Union of India - Act
India Service (Performance Appraisal Report) Rules, 2007
UNION OF INDIA
India
India
India Service (Performance Appraisal Report) Rules, 2007
Rule INDIA-SERVICE-PERFORMANCE-APPRAISAL-REPORT-RULES-2007 of 2007
- Published on 14 March 2007
- Commenced on 14 March 2007
- [This is the version of this document from 14 March 2007.]
- [Note: The original publication document is not available and this content could not be verified.]
1658.
G.S.R. 197(E), dated 14.3.2007. - In exercise of the powers conferred by sub-section (1) of section 3 of the All India Services Act, 1951, (61 of 1951), and in supersession of the All India Services (Confidential Rolls) Rules, 1970, except as respect things done or omitted to be done before such supersession, the Central Government, after consultation with the Governments of the States concerned, hereby makes the following rules, namely: -1.
Short title, commencement and application.2. Definitions.
- In these rules, unless the context otherwise requires;-3. Maintenance and custody of performance appraisal dossier.
- A comprehensive performance appraisal dossier shall be maintained for each member of the Service by the State Government and the Central Government in the manner specified under these rules and the performance appraisal dossier shall consist of the documents specified in Schedule 1.4. Form of the performance appraisal report.
4A. [ [Inserted by Notification No. G.S.R. 596(E), dated 15.6.2017 (w.e.f. 14.3.2007).]
5. Performance appraisal reports.
6. Review of the performance appraisal report.
7. Acceptance of the Performance Appraisal Report.
7A. [ Restriction on reporting authority, etc. in certain cases. [Inserted by Notification No. G.S.R. 596(E), dated 15.6.2017 (w.e.f. 14.3.2007).]
- Notwithstanding anything contained in rules 5, 6 and 7, it shall not be competent for the reporting authority, reviewing authority or accepting authority to write a performance appraisal report where the authority reporting the performance appraisal report is a government servant, after one month of his retirement from service; and in other cases, after one month of the date on which he demits office.Explanation. - For the purposes of this rule,-7B. Treating performance appraisal report as non-est.
- The performance appraisal report, not recorded in terms of the provisions of these rules and instructions issued thereunder, shall be treated as non-est:Provided that all the performance appraisal reports filed manually without approval of the Government to do so shall be treated as non-est.]8. Communication of the performance appraisal report to the Central Government and the State Government.
- A certified true copy of the performance appraisal report shall be sent to the Central Government or the State Government or both to the Central Government and the State Government, according as the member of the Service is serving in connection with the affairs of the State, on whose cadre he is borne, or the Union, or a State to which he has been deputed under sub-rule (1) of rule 6 of the respective All India Services Cadre Rules:Provided that if the performance appraisal report is written in a language other than Hindi or English, it shall be accompanied by an authentic certified translation in Hindi or English.9. Disclosure of performance appraisal report to the officer reported upon and procedure for representation to the Referral Board.
- [(1) The full annual performance appraisal report, including the overall grade and assessment of integrity, shall be disclosed electronically to the officer reported upon, after finalisation by the accepting authority except in the cases where it is generated manually, to enable the officer reported upon to represent his case.] [Substituted by Notification No. G.S.R. 596(E), dated 15.6.2017 (w.e.f. 14.3.2007).]10. [ Memorial against assessment. [Substituted 'Memorial against assessment. - Nothing in these rules shall be deemed to preclude an officer from making a memorial to the President on the Performance Appraisal Report, as provided under rule 25 of the All India Services (Discipline and Appeal) Rules, 1969.' by Notification No. G.S.R. 596(E), dated 15.6.2017 (w.e.f. 14.3.2007).]
- Nothing in these rules shall be deemed to preclude an officer from making a memorial within the period of ninety days to the President on the performance appraisal report, as provided under rule 25 of the All India Services (Discipline and Appeal) Rules, 1969:Provided that in cases where due to unavoidable circumstances it is not possible to make a memorial under these rules within the said period of ninety days, the competent authority may relax the timeline for submission of the memorial.]11. General.
- The Central Government may issue instructions, not inconsistent with the provisions of these rules, or as it may consider necessary, with regard to the writing of the performance appraisal reports, the maintenance of the performance appraisal dossier and the effect of the performance appraisal reports on the conditions of service of a member of the Service.Schedule 1
[See rule 3]Documents to be maintained in the Performance Appraisal Dossier| SCHEDULE 2[See rule 4]Forms for Performance Appraisal ReportAppendix - Performance Appraisal Report Forms and Proforma for Health check up for the Indian Administrative Service(a) Form I and general guidelines for filling up the Performance Appraisal Report form for the Indian Administrative Service officers except the level of Secretary or Additional Secretary or equivalent to Government of India(b) Form II and general guidelines for filling up the Performance Appraisal Report form for the Indian Administrative Service officers of the level of Secretary or Additional Secretary or equivalent to Government of India(c) Form III for the Indian Administrative Service officers who are on deputation under rule 6(2)(ii) of the IAS (Cadre) Rules, 1954(d) Form IIIA Performance Report on study leave/leave for study for Indian Administrative Service officers(e) Form IIIB Performance report on training (applicable for the Indian Administrative Service officers).(f) Form IV Proforma for Health check up for the Indian Administrative Service officers. |
| For Indian Administrative Service | ||
| (a) | In respect of officers working in the States | |
| (i) Chief Secretary of the State | Chairperson | |
| (ii) Senior most Secretary in the State | Member | |
| (iii) Secretary (Appointments) | Convener | |
| (b) | In respect of officers working in the Centre | |
| (i) Cabinet Secretary | Chairperson | |
| (ii) Secretary (Personnel) | Member | |
| (iii) Establishment Officer | Convener | |
| For Indian Police Service | ||
| (a) | In respect of officers working in the States | |
| (i) Chief Secretary of the State | Chairperson | |
| (ii) Director General of Police | Member | |
| (iii) Secretary (Appointments) | Member | |
| (iv) Principal Secretary/Secretary, Home Department | Convener | |
| (b) | In respect of officers working in the Centre | |
| (i) Cabinet Secretary | Chairperson | |
| (ii) Secretary (Home) | Member | |
| (iii) Establishment Officer, Department of Personnel andTraining | Member | |
| (iv) Joint Secretary (Police) | Convener | |
| Provided that when the officer being appraised is of the levelof Joint Secretary or above, the Joint Secretary (Police) may bereplaced by an officer of the level of Secretary to be nominatedby the Cabinet Secretary | ||
| For Indian Forest Service | ||
| (a) | In respect of officers working in the States | |
| (i) Chief Secretary of the State | Chairperson | |
| (ii) Principal Chief Conservator of Forests in the State | Member | |
| (iii) Secretary (Appointments) | Member | |
| (iv) Principal Secretary(Environment and Forests)/Secretary(Environment and Forests) | Convener | |
| (b) | In respect of officers working in the Centre | |
| (i) Cabinet Secretary | Chairperson | |
| (ii) Secretary (Environment and Forests) | Member | |
| (iii) Establishment Officer, Department of Personnel andTraining | Member | |
| (iv) Joint Secretary (CCI) | Convener | |
| Provided that when the officer being appraised is of the levelof Joint Secretary or above, the Joint Secretary (CCI) may bereplaced by an officer of the level of Secretary to be nominatedby the Cabinet Secretary |
| SCHEDULE 3[See rule 2 (i)]Composition of the Referral Board{| | |
| For IAS | |
| (a) In respect of officers working in the States— | |
| (i) Chief Secretary of the State | Chairperson |
| (ii)Senior most Chief Conservator of Forests in the State | Member |
| (iii)Secretary (Appointments) | Member |
| (b) In respect of officers working in the Centre- | |
| (i)Cabinet Secretary | Chairperson |
| (ii)Secretary (Personnel) | Member |
| (iii)Establishment Officer | Convener |
| For IPS | |
| (a) In respect of officers working in the States - | |
| (i) Chief Secretary of the State | Chairperson |
| (ii) Director General of Police | Member |
| (iii) Secretary (Appointments)/Secretary (PAR) | Convener |
| (b) In respect of officers working in the centre - | |
| (i)Cabinet Secretary | Chairperson |
| (ii)Secretary (Personnel) | Member |
| (iii)Establishment Officer | Convener |
| For IFS | |
| (a) In respect of officers working in the States - | |
| (i) Chief Secretary of the State | Chairperson |
| (ii)Senior most Chief Conservator of Forests in the State | Member |
| (iii) ACS/Principal Secretary | Member |
| (iv) Secretary (Appointments) | Convener |
| (b) In respect of officers working in the Centre | |
| (i) Cabinet Secretary | Chairperson |
| (ii) Secretary (Personnel) | Member |
| (iii) Establishment Officer | Convener |
| Section I-Basic Information |
| (To be filled in by the Administration Division/Personnel Department) |
| 1. Name of the officer reported upon : |
