowledge of Rules, Regulations and Instructions
in general and with particular reference to the
work allotted to him
7.
Quality of work:
(a) Ability to apply the relevant Rules and
Regulations correctly
(b) Capacity for examining cases thoroughly
(c) Quality of Nothing and Drafting
(d) Promptness in disposal of work
8.
Amenability to discipline
9.
Punctuality in attendance
10.
Relations with fellow employees/Public Relations
(wherever applicable)
11.
Integrity (Please see Note below the Instructions)
12.
Has the officer been reprimanded for indifferent
work or for other causes during the period under
report? If so, please give brief particulars
13.
Has the officer done any outstanding or notable
work meriting commendation? Briefly mention
them
14.
Grading (Outstanding / Very Good / Good /
Average / Below Average)
(An Officer should not be graded outstanding,
unless exceptional qualities and performance have
been noticed; grounds for giving such a grading
should be clearly brought out.)
15.
Effectiveness in the development and protection of
SC and/or ST.
(a) Attitude towards SCs and/or STs
(b) Sensitivity to social justice
(c) Ability to take quick and effective action
to prevent and quell atrocities and ensure
justice to SCs and/or STs
(d) Effectiveness in bringing about the
development of SCs and/or STs
Signature of the Reporting Officer
Name: ………………………………………
(In Block Letters)
Designation: ……………………………….
(during the period of report)
Place:
Date:
PART – IV --- (Remarks by Reviewing Officer)
1.
Length of service under the Reviewing Office
2.
Is the Reviewing Officer satisfied that the
Reporting Officer has made his/her report
with due care and attention and after taking
into account all the relevant material?
3.
Dou you agree with the assessment of the
officer given by the Reporting Officer?
4.
Is the Officer reported upon is a member of a
Scheduled Caste/Tribe, please indicate
specifically whether the attitude of the
Reporting Officer in assessing the
performance of the SC/ST Officer has been
fair and just
5.
General remarks with specific comments
about the general remarks given by the
Reporting Officer and remarks about the
meritorious work of the officer including the
grading
6.
Has the Officer any special characteristics,
and/or any abilities which would justify
his/her selection for special assignment or
out-of-turn promotion?
Signature of the Reviewing Officer
Name: …………………………………………….
(In Block Letters)
Designation: ……………………………………...
(during the period of report)
Place:
Date:
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
NEW DELHI
FORM OF CONFIDENTIAL REPORT ON SENIOR STENOGRAPHER /
STENOGRAPHER GRADE ‘II’ AND GRADE- ‘III’
Ministry/Department/Office ……………………
Report for the year/period ending …………..
Part-I (Personal Data)
(To be filled by the Administrative Section of the Ministry/Department/Office)
1.
Name of Officer
:
2.
Designation of the post held
:
3.
Date of Birth
:
4
Place of Posting
:
5.
Whether the officer belongs to SC/ST
:
6.
Present grade
:
7.
Date of continuous appointment to the
present grade
:
8.
Name of officers with designations with
whom employed during the year and
period served with each
:
9.
Period of absence from duty on leave,
training, etc., during the year
:
PART- II (Self Appraisal)
(To be filled by the officer reported upon)
1.
Brief description of duties
2.
Brief resume of the work done by you during the
year/period from …………. to …………..
bringing out any special achievements during the
year/period. In the event of shortfall in
achievement furnish reasons. (The resume is to
be furnished within the space provided, limited
to 300 words and is required to be signed)
PART- III
(Assessment of the Reporting Officer)
(Please read carefully the instructions given at the end of the form before filling the entries)
1.
Does the Reporting Officer agree with each and
every significant statement contained in the resume
(Col.2 of Par-II) of the work done by the officer?
2.
State of health
3.
Regularity and punctuality in attendance
4.
Proficiency and accuracy in stenographic work
5.
Intelligence, keenness and industry
6.
Trustworthiness in handling secret and top secret
matters and papers
7.
Maintenance of engagement diary and timely
submission of necessary papers for meetings,
interviews, etc.
8.
General assistance in ensuring that matters requiring
attention are not lost sight of
9.
