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

    service.

4.Date of appointment to the present post­­         :-

5.Periods of  absence on  leave during the rep- :-

   orting year/period

6.Training received during the period/year

    indicating the course attended, duration

    of the course  and the institution where

    attended.

PART-II             (TO BE FILLED BY THE OFFICER REPORTED UPON)

1. A brief summary of duties band responsibilities (not more than 50 words)

2. Please  specify important item of work in order of priority wherein quantitative/physical /financial target /objectives/goals were set for you or set by yourself for the reporting year.

   Item of work                       Physical or financial target/                     Achievements

                                               Objective/goal

1.

2.

3.

4.

5.

    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.

4.  Please specify the number of inspections conducted/tours performed (only in case of field officers)

5. Please indicate instances, if any, of  delinquency among your subordinates and action taken in such in cases.

6. Please indicate whether the ACRs of the officer under your control are duly recorded by you. In case any ACR is yet to bed recorded, the reasons for not doing so may be mentioned.

                                                                                                Signature:-

               Place:

               Date:-                                                                        Name       :-   

                                                                                                Designation :- 

PART-III              (TO BE FILLED BY REPORTING OFFICER)

1. Please comment on part-II as filled in by the officer, especially on the self assessment of his /her performance.

2. Please give your assessment commenting up on the following  traits/ attributes of the 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            

                               alternatives.

                 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.

3. Please give your assessment on the officers  temperamental and physical ability for field postings and secretariat postings.

4. Please give your assessment on the officers relations with superiors, colleagues      and subordinates and his/her capacity to promote team  spirit and work  as a member of a team.

5. Attitude towards SC/ST/weaker section of society.

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.

7. Please state whether the officer  is fit  for induction into the IAS.

8. Please comment on the officers integrity.

9. General assessment of the officer with reference to the nature of work turned out,

Special responsibilities, extenuating or  aggravating circumstances etc.

10. Please comment on the officer character  in  general and value system with respect to tendering frank and honest advice to superiors, trustworthiness in fulfilling assurance of performance given by him/her, and the officers behavioural pattern in dealings on  matters having  self- interest.

11. Overall grading:

(Please put a ring round the                                         Outstanding

  appropriate grading and strike                                   Very Good

    out other gradings)                                                  Good

                                                                                   Average

                                                                                   Below Average

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

                                                                                                            Designation

                                                                                              (During the period of report)

               Place :-

               Date:-

     PART-V REMARKS OF THE ACCEPTING AUTHORITY                            

(AUTHORITY NEXT  SUPERIOR TO THE REVIEWING  AUTHORITY)

                                                                                          Signature of the Accepting.

                                                                                          Authority.

                                                                                           Name in block letters

    Place :-                                                                                    Designation

    Date :-                                                                        (During  the period of report)