| 2. Service :| 3. Cadre :| 4. Year of allotment :| 5. Date of birth : |
| 6. Present Grade :| 7. Present Post : |
| 8. Date of appointment to present post :| |
| 9. Reporting Reviewing and Accepting Authorities : |
| Nameand Designation | Periodworked | |
| ReportingAuthorityReviewing AuthorityAccepting Authority |
| 10. Period of absence on leave, etc. |
| Period | Type | Remarks | |
| On Leave (specifytype) Others (specify) |
| 11. Training Programs attended |
| Date form | Date to | Institute | Subject |
| 12. Awards/Honours | |||
| 13. Details of PARs of AIS officers not written by the officer as reporting/reviewing authority for the previous year |
| 14. Date of filing the property return for year ending December :| |
| 15. [ Date of last prescribed medical examination (for officers over 40 years of age)(Attach copy of the summary of the medical report)] [Substituted for the words "15. Date of last prescribed medical examination (for officers over 40 years of age)(Attach copy of Part 'C' of Report)" by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]| |
| Date : | Signatureon behalf of ......................Admn/PersonnelDept...................... |
| Section II-Self Appraisal |
| 1.Brief description of duties :(Objectives of the position you hold and the tasks you are required to perform, in about 100 words) |
| 2.Annual work plan and achievement : |
| Tasks to beperformed | [Deliverables] [Deliverables refer to quantitative or financial targets or verbal description of expected outputs.] | [Actual Achievement] [Actual achievement refers to achievement against the specified deliverables in respect of each task (as updated at mid-year). No explanations for divergences are to be given in this table.] | |
| [Initial] [Initial listing of deliverables are to be finalized within 1 month of the start of the period under report.] | [Midyear] [Mid year listing of deliverables are to be finalised within 6 months of the start of the period under report.] | ||
| 3.During the period under report, do you believe that you have made any exceptional contribution, e.g. successful completion of an extraordinarily challenging task or major systemic improvement (resulting in significant benefits to the public and/or reduction in time and costs) ? If so, please give a verbal description (with 100 words): |
| 4.What are the factors that hindered your performance ? |
| 5.Please indicate specific areas in which you feel the need to upgrade your skills through training programs : |
| Forthe current assignment: :For your future career |
| Please Note :You should send an updated CV, including additional qualifications acquired/training programs attended/publications/special assignments undertaken, in a prescribed proforma, to the cadre controlling authority, once in 5 years, so that the records available with the cadre controlling authority remain updated. |
| 6.Declaration : |
| Have you filedyour immovable property return, as due. If yes, please mentiondate | Yes/No | Date |
| Have you undergonethe prescribed medical check-up ? | Yes/No | |
| Have you set theannual work plan for all officers for the current year, inrespect of whom you are the reporting authority ? | Yes/No |
| Date : | Signatureof officer reported upon ...................... |
| Section III-Appraisal |
| 1. Please state whether you agree with the responses relating to the accomplishments of the work plan and unforeseen tasks as filed in Section II. If not, please furnish factual details. |
| 2.Please comment on the claim (if made) of exceptional contribution by the officer reported upon. |
| 3.Has the officer reported upon met with any significant failures in respect of his work? If yes, Please furnish factual detail. |
| 4.Do you agree with the skill up-gradation needs as identified by the officer? |
| 5.Assessment of work output (This assessment should rate the officer vis-a-vis his peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with referring to the lowest grade and 10 to the best grade. Weightage to this section will be 40%). |
| ReportingAuthority | ReviewingAuthority | Initial ofReviewing Authority | ||
| (i) | Accomplishment ofplanned work | |||
| (ii) | Quality of output | |||
| (iii) | Accomplishmentof exceptional work/unforeseen tasks performed Overall Grading on'Work Output' |
| 6. Assessment of Personal Attributes (on a scale of 1-10. Weightage to this section will be 30%) |
| ReportingAuthority | ReviewingAuthority | Initial ofReviewing Authority | ||
| (i)(ii)(iii)(iv)(v)(vi)(vii)(viii) | Attitudeto workSenseof responsibilityOverallbearing and personalityEmotionalstabilityCommunicationskillsMoralcourage and willingness to take a professional standLeadershipqualitiesCapacity to workin time limit Overall Grading on Personal Attributes |
| 7.Assessment of Functional Competency (on a scale of 1-10. Weightage to this section will to 30%). |
| ReportingAuthority | ReviewingAuthority | Initial ofReviewing Authority | ||
| (i)(ii)(iii)(iv)(v)(vi) | Knowledgeof laws./rules/procedures/IT skills and awareness of the localnorms in the relevant areaStrategicplanning abilityDecisionmasking abilityInitiativeCoordinationabilityAbility tomotivate and develop subordinates/work in a team Overall Gradingon 'Functional competency' |
| 8.Inegrity |
| Please comment on the integrity of the officer : |
| 9.Pen picture by Reporting Officer. |
| Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections |
| 10.Recommendation relating to domain assignment (Please tick mark any four) |
| Agricultureand Rural DevelopmentSocialDevelopmentCultureand InformationNaturalResource ManagementEnergyand EnvironmentCommunicationSystems and Connectivity Infrastructure | PublicFinance and Financial ManagementIndustryand TradeInternalAffairs and DefenceHousingand Urban AffairsPersonneland General Administration, Governance Reform, Regulatory SystemScience andTechnology |
| 11. Overall grade (on a score of 10)| |
| Date ….......... | Signatureof Reporting authority ...................... |
| Section IV-Review |
| 1.| Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes in Section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and/or significant failures of the moS/officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initial your entries) |
| Yes | No |
| 2. In case of difference of opinion details and reasons for the same may be given. |
| 3. [ Comments, if any, on the pen picture written by the Reporting Authority. [Substituted for the words "3. Pen pecture by Reporting Officer. Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attirude towards weaker section." by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)] |
| 4. Remmendation relating to domain assignment (Please tick mark any four) |
| Agricultureand Rural DevelopmentSocialDevelopmentCultureand InformationNaturalResource Manage-mentEnergyand EnvironmentCommunicationSystems and Connectivity Infrastructure | PublicFinance and Financial ManagementIndustryand TradeInternalAffairs and DefenceHousingand Urban AffairsPersonneland General Administration, Governance Reform, Regulatory SystemScience andTechnology |
| 5. Overall grade (on a score of 10)| |
| Date | Signatureof Reviewing Authority....................... |
| Section V-Acceptance |
| 1. Do you agree with the remarks of the reporting/reviewing authorities? |
| Yes | No |
| 2. In case of difference of opinion details and reasons for the same may be given. |
| 5. Overall grade (on a score of 10)| |
| Date | Signatureof Accepting authority ...................... |
1. Introduction :
2. Section-I
2. [5 This section provides for regular annual medical examination. The health check in mandatory for all officers above the age of 40 and may be totally dispensed with officers below the age of 40, except in case of medical incident. A copy of the summary of the medical report is to be attached to the PAR Form by the Admin./Personnel Department. The format of the health check up and the summary of medical report will be as circulated by the Cadre Controlling Authority, after consultation with the Ministry of Health and Family Welfare.] [Substituted for the words "2.5 This section provides for regular annual medical examination. The health check in mandatory for all officers above the age of 40 and may be totally dispensed with officers below the age of 40, except in case of medical incident. A copy of Part-C of the health check-up report is to be attached to the PAR Form by the Admin/Personnel Department and a copy provided to the member of the service. The format of the health check-up is given at Schedule 2." by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]
3. Section-II
4. Section-III
5. Section-IV
5. [1 This section is to be filled up by the reviewing authority. He/she is required to indicate if he/she agrees with the assessments made by the reporting officer. In case of disagreement, he/she may record his/her own assessment against the work output or any of the attributes in the column specifically provided for the purpose. In case of agreement, he/she need not fill in the column meant for him/her in the attributes/work output tables. Finally, the reviewing authority is required to record an overall grade in the scale of 1-10.] [Substituted for the words "5.1 This section is to be filled up by the reviewing authority. He/she is required to indicate if he/she agrees with the assessments made by the reporting officer. In case of disagreement, he/she may record his/her own assessment against the work output or any of the attributes in the column specifically provided for the purpose. In case of agreement, he/she need not fill in the column meant for him/her in the attributes/work output tables." by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]