Initiative and tact in dealing with telephone calls
and visitors
10.
Ability to draft notes, letter, minutes, briefs and
ability to prepare summary, etc. (in case such items
of work have been performed by the officer)
11.
(a) Has the officer any special characteristics
and/or any outstanding merits or abilities
which would justify his/her selection for
special assignments? If so, please mention
these characteristics briefly
(b) Recommendations regarding suitability for
other spheres of work
(This should be substantiated.)
12.
Has he/she been reprimanded for indifferent work or
for other causes during the period under report? If
so, give brief particulars
13.
General assessment of personality, character and
temperament including relations with fellow
employees, amenability to discipline, etc.
14.
Integrity (Please see Note below the Instructions)
15.
Grading (Outstanding / Very Good / Good /
Average / Below Average)
(An Officer should not be graded outstanding,
unless exceptional qualities and performance have
been noticed; grounds for giving such a grading
should be clearly brought out.)
15.
Effectiveness in the development and protection of
SC and/or ST.
(e) Attitude towards SCs and/or STs
(f) Sensitivity to social justice
(g) Ability to take quick and effective action to
prevent and quell atrocities and ensure
justice to SCs and/or STs
(h) Effectiveness in bringing about
development of SCs and/or STs
the
Signature of the Reporting Officer
Name: ………………………………………
(In Block Letters)
Designation: ……………………………….
(during the period of report)
Place:
Date:
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
61-65, Institutional Area, D-Block, Janakpuri, New Delhi-110058
FORM OF CONFIDENTIAL REPORT FOR GROUP ‘B’ ‘C’-ALL TECHNICAL POSTS
(Senior Technical Assistant, Lab. Technician, X-Ray Technician, Pharmacy Assistant, Pharmacist, Statistical
Assistant, Occupation Therapist, Ultrasonology Technician , Dark Room Assistant, Plumber, Electrician,
Junior Librarian, Staff Nurse
Report for the year/period ending_________________
Part-I (Personal Data)
(To be filled by the Administrative Section concerned of the
Ministry/Department/Office)
1.
Name of the Official
:
2.
Name of the Institute/Unit
:
3.
Present post and scale of pay and date of
appointment thereto.
:
4.
Date of Birth
:
5.
Period of absence from duty on leave
:
(other than Casual Leave)i.e. during the
year.
Signature of the Officer
Designation
PART- II (Self Appraisal)
(To be filled by the Officer reported upon)
1.
Brief description of duties
2.
a)
Academic & professional achievements
during the year including degree/ diploma
certificate/award/ commendations obtained
and seminar/ conference/workshop attended
during the course of the reporting year.
b) Brief details of Research Projects undertaken,
scientific papers read or published, teaching
work done. If any during the course of the
year.
3.
Resume of work done by the Officer during the
year/period from 1.4.200 to 31.3.200 indicating
clinical/research/training/adminis-trative work
bringing out also any special achievements with
particular reference to target, if any. Shortfalls if
any in achieve-ment may also be indicated
specifying constrains.
4.
Please state whether the Annual Return on
Immovable property for the preceding calendar
year was filed within the prescribed date i.e. 31 st
January of the year following the calendar year if
not, the date of filing the return should be given.
( Applicable to Group B officials)
5.
Remarks, if any.
Station
Date
Signature
Designation
PART- III
(Assessment of the Officer)
Name ………………………………………
Designation ………………………………..
1.
Does the Reporting Officer agree with all that is
Recorded under Part-II by the officer, if not,
enumerate precisely the extent of dis-agreement and
reasons of disagreement and reasons of therefore.
2.
General comments on the quality of Professional
performance & application of knowledge.
3.
Comments clearly and in unambiguous terms on the
following attributes of the officer in relation to his
performance.
i. Commitment to the tasks assigned:
ii. Devotion to duty:
iii. Human relation (his conduct) with his
colleagues, superiors and subordinates and
capacity to get work done.
iv. Public relations:
v. Intellectual honesty, creativity and innovative
qualities:
4.
Aptitude for Research, Teaching and
Administration:
5.