6. Section-V
7. Numerical Grades
8. Disclosure.
9. Schedule for completion of PARs of IAS Officers
| Activity | Cutoff date | |
| Below Super Time Scale | Super Time Scale | |
| Blank PAR form to be given to the officer reported upon by theAdministration | 1st April | 1st May |
| Division/Personnel Department, specifying the reportingofficer and reviewing authority | ||
| Self appraisal for current year | 30th April | 31st May |
| Appraisal by reporting authority | 31st May | 30th June |
| Appraisal by reviewing authority | 30th June | 31st July |
| Appraisal by accepting authority | 31st July | 31st August |
| Disclosure to the officer reported upon | 15th August | 15th September |
| Comments of the officer reported upon, if any (if none,transmission of the PAR to the DOPT) | 31st August | 30th September |
| Forwarding of comments of the officer reported upon to thereviewing and the reporting authority by the accepting authorityby the accepting authority, in case the officer reported uponmakes comments | 15th September | 15th October |
| Comments of reporting authority | 30th September | 31st October |
| Comments of reviewing authority | 15th October | 15th November |
| Comments of accepting authority/PAR to be finalised anddisclosed to the officer reported upon | 31st October | 30th November |
| Representation to the Referral Board by the officer reported upon | 30th November | 31st December |
| Forwarding of representation to the Referral Board along withthe comments of Reporting authority/Reviewing authority andAccepting authority | 15th December | 15th January |
| Finalisation by Referral Board if the officer reported uponrepresents against the decision of the Accepting authority | 15th January | 15th February |
| Disclosure to the officer reported upon | 31st January | 28th February |
| End of entire PAR Process | 31st March | 31st March |
10. Mapping of Departments to Domains
| I. Agriculture and Rural Development | |
| (1) Department of Agriculture and Cooperation | (2) Department of Agriculture and Research and Education |
| (3) Department of Animal Husbandry, Dairying and Fisheries | (4) Ministry of Agro and Rural Industries |
| (5) Department of Rural Development | (6) Ministry of Panchayati Raj |
| (7) Department of Land Resources | (8) Department of Drinking Water Supply |
| (9) Department of Food and Public Distribution | (10) Department of Consumer Affairs |
| (11) Ministry of Food Processing Industries | |
| II. Social Development | |
| (1) Department of Health | (2) Department of Family Welfare |
| (3) Department of Ayurveda, Yoga and Naturopathy, Unani, Siddhaand Homeopathy (AYUSH) | (4) Department of Secondary and Higher Education |
| (5) Department of Elementary Education and Literacy | (6) Department of Women and Child Development |
| (7) Ministry of Social Justice and Empowerment | (8) Department of Urban Employment and Poverty Alleviation |
| III. Culture and Information | |
| (1) Ministry of Information and Broadcasting | (2) Ministry of Culture |
| (3) Ministry of Tourism | (4) Ministry of Tribal Affairs |
| (5) Ministry of Youth Affairs and Sports | |
| IV. Natural Resource Management | |
| (1) Ministry of Environments and Forests | (2) Ministry of Water Resources |
| (3) Department of Ocean Development | (4) Ministry of Mines |
| V. Energy and Environment | |
| (1) Department of Atomic Energy | (2) Ministry of Non-Conventional Energy Sources |
| (3) Ministry of Coal | (4) Ministry of Petroleum and Natural Gas |
| (5) Ministry of Power | |
| VI. Communication Systems and Connectivity Infrastructure | |
| (1) Ministry of Civil Aviation | (2) Department of Information Technology |
| (3) Department of Telecommunication | (4) Department of Posts |
| (5) Department of Road Transport and Highways | (6) Department of Shipping |
| VII. Public Finance and Financial Management | |
| (1) Department of Disinvestment | (2) Department of Expenditure |
| (2) Department of Economic Affairs | (4) Department of Revenue |
| (5) Ministry of Company Affairs | (6) Planning Commission |
| (7) Ministry of Statistics and Programme Implementation | |
| VIII. Industry and Trade | |
| (1) Department of Industrial Policy and Promotion | (2) Department of Chemicals and Petrochemicals |
| (3) Department of Commerce | (4) Department of Heavy Industries |
| (5) Department of Fertilisers | (6) Ministry of Textiles |
| (7) Department of Public Enterprises | (8) Ministry of Small Scale Industries |
| IX. Internal Affairs and Defence | |
| (1) Department of Defence | (2) Department of Defence Production |
| (3) Department of Defence Research and Development | (4) Department of Ex-Servicemen Welfare |
| (5) Department of Internal Security | (6) Ministry of States |
| (7) Department of Public Enterprises | (8) Department of Home |
| (9) Department of Jammu and Kashmir Affairs | (10) Department of Border Management |
| (11) Ministry of Development of North Eastern Region | |
| X. Housing and Urban Affairs | |
| (1) Ministry of Urban Development | |
| XI. Personal and General Administration, Governance Reform,Regulatory Systems | |
| (1) Department of Personnel and Training | (2) Department of Administrative Reforms and Public Grievances |
| (3) Department of Pensions and Pensioners Welfare | (4) Department of Legal Affairs |
| (5) Legislative Department | (6) Department of Justice |
| (7) Cabinet Secretariat | (8) Ministry of Labour and Employment |
| (9) President's Secretariat | (10) Ministry of Parliamentary Affairs |
| (11) Prime Minister's Office | (12) UPSC |
| (13) Election Commission | |
| XII. Science and Technology | |
| (1) Department of Science and Technology | (2) Department of Scientific and Industrial Research |
| (3) Department of Bio-Technology | (4) Department of Space |
| Section I-Basic Information |
| (To be filled in by the Administration Division/Personnel Department) |
| 1. Name of the officer reported upon : |
| 2. Service :| 3. Cadre :| 4. Year of allotment :| 5. Date of birth : |
| 6. Present Grade :| |
| 7. Present Post : |
| 8. Date of appointment to present post :| |
| 9. Reporting Reviewing and Accepting Authorities : |
| Nameand Designation | Periodworked | |
| ReportingAuthorityReviewing AuthorityAccepting Authority |
| 10. Period of absence on leave, etc. |
| Period | Type | Remarks | |
| On Leave (specifytype) Others (specify) |
| 11. Training Programs attended |
| Dateform | Dateto | Institute | Subject |
| 12. Awards/Honours | |||
| 13. Detail of PARs of AIS officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14. Date of filing the property return for year ending December :| |
| 15. [ Date of last prescribed medical examination (for officers over 40 years of age)(Attach copy of the summary of the medical report)] [Substituted for the words "15. Date of last prescribed medical examination (for officers over 40 years of age)(Attach copy of Part 'C' of Report)" by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]| | |
| Date : | Signatureon behalf of .......................Admn/Personnel Dept. |
| Section II : |
| 1. Declaration : |
| Have you filedyour immovable property return, as due. If yes, please mentiondate | Yes/No | Date |
| Have you undergonethe prescribed medical check-up ? | Yes/No | |
| Have you set theannual work plan for all officers for the current year, inrespect of whom you are the reporting authority ? | Yes/No | |
| Have you preparedthe work plan for yourself ? | Yes/No | |
| Have you encloseda note on important achievements during the period ? | Yes/No |
| Date : | Signature.......................Officer reported upon |
| Section III -Appraisal |
| 1.Assessment of Attributes(This assessment should rate the officervis-a-vishis peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 70% weightage will be assigned to this item.) |
| ReportingAuthority | ReviewingAuthority | Initial ofReviewing Authority | ||
| (i) | Attitude to work | |||
| (ii) | Decision makingability | |||
| (iii) | Initiative | |||
| (iv) | Abilityto inspire and motivate | |||
| (v) | StrategicPlanning ability/innovativencess | |||
| (vi) | Coordinationability | |||
| Overallgrading on attributes |
| 2.Assessment of work output(This assessment should rate the officervis-a-vishis peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 30% weightage will be assigned to this item.) |
| ReportingOfficer | ReviewingOfficer | Initial ofReviewing Officer | ||
| (i) | Accomplishment ofPlanned work | |||
| (ii) | Quality of Output | |||
| (iii) | Accomplishmentof exceptional work/unforeseen tasks during the period | |||
| OverallGrading on Attributes on 'Work Output' |
| 3.Integrity.Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
3A. [ Comments, if any, on the pen picture written by the Reporting Authority.] [Inserted by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]
| 4.Pen picture by the Reporting AuthorityPlease comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
| 5.Recommendation relating to domain assignment (Please tick mark any four) |
| Agriculture andRural Development | Public Finance andFinancial Management | ||
| Social Development | Industry and Trade | ||
| Culture andInformation | Internal Affairsand Defence | ||
| Natural ResourceManagement | Housing and UrbanAffairs | ||
| Energy andEnvironment | Personnel andGeneral Administration, Governance Reform, Regulatory System | ||
| CommunicationSystems and Connectivity Infrastructure | Science andTechnology |
| 6. Overall grade on a score of 10 |
| Date :Signatureof Reporting Authority....................... |
| Section IV-Review |
| 1.| Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes in Section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and/or significant failures of the moS/officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initial your entries) |
| Yes | No |
| 2. In case of difference of opinion details and reasons for the same may be given. |
| 3. Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker section. |
| 4. Recommendation relating to domain assignment (Please tick mark any foru) |
| Agricultureand Rural DevelopmentSocialDevelopmentCultureand InformationNaturalResource ManagementEnergyand EnvironmentCommunicationSystems and Connectivity Infrastructure | PublicFinance and Financial ManagementIndustryand TradeInternalAffairs and DefenceHousingand Urban AffairsPersonneland General Administration, Governance Reform, Regulatory SystemScience andTechnology |
| 5. Overall grade (on a scale of 1-10)| |
| Date…....................... | Signatureof Reviewing Authority....................... |
| Section V-Acceptance |
| 1. Do you agree with the remarks of the reporting/reviewing authorities? |
| Yes | No |
| 2. In case of difference of opinion details and reasons for the same may be given. |
| 3. Overall grade (on a scale of 1-10)| |
| Date :Signatureof Accepting Authority....................... |
1. Introduction
2. Section-I
2. [5 This section provides for regular annual medical examination. The health check may be mandatory for all officers above the age of 40 and may be totally dispensed with officers below the age of 40, except in case of medical incident. A copy of the summary of the medical report is to be attached to the PAR Form by the Admin./Personnel Department. The format of the health check up and the summary of medical report will be as circulated by the Cadre Controlling Authority, after consultation with the Ministry of Health and Family Welfare.] [Substituted for the words "2.5 This section provides for regular annual medical examination. The health check may be mandatory for all officers above the age of 40 and may be totally dispensed with officers below the age of 40, except in case of medical incident. A copy of Part C of the health check-up report is to be attached to the PAR Form by the Administration/Personnel Department and a copy provided to the member of the Service. The format of the health check-up is given in Schedule 2." by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]
3. Section-II
The section requires the officer reported upon the record certain certificates about submission of property returns, annual medical check-up, setting up of annual work plan for whom he/she would be the reporting authority as well as for himself. The officer has to report on the preparation of the work plan for himself and has the option to enclose a note on the important achievements during the period.4. Section-III
5. Section-IV
5. [1 This section is to be filled up by the reviewing authority. He/she is required to indicate if he/she agrees with the assessments made by the reporting officer. In case of disagreement, he/she may record his/her own assessment against the work output or any of the attributes in the column specifically provided for the purpose. In case of agreement, he/she need not fill in the column meant for him/her in the attributes/work output tables. Finally, the reviewing authority is required to record an overall grade in the scale of 1-10.] [Substituted for the words "5.1 This section is to be filed up by the reviewing authority. He/she is required to indicate if he/she agrees with the assessments made by the reporting officer. In case of disagreement, he/she may record his/her own assessment against the work Output or any of the attributes in the column specifically provided for the purpose. In case of agreement, he/she need not fill in the column meant for him/ her in the attributes/work output tables." by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]
6.