Attitude towards SC/ST/Weaker Section of society
(Application in case of officers dealing with the
development & protection of SC/ST & weaker
section of society) Please comment on the officer’s
understanding of the problems of SC/ST/Weaker
Sections & willingness to deal with them:
6.
Integrity:
7.
Grading : Outstanding/Very Good/Good/ Average
Station:
Date:
(Signature of Reporting Officer)
Name:
(in Block letter)
Designation:
PART – IV
Name of Officer:
Designation:
1.
Length of service under the Reviewing Officer
2.
Does the Reviewing Officer fully agree with
the remark of the reporting Officer recorded in
Part-III or the Performa? If he does not agree
with any adverse remarks of should be
specifically mentioned for expunction or
modification
3.
Is the Officer reported upon specifically suited
for particular job? If so, the nature of
placement should be suggested.
4.
Grading : Outstanding / Very Good / Good /
average
Signature of Reviewing Officer
Name:
(In Block Letters)
Designation:
(with stamp)
Dated:
Name …………………………………….
Designation ……………………………..
1.
If is felt that in the case of any particular job, attributes other than those mentioned in Column-2 of the partIII are relevant to effect performance of the job, such attributes may also be added to the list given therein.
2.
The column relating to public relations need be filled in by the Reporting Officer only where the duties of
the office reported upon are as such that he comes in contact with the members of the public.
3.
The following procedure should be followed in filling up the column relating to integrity:I.
If the officer’s integrity is beyond doubt, it may be so stated.
II.
If there is any doubt or suspicion, the column should be left blank and action taken as under:
a)
A separate secret note should be recorded and follow up. A copy of the note should also
be sent together with the Confidential Report to the next superior officer who will ensure
that the follow up action is taken expeditiously. Where it is not possible either to certify
the integrity or to record the secret note, the Reporting Officer should state either that he
had not watched the officer’s work for sufficient time to form a definite judgment or that
he had heard nothing against the officer, as the case may be
b) If, as a result of the follow up action, the doubts or suspicions are cleared the officer’s
integrity should be certified and an entry made accordingly in the Confidential Report.
c)
If the doubts or suspicions are confirmed, this fact should also be recorded and duly
communicated to the officer concerned.
d) If as a result of the follow up action the doubts or suspicions are neither cleared nor
confirmed, the officer’s conduct should be watched for a further period and thereafter
action taken as indicated at (b) and (c) above.
4.
The Reviewing Officer should normally discuss the adverse markings, which are below ‘normal’ with the
Reporting Officer and should make suggestions for improvement, to the Reporting Officer and, if necessary
with the Officer reported upon and thereafter-record his remarks against Column 2 above.
HISTORY SHEET
1.
Full Name (in Capital)
:
2.
Father/husband’s Name
:
3.
Date of Birth
:
4.
Place of Birth
:
5.
Home Village/Town (in accordance
with OM No.43/I/55-Estt.(A)-Pt.-II
dated 11.10.1956)
:
6.
Whether belongs to SC/ST/OBC
:
7.
If so, exact caste or tribe to be
specified
:
8.
A Educational Qualifications
Degree
University
Year
Examination
Division/Distinction
if any
Passed
(a)
(b)
(c)
(d)
Details of qualification in Hindi or other special qualification (e.g. in Science, Commerce, Accounts etc.)
Examination
Passed
University or other
recognized Institution
Year
if any
(b)
(a)
Division/Distinction
(c)
(d)
Name of Officer: ……………………………………
Designation: ………………………………………..
9. Date of appointment
10. Brief record of service
Appointment held and
Scale of pay
(a)
Place of posting
Period
From to
(b)
(c)
11. Details of approved course of training/study including Refresher Course undergone if, any:
Particular of course of study
Whether completed
Training or department
Education
Details of Distinction obtained or
successfully or
passed
Special commendation received
if any.
12. Details of qualification in Hindi.
Certify that above information is correct to the best of my knowledge.