Section-V7. Numerical Grades
8. Disclosure
9. Schedule for completion of PARs of IAS Officers
| Activity | Cutoff date |
| Blank PAR form to be given to the officer reported upon by theAdministration Division/Personnel Department, specifying thereporting officer and reviewing authority | 1st June |
| Filling in Section II by the officer reported upon | [15th June] [They are required to fill in only Section II-Declaration.] |
| Appraisal by reporting authority | 15th July |
| Appraisal by reviewing authority | 15th August |
| Appraisal by accepting authority | 15th September |
| Disclosure to the officer reported upon | 30th September |
| Comments of the officer reported upon, if any (if none,transmission of the PAR to the DOPT) | 15th October |
| Forwarding of comments of the officer reported upon to thereviewing and the reporting authority by the accepting authority,in case the officer reported upon makes comments | 31st October |
| Comments of reporting authority | 15th November |
| Comments of reviewing authority | 30th November |
| Comments of accepting authority/PAR to be finalised anddisclosed to him | 15th December |
| Representation to the Referral Board by the officer reportedupon | 31st December |
| Forwarding of representation to the Referral Board along with the comments of reporting authority/reviewing authorityand accepting authority | 31st December |
| Finalisation by Referral Board if the officer reported uponrepresents against the decision of the accepting authority | 28th February |
| Disclosure to the officer reported upon | 15th March |
| End of entire PAR Process | 31st March |
10. Mapping of Departments to Domains
| I. Agriculture and Rural Development | |
| (1) Department of Agriculture and Cooperation | (2) Department of Agriculture and Research and Education |
| (3) Department of Animal Flusbandry, Dairying and Fisheries | (4)Ministry of Agro and Rural Industries |
| (5) Department of Rural Developomentl | 6) Ministry of Panchayati Raj |
| (7) Department of Land Resources | (8) Department of Drinking Water Supply |
| (9) Department of Food and Public Distribution | (10) Department of Consumer Affairs |
| (11) Ministry of Food Processing Industries | |
| II. Social Development | |
| (1) Department of Health | (2) Department of Family Welfare |
| (3) Department of Ayurveda, Yoga and Naturopathy, Unani,Siddha and Homeopathy (AYUSH) | (4) Department of Secondary and Higher Education |
| (5) Department of Elementary Education and Literacy | (6) Department of Women and Child Development |
| (7) Ministry of Social Justice and Empowerment | (8) Department of Urban Employment and Poverty Alleviation |
| (9) Ministry of Overseas Indian Affairs | |
| III. Culture and Information | |
| (1) Ministry of Information and Broadcasting | (2) Ministry of Culture |
| (3) Ministry of Tourism | (4) Ministry of Tribal Affairs |
| (5) Ministry of Youth Affairs and Sports | |
| IV. Natural Resource Management | |
| (1) Ministry of Environments and Forests | (2) Ministry of Water Resources |
| (3) Department of Ocean Development | (4) Ministry of Mines |
| V. Energy and Environment | |
| (1) Department of Atomic Energy | (2) Ministry of Non-Conventional Energy Sources |
| (3) Ministry of Coal | (4) Ministry of Petroleum and Natural Gas |
| (5) Ministry of Power | |
| VI. Communication Systems and Connectivity Infrastructure | |
| (1) Ministry of Civil Aviation | (2) Department of Information Technology |
| (3) Department of Telecommunication | (4) Department of Posts |
| (5) Department of Road Transport and Highways | (6) Department of Shipping |
| VII. Public Finance and Financial Management | |
| (1) Department of Disinvestment | (2) Department of Expenditure |
| (3) Department of Economic Affairs | (4) Department of Revenue |
| (5) Ministry of Company Affairs | (6) Planning Commission |
| (7) Ministry of Statistics and Programme Implementation | |
| VIII. Industry and Trade | |
| (1) Department of Industrial Policy and Promotion | (2) Department of Chemicals and Petrochemicals |
| (3) Department of Commerce | (4) Department of Heavy Industries |
| (5) Department of Fertilisers | (6) Ministry of Textiles |
| (7) Department of Public Enterprises | (8) Ministry of Small Scale Industries |
| IX. Internal Affairs and Defence | |
| (1) Department of Defence | (2) Department of Defence Production |
| (3) Department of Defence Research and Development | (4) Department of Ex-Servicemen Welfare |
| (5) Department of Internal Security | (6) Department of States |
| (7) Department of Official Language | (8) Department of Home |
| (9) Department of Jammu and Kashmir Affair | (10) Department of Border Management |
| (11) Ministry of Development of North Eastern Region | |
| X. Housing and Urban Affairs | |
| (1) Ministry of Urban Development | |
| XI. Personnel and General Administration, GovernanceReform, Regulatory systems | |
| (1) Department of Personnel and Training | (2) Department of Administrative Reforms and Public Grievances |
| (3) Department of Pensions and Pensioners Welfare | (4) Department of Legal Affairs |
| (5) Legislative Department | (6) Department of Justice |
| (7) Cabinet Secretariat | (8) Ministry of Labour and Employment |
| (9) President's Secretariat | (10) Ministry of Parliamentary Affairs |
| (11) Prime Minister's Office | (12) UPSC |
| (13) Election Commission | |
| XII. Science and Technology | |
| (1) Department of Science and Technology | (2) Department of Scientific and Industrial Research |
| (3) Department of Bio-Technology | (4) Department of Space |
| Section I-Basic Information |
| (To be filled in by the Administration Division/Personnel Department) |
| 1. Name of the officer reported upon : |
| 2. Service :| 3. Cadre :| 4. Year of allotment : |
| 5. Date of birth :| | |
| 6. Present Grade :| | |
| 7. Present Post :| |
| 8. Date of appointment to present post :| |
| 9. Reporting Reviewing and Accepting Authorities : |
| Name andDesignation | Period worked | |
| ReportingAuthority | ||
| ReviewingAuthority | ||
| AcceptingAuthority |
| 10. Period of absence on leave, etc. |
| Period | Type | Remarks | |
| On Leave (specifytype) | |||
| Others (specify) |
| 11. Training Programs attended |
| Datefrom | Dateto | Institute | Subject |
| 12. Awards/Honours |
| 13. Detail of PARs of AIS officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14. Date of filing the property return for year ending December :| |
| 15. [ Date of last prescribed medical examination (for officers over 40 years of age). Attach copy of the summary of the medical report.] [Substituted for the words "15. Date of last prescribed medical examination (Attach copy of Part 'C' of Report)" by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)]| |
| Date : | Signatureon behalf of ...................Admn/Personnel Deptt. |
| Section II : Self Appraisal1. Brief description of duties :(Objectives of the position you hold the tasks are required to perform, in about 100 words) |
| 2.Annual work plan and achevement : |
| Tasks to beperformed | [Deliverables] [Deliverables refer to quantitative or financial targets or verbal description of expected outputs.] | [Actual Achievement] [Actual achievement refers to achievement against the special deliverables in respect of each task (as uptated at mid-year). No explanations for divergences are to be given in this table.] | |
| [Initial] [Initial listing of deliverables are to be finalised within 1 month of the start of the period under report.] | [Midyear] [Mid year listing of deliverables are to be finalised within 6 months of the start of the period under report.] | ||
| 3. During the period under report, do you believe that you have made any exceptional contribution ? If so, please give a verbal description (within 100 words): |
| 4. Declaration |
| Have you filedyour immovable property return, as due. If yes, please mentiondate | Yes/No | Date |
| Have you undergonethe prescribed medical check-up ? | Yes/No | |
| Have you set theannual work plan for all officers for the current year, inrespect of whom you are the reporting authority ? | Yes/No |
| Date :Signatureof Officer reported upon …....................... |
| Section III-Appraisal |
| 1.Assessment of Attributes(This assessment should rate the officervis-a-vishis peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 70% weightage will be assigned to this item). |
| ReportingOfficer | ReviewingOfficer | Initial ofReviewing Officer | ||
| (i) | Attitudeto work | |||
| (ii) | Decision makingability | |||
| (iii) | Initiative | |||
| (iv) | Ability to inspireand motivate | |||
| (v) | Strategic Planningability/innovativeness | |||
| (vi) | Coordinationability | |||
| Overall grading onattributes |
| 2.Assessment of work output(This assessment should rate the officervis-a-vishis peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 30% weightage will be assigned to this item. |
| ReportingOfficer | ReviewingOfficer | Initial ofReviewing Officer | ||
| (i) | Accomplishment ofPlanned work | |||
| (ii) | Quality of Output | |||
| (iii) | Accomplishment/unforeseentasks / exception work during the period | |||
| OverallGrading on 'Work Output' |
| 3.IntegrityPlease comment on the integrity of the officer, keeping in mind both his financial integrity and his moral integrity. |
| 4.Pen picture by the Reporting AuthorityPlease comment (in about 100 words) on the overall qualities of the officer including areas of strengths |
| 5.Recommendation relating to domain assignment (Please tick mark any four) |
| Agriculture andRural Development | Public Finance andFinancial Management | ||
| Social Development | Industry and Trade | ||
| Culture andInformation | Internal Affairsand Defence | ||
| Natural ResourceManage-ment | Housing and UrbanAffairs | ||
| Energy andEnvironment | Personnel andGeneral Administration, Governance Reform, Regulatory System | ||