Signature of the Officer
Address:
Designation:
INTIMATION
(Intimation by Officer reported upon/Reporting Officer to the concerned administrative Section/\Deptt. Regarding
submission of confidential Report for reporting/reviewing)
This is to inform that I have completed Part-III (Resume to be filled by the Officer reported upon) / Part-III
(to be filled by the Reporting Officer) of the Confidential Report from
For the Year
and submitted to ……………………………………
For reporting / reviewing
(Signature)
Name:
Designation:
To,
The concerned Administrative Section/Cell.
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
NEW DELHI
FORM OF ANNUAL PERFORMANCE APPRAISAL REPORT OF LOWER/UPPER
DIVISION CLERK / Rec. Com.Telephone Operator, Hindi Assistant, Data Entry Operator
Report for the year/period ending …………..
Part-I (Personal Data)
(To be filled by the Administrative Section concerned of the Ministry/Department/Office)
1.
Name of official
:
2.
Designation/Post held
:
3.
Date of Birth
:
4.
Place of Posting
:
5.
Whether official belongs to SC/ST
:
6.
Date of continuous appointment to the
present grade, viz.
:
7.
Whether permanent, temporary or
officiating
:
8.
Section(s) in which served during the
year/period under report and period of
service in eac
:
9.
Period of absence from duty/(on leave,
training etc.), during the year/ period.
:
Section
Period
PART- II (Self Appraisal)
1.
Brief description of duties
2.
Brief resume of the work done by you during the
year/period from
to
bringing out
any special achievements during the year/period.
In the event of shortfall in achievement furnish
reasons. (The resume is to be furnished within the
space provided, limited to 300 words and is
required to be signed)
PART- III
(Assessment by the Reporting Officer)
(Please read carefully the instructions given at the end of the form before filling the entries)
1.
Does the Reporting Officer agree with the statement
made in Part-II; if not, the extent of disagreement
and reasons therefore
2.
State of health
3.
General intelligence and keenness
4.
Proficiency in typing (in both speed and accuracy)
5.
Proficiency in his work, viz. maintenance of
prescribed registers and charts, etc.
6.
Intelligence, keenness and industry
7.
Has he ever been entrusted with work other than
routine? If so, indicate his capacity to express
himself with clarity and comprehension, in his notes
and drafts
8.
Amenability to discipline
9.
Punctuality in attendance
10.
Relations with fellow employees/Public Relations
(wherever applicable)
11.
Has the officer been reprimanded for indifferent
work or for other causes during the period under
report? If so, please give brief particulars
12.
Has the officer done any outstanding or notable
work meriting commendation? Briefly mention
them
13.
Integrity (Pleas See Note below the Instructions)
14.
Grading (Outstanding / Very Good / Good /
Average / Below Average)
(An Officer should not be graded outstanding,
unless exceptional qualities and performance have
been noticed; grounds for giving such a grading
should be clearly brought out.)
15.
Effectiveness in the development and protection of
SC and/or ST.
(a) Attitude towards SCs and/or STs
(b) Sensitivity to social justice
(c) Ability to take quick and effective action to
prevent and quell atrocities and ensure
justice to SCs and/or STs
(d) Effectiveness in bringing about
development of SCs and/or STs
the
Signature of the Reporting Officer
Name: ………………………………………
(In Block Letters)
Designation: ……………………………….
(during the period of report)
Place:
Date:
PART – IV --- (Remarks by Reviewing Officer)
1.
Length of service under the Reviewing Officer
2.
Is the Reviewing Officer satisfied that the
Reporting Officer has made his/her report
with due care and attention and after taking
into account all the relevant material?
3.
Dou you agree with the assessment of the
officer given by the Reporting Officer?
(In case of disagreement, please specify the
reasons.)
Is there anything you wish to modify or add?
4.
Is the Officer reported upon is a member of a
Scheduled Caste/Tribe, please indicate
specifically whether the attitude of the
Reporting Officer in assessing the
performance of the SC/ST Officer has been
fair and just
5.
General remarks with specific comments
about the general remarks given by the
Reporting Officer and remarks about the
meritorious work of the officer including the
grading
6.
Has the Officer any special characteristics,
and/or any abilities which would justify
his/her selection for special assignment or outof-turn promotion?
Signature of the Reviewing Officer
Name: …………………………………………….
(In Block Letters)
Designation: ……………………………………...
(during the period of report)
Place:
Date:
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
NEW DELHI
FORM OF CONFIDENTIAL REPORT OF
ACCOUNTANT (IA) AND ACCOUNTANT / JUNIOR ADMINISTRATIVE OFFICER.
Confidential Report for the period from …………..
Part-I
1.
Name of the Officer
:
2.
Date of Birth
:
3.
Present post with scale of pay and date of
appointment thereto
:
4.
Place of Posting
:
4.
Period of absence from duty on leave
(other than casual leave). I.e. training,
study leave etc. during the year
:
To ………………..
1.
PART-II
Brief resume of the work done by the officer reported upon during the period from ………… to
…………….. bringing out any special achievement of his work during the period.
(The resume should not exceed three hundred words)
Part-I and Part-II to be filled by the officer reported only)
PART-III
(Assessment by the Reporting Officer)
6.
Do you agree with the resume of work as
indicated by the Officer in Part-II of the
report and in particular regarding the special
achievement, If any mentioned by the
officer. If not, indicate briefly the reasons
for disagreeing with it and the extent of your
disagreement.
7.
State of health
Please indicate whether
a)
the officer is physically energetic
and
b) mentally alert
c)
punctuality.
i) Very punctual and extremely
regular in attendance.
ii) Punctual but frequently
remains on leave.
iii) Unpunctual and irregular.
8.
Temperament
a)
Is he calm and does he retain poise
at times of pressure of work?
b) Does he get provoked easily?
c)
9.
Is he able to tolerate differences of
opinion?
Intelligence and understanding
a)
Exceptional and has clear grasp of
any matter, howsoever complicated.
b) Is intelligent and grasps a point
correctly with reasonable speed.
c)
Shows a barely adequate grasp.
d) Very slow and / or often misses the
point.
10.
Knowledge of Rules, Codes, Manuals
instructions and procedures.
a)
Has an exceptionally good grasp of
the work of the office as a whole and
the rules, codes, manuals generally
and a thorough and intensive
knowledge of the work of the
Section.
b) Has a sound knowledge both of the
work of the Section and of the office
as a whole.
c)
Just enough.
d) Not good enough.
11.
Examination passed and degrees / diplomas
if any obtained during the reporting period.
12.
Quality of work
i) Attention to detail, accuracy in
presentation of fact and thoroughness in
examination,
a)
Most reliable and comprehensive
b) Considers all relevant details
c)
Is apt to be over concerned with
petty details and loses perspective
d) Much to be desired.
ii) Judgment.
a)
Has proposals are consistently
sound and well though of
b) Reliable
c)
Takes a reasonable view
d) Unreliable, undecided or right .
superficial or erratic
iii) Presentation of cases and expression on
paper.
a)
Extremely clear, cogent and logical
b) Very od and expresses himself
clearly and concisely
c)
Just good enough.
d) Does not have ability to present
cases properly.
iv) Ability in noting and drafting.
a)
b)
c)
d)
e)
Excellent
Very good
Good
Average
Poor
v) Promptness all disposal of work
a) Very prompt
b) Reasonably prompt
c) Is slow and tends to delay
Submission of various C & M returns,
statements of arrears and pending cases and
attention to recording indexing and weeding
of files.
a)
Takes exceptional care n correct
preparation and timely submission.
b) Reasonably good and prompt.
c) Not very regular and has constantly
to be prompted and supervised.
d) Indifferent in this matter.
13.
Zeal, diligence and sense of responsibility
a)
Shows exceptional zeal and
devotion to work and has excellent
initiative.
b) Is hard working and conscientious
and above adequate zeal and
devotion to work, has also good
initiative.
c)
Reasonably diligent and interested
in his work with average initiative.
d) Lacks sense of responsibility and is
indifferent to work and looks
initiative.
14.
Control and management or staff:
i)
Maintenance of of order and
discipline and checking late
attendance:
a) Very good
b) Good
c) Average
d) Poor
ii)
Ability to inspire confidence and
got the best cut of the Staff Nurse
a) Excellent
b) Very good
c) Good
d) Average
e) Poor
iii)
Capacity to train, help and advise
the staff and ability to handle his
subordinates:
a) Excellent
b) Very good
c) Good
d) Average
e)
Poor
15.