| CommunicationSystems and Connectivity Infrastructure | Science andTechnology |
| 6. Over grade on a seal of 1-10 |
| Date : | Signatureof reporting Authority …....................... |
| Section IV - Review |
| 1. Do you agree with the assessment the reporting officer with respect to the work out put and the various attributes in Section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and/or significant failures of the moS/S/officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initial your entries.) |
| Yes | No |
| 2. In case of difference of opinion details and reasons for the same may be given. |
| 3. [ Comments, if any, on the pen picture written by the Reporting Authority] [Substituted for the words "Please record a pen-picture of the officer reported upon in about 100 words on the overall qualities of the including areas of strengths and lesser strengths" by Notification No. G.S.R. 256 (E) dated 31.3.2008 (w.e.f. 14.3.2007)] |
| 4. Recommendation relating to domain assignment (Please tick-mark any four) |
| Agriculture andRural Development | Public Finance andFinancial Management | ||
| Social Development | Industry and Trade | ||
| Culture andInformation | Internal Affairsand Defence | ||
| Natural ResourceManagement | Housing and UrbanAffairs | ||
| Energy andEnvironment | Personnel andGeneral Administration, Governance Reform, Regulatory System | ||
| CommunicationSystems and Connectivity Infrastructure | Science andTechnology |
| 5. Overall grade (on a scale of 1-10)| |
| Date :Signatureof Reviewing Authority …....................... |
| Section V - Acceptance |
| 1. Do you agree with the remarks of the reporting/reviewing authorities? |
| Yes | No |
| 2. In case of difference of opinion details and reasons for the same may be given. |
| 3. Overall grade (on a scale of 1-10)| |
| Date :Signatureof Accepting Authority ....................... |
1. Introduction
2. Section-I
2. [5 This section provides for regular annual medical examination. The health check is mandatory for all officers above the age of 40 and may be totally dispensed with officers below the age of 40, except in case of medical incident. A copy of Summary of the medical report is to be attached to the PAR Form by the Admin./Personnel Department. The format of the health check-up and the summary of medical report will be as circulated by the Cadre Controlling Authority, after consultation with the Ministry of Health and Family Welfare.] [Substituted "This section provides for regular annual medical examination. The health check may be mandatory for all officers above the age of 40 and may be totally dispensed with officers below the age of 40,except in case of medical incident. A copy of Part C of the health check-up report is to be attached to the PAR Form by the Admin/Personnel Department and a copy provided to the member of the Service. The format of the health check-up is given in Annexure IV"Notification No.G.S.R.256(E) dated 31.3.2008 (w.e.f. 14.3.2007)]
3. Section-II
4. Section-III
4. [7 The reporting authority is also required to record a descriptive pen-picture on the overall qualities of the officer reported upon and his/her performance including areas of strengths and lesser strengths. This need not exceed about 100 words and should try to cover overall qualities of the officer including areas of strengths and lesser strengths. The pen-picture is also meant to be a qualitative supplement to the quantitative assessments made in earlier part of this section.] [Ed. : Paras have been re-numbered in sequence.]
5. Section-IV
5. [1 This section is to be filed up by the reviewing authority. He/she is required to indicate if he/she agrees with the assessments made by the reporting officer. In case of disagreement, he/she may record his/her own assessment against the work Output or any of the attributes in the column specifically provided for the purpose. In case of agreement, he/she need not fill in the column meant for him/ her in the attributes/work output tables. Finally, the reviewing authority is required to record an overall grade in the scale of 1-10.] [Substituted by Notification No. G.S.R. 256(E) dated 31.3.2008 (w.e.f. 14.3.2007)]
Substituted by Notification No. G.S.R. 256(E) dated 31.3.2008 (w.e.f. 14.3.2007)| 5.1 This section is to be filed up by the reviewing authority. He/she is required to indicate if he/she agrees with the assessments made by the reporting officer. In case of disagreement, he/she may record his/her own assessment against the work Output or any of the attributes in the column specifically provided for the purpose. In case of agreement, he/she need not fill in the column meant for him/ her in the attributes/work output tables.5.2 The reviewing authority is required to record a pen-picture, not exceeding about 100 words, including areas of strengths and lesser strengths and recommendations relating to domain assignment. Finally he/she is required to record an overall grade in the scale of 1-10. |
6.
Section-V7. Numerical Grades
8. Schedule for completion of PARs of IAS Officers
The completed PAR should reach the Cadre Controlling Authorities by 31st March the following year. The Cadre Controlling Authority will prepare a list of PARs not received and follow up with the concerned organisations.9. Mapping of Departments to Domains
| I. Agriculture and Rural Development | |
| 1. Department of Agriculture and Cooperation | 6. Ministry of Panchayati Raj |
| 2. Department of Agricultural Research and Education | 7. Department of Land Resources |
| 3. Department of Animal Husbandry Dairying and Fisheries | 8. Department of Drinking Water Supply. |
| 4. Ministry of Agro and Rural industries. | 9. Department of Food and Public Distribution. |
| 5. Department of Rural Development | 10. Department of Consumer Affairs. |
| 11. Ministry of Food Processing Industries. | |
| II. Social Development | |
| 1. Department of Health | 3. Department of Ayurveda, Yoga and Naturopathy, Unani, Siddhaand Homeopathy (AYUSH) |
| 2. Department of Family Welfare | |
| 4. Department of Secondary and Higher Education) | 7. Ministry of Social Justice and Empowerment |
| 5. Department of Elementary Education and Literacy | 8. Department of Urban Employment and Poverty Alleviation. |
| 6. Department of Women and Child Development | 9. Ministry of Overseas Indian Affairs. |
| III. Culture and Information | |
| 1.Ministry of Information and Broadcasting. | 4.Ministry of Tribal Affairs. |
| 2.Ministry of Culture. | 5.Ministry of Youth Affairs and Sports. |
| 3.Ministry of Tourism. | |
| IV. Natural Resource Management | |
| 1.Ministry of Environment and Forests | 3. Department of OceanDevelopment |
| 2. Ministry of Water Resources | 4.Ministry of Mines |
| V. Energy and Environment | |
| 1. Department of Atomic Energy | 4. Ministry of Petroleum and Natural Gas |
| 2. Ministry of Non-Conventional Energy Sources | 5. Ministry ofPower |
| 3. Ministry of Coal | |
| VI. Communication Systems and Connectivity Infrastructure | |
| 1. Ministry of Civil Aviation | 4. Department of Posts |
| 2. Department of Information Technology | 5. Department of Road Transport and Highways |
| 3. Department of Telecommunication. 6. Department of Shipping. | |
| VII. Public Finance and Financial Management | |
| 1. Department of Disinvestment | 5. Ministry of Company Affairs |
| 2. Department of Expenditure | 6. Planning Commission |
| 3. Department of Economic Affairs | 7. Ministry of Statistics and Programme Implementation |
| 4. Department of Revenue | |
| VIII. Industry and Trade | |
| 1. Department of Industrial Policy and Promotion | 4. Department of Heavy Industries |
| 2. Department of Chemicals and Petrochemicals | 5. Department of Fertilizers |
| 3. Department of Commerce | 6.Ministry of Textiles |
| 7. Department of Public Enterprises | |
| 8. Ministry of Small Scale Industries | |
| IX. Internal Affairs and Defence | |
| 1. Department of Defence | 6. Department of States |
| 2. Department of Defence Production | 7. Department of Official Language |
| 3. Department of Defence Research and Development | 8. Department of Home |
| 4. Department of Ex-Servicemen Welfare | 9. Department of Jammu and Kashmir Affair |
| 5. Department of Internal Security | 10. Department of Border Managemei it |
| 11. Ministry of Developmentof North Eastern Region | |
| X. Housing and Urban Affairs | |
| 1. Ministry of Urban Development | |
| XI. Personnel and General Administration, GovernanceReform, Regulatory Systems | |
| 1. Department of Personnel and Training | 6. Department of Justice |
| 7. Cabinet Secretariat | |
| 2. Department of Administrative Reforms and Public Grievances | 8. Ministry of Labour and Employment |
| 3. Department of Pensions and Pensioners Welfare | 9. President's Secretariat Ministry of Parliamentary Affairs |
| 11. Prime Minister's Office | |
| 4. Department of Legal Affairs | 12. UPSC |
| 5. Legislative Department | 13. Election Commission |
| XII. Science and Technology | |
| 1. Department of Science and Technology | 3. Department of Bio-Technology |
| 2. Department of Scientific and Industrial Research | 4. Department of Space |
1. Name of the Officer
2. Cadre/year of allotment
3. Date of Birth
4. Present Grade Date
5. Study Leave/Leave Details
6. Period of Sanctioned Leave
7. Details of Degree/Certificate/Diploma and Evaluation obtained during the period (copies to be enclosed)
8. Date of Filing Annual Property Returns
B. Self Assessment:Officer's Signature:............Date :..............To be filled in duplicate and submitted to Cadre Controlling Authorities in the State and the Central Government.Form III-B(See Rule 4)The All India Services (Performance Appraisal Report) Rules, 2007Performance Report on Training(Applicable for IAS Officers)(For the year/period ending............)A. Personal Data1. Name of the Officer.
2. Service/Cadre/year of allotment
3. Date of Birth
4. Present Grade Date
5. Training Details
6. Details of Degree/Certificate/Diploma and Evaluation obtained during the period (copies to be enclosed)
8. Date of Filing Annual Property Returns
B. Self Assessment:Officer's Signature:............Date :.............To be filed in duplicate and submitted to Cadre Controlling authorities in the State and the Central Government.| ["Appendix" II |
| Form I |
| [See rule 4] |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| (Applicable for all Police Service officrs up to level of Inspector General of Police) |
| Performance Appraisal Report for the period from _______________to______________ |
| Section I-Basic information |
| (To be filled in by the Adminstration Division/Home Department) |
| 1.| Name of the officer reported upon :| |
| 2.| Service :| | 3.Cadre :| | 4.Year of allotment :| | 5.Date of Birth :| |
| 6.| Present Grade :| | | 7.Present post :| |
| 8.| Date of appointment to present post :| | |
| 9.| Reporting, Reviewing and Accepting Authorities. |
| ReportingAuthority | Name& Designation | Periodworked |
| ReviewingAuthority | ||
| AcceptingAuthority |
| 10.| Period of absence on leave, etc. |
| Period | Type | Remarks | |
| OnLeave (specify type) | |||
| Others(specify) |
| 11.| Training Programs attended |
| Datefrom | Dateto | Institute | Subject |
| 12.| Awards/Honours |
| 13.| Details of PARs of officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14.| Date of filing the property return for the year ending December| |
| 15.| Date of last prescribed medcal examination (Mandatory for All Indian Police Service officers) Attach summary of the medical report.| |
| Date : | Signature behalf of Admn/Home Dept _______________ |
| | Section II - Self Appraisal |
| | 1. Brief description of duties : |
| | (Objectives of the position you hold and the tasks you are required to perform, in about 100 words) |
| | 2. Annual work plan and achievement : |
| Tasksto be performed | Deliverables1[1] | ActualAchievement2[2] | |
| Initial3[3] | Midyear4[4] | ||
1.
[1]Deliverables refer to quantitative or financial targets or verbal description of expected outputs.2.
[2]Actual Achievements refers to achievement against the specified deriverables in respect of each task (as updated at mid-year). No explanations for divergences are to be given in this table.3.
[3]Initial listing of deliverables are to be finalized within 1 month of the start of the period under report.4.
[4]Mid year listing of deliverables are to be finanlized within 6 months of the start of the period under report.| | 3. During the period under report, do you believe that you have made any exceptional contribution, e.g. successful completion of an extraordinarily challenging task or major systemic improvement ? so, please give a verbal description (with 100 words) : |
| | 4. What are the factors that hindered your performance ? |
| | 5. Please indicate specific areas in which you feel the need to upgrade your skills through training programs : |
| For the current assignment :For your future career |
| | Please Note :You should send an updated CV, including additional qualifications acqired/training programs attended/publications/special assignments undertaken, in a prescribed proforma, to the cadre controlling authority, once in 5 years, so that the records available with cadre controlling authority remain updated. |
| | 6. Declaration |
| Have you filed your immovable properly return due if yesplease mention date | Yes/No | Date |
| Have you undergone the prescribed medical check up ? | Yes/No | |
| Have you set the annual work plan for all officers for thecurrent year, in respect of whom you are the reporting authority? | Yes/No |
| Date : | Signature of officer reported upon _______________ |
| | Appraisal |
| | Section III |
| | 1. Please state whether you agree with the responses relating to the accomplishments of the work plan and unforeseen tasks as filled out in Section II, if not please furnish factual details. |
| | 2. Please comment on the claim (if made) of exceptional contribution by the officer reported upon. |
| | 3. Has the officer reported upon met with any significant failures in respect of his work ? If yes, please furnish factual details. |
| | 4. Do you agree with the skill up-gradation needs as identified by the officer ? |
| | 5. Assessment of work output (This assessment should rate the officer vis-a vis his peers and not the general population. Grades should be assigned on a scale of 1-10 in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. Weightage to this Section will be 40%) |
| Reporting Authority | Reviewing Authority | Initial of Reviewing Authority | |
| i. Accomplishment of planned work including training coursesfor various ranks | |||
| ii. Quality of output and effectiveness in areas likesupervising, investigation | |||
| iii. Accomplishment of exceptional work/unforeseen tasksperformed | |||
| Overall grading on 'work Output' |
| | 6. Assessment of Personal Attributes (on a scale of 1-10 Weightage to this Section will be 30%) |
| Reporting Authority | Review Authority | Initial of Reviewing Authority | ||
| i | Attitute to work | |||
| ii | Sense of responsibility | |||
| iii | Overall bearing and personalty | |||
| iv | Emotional Stability | |||
| v | Communication Skills | |||
| vi | Moral courage and willingness to take a professional stand | |||
| vii | Leadership qualities | |||
| viii | Capacity to work in time limit | |||
| Overall Grading on Personal Attributes |
| | 7. Assessment of Functional Competency (on a scale of 1-10 Weightage to this Section will be 30%) |
| Reporting Authority | Review Authority | Initial of Reviewing Authority | ||
| i | Knowledge of laws/Police rules/procedures/knowedge of area and terrain/IT skills and awareness of the local norms in the relevant area. | |||
| ii | Strategic planning ability | |||
| iii | Decision making ability | |||
| iv | Initiative | |||
| v | Interest in welfare of Policeman and their families and appraising ability | |||
| vi | Ability to motivate and develop subordinates work in a team | |||
| Overall Grading on 'Functional competency' |
| | 8. Integrity |
| | Please comment on the integrity of the officer : |
| 9.| Pen picture by Reporting Officer, Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
| 10.| Recommendation relating to domain assignment (Please tick mark any four) |
| Anti-Corruption & Vigilance | Police Research & Development | ||
| Criminal Investigation (CBI, CID) | Security Related Communication Network/IT | ||
| Paramilitary forces | Intelligence | ||
| Railways | Counter-insurgency | ||
| Econimic Offences | Security (VIP & Industrial) | ||
| Traffic | Armed Police Bn. | ||
| Law & Order | Metropolitan & Urban Policing | ||
| Police Training | Anti Terrorism | ||
| Personnel Administration | Cyber Crimes | ||
| Border Management | Others | ||
| Forest & Wild life related crimes |
| 11.| Overall grade (on a score of 1-10)| | |
| Date : | Signature of Reporting Authority _______________ |
| | Review |
| | Section IV |
| | 1. Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes In section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and for significant failurs of the moS I officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initil your entries). |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Comments, if any, on the picture written by the Reporting Authority. |
| | 4. Recommendation relating to domain assignment (Please tick mark any four) |
| Anti-Corruption & Vigilance | Police Research & Development | ||
| Criminal Investigation (CBI, CID) | Security Related Communication Network/IT | ||
| Paramilitary forces | Intelligence | ||
| Railways | Counter-insurgency | ||
| Econimic Offences | Security (VIP & Industrial) | ||
| Traffic | Armed Police Bn. | ||