Whether any written or oral warnings given
during the reporting period, if so, give brief
details.
16.
Relationship with colleagues and with
general public
a)
Wins and retains the highest regard
of all
b) Is generally liked and respected.
c)
Not easy in his relationship, but gets
by
d) A difficult colleague.
17.
Other Observations:
(This space may be utilized for remarks
which complete, corroborate or supplement
what has been indicated above. This should
not, however, be used for merely repeating
in vague terms what has already been stated.
Specific points such as special
accomplishments during the period under
report and any other aspects not covered in
the proforma given above which the
Reporting Officer considers worth
mentioning, may also be indicated here).
.
18. Integrity (no entry should be made in
this column on the basis of un-confirmed
suspicion about the integrity, where
suspicion has not been verified, this column
should be left blank. A separate secret not
should be sent to the superior officer in case
of doubtful integrity requiring verification
and confirmation.
Signature of the Reporting Officer
Name: ………………………………………
(In Block Letters)
Designation: ……………………………….
Date:
Note: Assessment under column 6 to 18 should not be indicated by tick marking but should be expressed clearly in
suitable words, not necessarily the ones suggested in the proforma as alternatives.
PART – IV --- (Remarks of the Reviewing Officer)
19.
Length of service under the Reviewing
Officer
20.
Dou you agree with the Reporting Officer in
regard to his remarks on the resume of the
work done by the Officer as contained in Part
III of the report? If not indicate briefly the
reasons for disagreeing with the Reporting
Officer and the extent of your disagreement.
21.
Overall assessment of performance.
22.
a) Fitness for promotion.
i)
Fit
ii)
Not yet fit
b) Has the Officer any special characteristics,
and/or any outstanding merits or abilities
which would justify his/ her advancement
and special selection for higher appointment
out of turn? If so, mention these
characteristics briefly and indicate why you
consider him fit for cut of turn promotion.
23.
Adverse remarks in column No. (a) ______________ to be communicated.
Signature of the Reviewing Officer
Name: …………………………………………….
(In Block Letters)
Designation: ……………………………………...
Date
The reviewing Officer should bear in mind that the final appraisal the employee should reflect his
overall judgment on the basis of assessment made against items 7 to 18.
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY
NEW DELHI
FORM OF CONFIDENTIAL REPORT FOR THE POST OF DRIVER
Report for the year/period ending …………..
Part-I (Personal Data)
(To be filled by the Administrative Section concerned of the Ministry/Department/Office)
1.
Name
:
2.
Date of Birth
:
3.
Scale of pay
:
4.
Place of Posting
:
4.
Present pay
:
5.
Total Service
:
6.
Date of continuous appointment to the
present post.
:
7.
Educational & Technical qualification
:
Whether Permanent / Q. Permanent /
Temporary
:
9.
Leave taken during (other than casual)
:
10.
Whether belong to SC or ST
:
8.
PART-II
1.
Observation on
:
2.
Intelligence
:
3.
Energy & reliability
:
4.
Punctual attendance
:
5.
Is he careful & conscientious?
:
6.
Behaviours – does he show proper
courtesy & good manners towards all
persons using the staff car?
:
7.
Ameniability to discipline
:
8.
Technical knowledge and ability
:
9.
Does he keep the car clean & tidy?
:
10.
Is he capable of attending to petty repairs
to the car?
:
11.
Is he economical in the use of petrol,
Lubricating oil etc.?
:
12.
Does he take timely action for getting
proper entries made in the log book
:
13.
Adherence to the Traffic Regulations and
Civil Laws.
:
14.
Number of accidents, if any
:
a) Major
b) Minor
a)
Assessment of integrity (if nothing
adverse has come to your notice, please
specify it also)
:
b)
Has he been responsible for any
outstanding work during the period
under review meriting special
commendations?
:
c)
Has he been reprimanded for indifferent
work for other causes? If so, brief
particulars may be given.
:
SIGNATURE OF THE REPORTING OFFICER
DESIGNATION