| Law & Order | Metropolitan & Urban Policing | ||
| Police Training | Anti Terrorism | ||
| Personnel Administration | Cyber Crimes | ||
| Border Management | Others | ||
| Forest & Wild life related crimes |
| | 5. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reviewing Authority _______________ |
| | Appraisal |
| | Section V |
| | 1. Do you agree with the remarks of the reporting/reviewing authorities ? |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Overall grade (on a score of 1-10)| | |
| Date : | Signature of Accepting Authority _______________ |
1. Introduction
2. Section-I
3. Section-II
4. Section-III
5. Section-IV
6. Section-V
7. Numerical Grades
8. Disclosure
9. Schedule for completion of PARs of Indian Police Service Officers
| | Reporting Year-Financial Year |
| Activity | Cut-off dates | |
| Below Super Time Scale | Super Time Scale | |
| Blank PAR form to be given to the officer reported upon by theAdministration Division/Home Department, specifying the reportingofficer and reviewing authority | 1stApril | 1stMay |
| Self appraisal for current year | 30thApril | 31stMay |
| Appraisal by reporting authority | 31stMay | 30th June |
| Appraisal by reviewing authority | 30thjune | 31stjuly |
| Appraisal by accepting authority | 31stJuly | 31stAugust |
| Disclosure to the officer reported upon | 15thAugust | 15thSeptember |
| Comments of the officer reported upon, if any (If none,transmission of the PAR to the MHA) | 31stAugust | 30thSeptember |
| Forwarding of comments of the officer reported upon to thereviewing and the reporting authority by the accepting authority,in case the officer reported upon makes comments | 15thSeptember | 15thOctobet |
| Comments of reporting authority | 30thSeptember | 31stOctober |
| Comments of reviewing authority | 15thOctober | 15thNovember |
| Comments of accepting authority/PAR to be finalized anddisclosed to the officer reported upon. | 31stOctober | 30thNovember |
| Representation to the Referral Board by the officer reportedupon | 30thNovember | 31stDecember |
| Forwarding of representation to the Referral Board along withthe comments of reporting authority/reviewing authority andaccepting authority | 15thDecember | 15thJanuary |
| Finalization by Referral Board if the officer reported uponrepresents again the decision of the Accepting Authority. | 15thJanuary | 15thFebuary |
| Disclosure to the officer reported upon | 31stJanuary | 28thFebruary |
| End of entire PAR Process | 31stMarch | 31stMarch |
| Form II |
| [See rule 4] |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| (Applicable for Indian Police Service officers of the level of Additional Director General of Police or Director Genera of Police or equivalent] |
| Performance Appraisal Report for the period from _______________to______________ |
| Section I-Basic information |
| (To be filled in the Adminstration Division/Home Department) |
| 1.| Name of the officer reported upon :| |
| 2.| Service :| | 3.Cadre :| | 4.Year of allotment : |
| 5.| Date of Birth :| | |
| 6.| Present Grade :| | |
| 7.| Present Post :| |
| 8.| Date of appointment to present post :| | |
| 9.| Reporting, Reviewing and Accepting Authorites |
| ReportingAuthority | Name& Designation | Periodworked |
| ReviewingAuthority | ||
| AcceptingAuthority |
| 10.| Period of absence on leave, etc. |
| Period | Type | Remarks | |
| OnLeave (specify type) | |||
| Others(specify) |
| 11.| Training Programs attended |
| Datefrom | Dateto | Institute | Subject |
| 12.| Awards/Honours |
| 13.| Details of PARs of officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14.| Date of filing the property return for the year ending December| |
| 15.| Date of last prescribed medcal examination (Mandatory for All Indian Police Service officers) Attach summary of the medical report.| |
| Date : | Signature on behalf of Admn/HomeDept_______________ |
| | Section II |
| | 1 Declaration |
| Have you filed your immovable properly return, as due if yesplease mention date | Yes/No | Date |
| Have you undergone the prescribed medical check up ? | Yes/No | |
| Have you set the annual work plan for all officers for thecurrent year, in respect of whom you are the reporting authority? | Yes/No | |
| Have you prescribed the work plan for yourself ? | Yes/No | |
| Have you enclosed a note on important achievements during the period ? | Yes/No |
| Date : | Signature of officer reported upon _______________ |
| | Appraisal |
| | Section III |
| | 1. Assessment of Attributes (This asessment should rate the officer vis-a-vis his peers his peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 70% weightage will be assigned to this item.) |
| Reporting Officer | Reviewing officer | Initial of Reviewing officer | ||
| i | Attitute to work | |||
| ii | Decision making ability | |||
| iii | Initiative | |||
| iv | Ability to inspire and motivate | |||
| v | Strategic Planning ability/innovativeness | |||
| vi | Coordination ability | |||
| Overall Grading on Attributes |
| | 2. Assessment of work output (This asessment should rate the officer vis-a-vis his peers his peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 30% weightage will be assigned to this item.) |
| Reporting Officer | Review officer | Initial of Reviewing officer | ||
| i | Accomplishment of Planned Work | |||
| ii | Quality of Output | |||
| iii | Accomplishment o exceptional work/unforeseen tasks during the period | |||
| Overall Grading on Attributes |
| | 3. Integrity |
| | Please comment on the integrity of the officer keeping in mind both his financial integrity and his moral integrity. |
| | 4. Pen picture by the Reporting Authority. |
| | Please comment (in 100 workds) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
| | 5. Recommendation relating to domain assignment (Please tick mark any four). |
| Anti-Corruption & Vigilance | Police Research & Development | ||
| Criminal Investigation (CBI, CID) | Security Related Communication Network/IT | ||
| Paramilitary forces | Intelligence | ||
| Railways | Counter-insurgency | ||
| Econimic Offences | Security (VIP & Industrial) | ||
| Traffic | Armed Police Bn. | ||
| Law & Order | Metropolitan & Urban Policing | ||
| Police Training | Anti Terrorism | ||
| Personnel Administration | Cyber Crimes | ||
| Border Management | Others | ||
| Forest & Wild life related crimes |
| | 6. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reporting Authority _______________ |
| | Section IV-Reviw |
| | 1. Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes In section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and/or significant failurs of the moS/officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initil your entries). |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Comments, if any, on the pen picture written by the Reporting Authority. |
| | 4. Recommendation relating to domain assignment (Please tick mark any four) |
| Anti-Corruption & Vigilance | Police Research & Development | ||
| Criminal Investigation (CBI, CID) | Security Related Communication Network/IT | ||
| Paramilitary forces | Intelligence | ||
| Railways | Counter-insurgency | ||
| Econimic Offences | Security (VIP & Industrial) | ||
| Traffic | Armed Police Bn. | ||
| Law & Order | Metropolitan & Urban Policing | ||
| Police Training | Anti Terrorism | ||
| Personnel Administration | Cyber Crimes | ||
| Border Management | Others | ||
| Forest & Wild life related crimes |
| | 5. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reviewing Authority _______________ |
| | Section V-Acceptance |
| | 1. Do you agree with the remarks of the reporting/reviewing authorities ? |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Accepting Authority _______________ |
1. Introduction
2. Section-I
3. Section-II
4. Section-III
5. Section-IV
6. Section-V
7. Numerical Grades
8. Disclosure
9. Schedule for completion PARs of Indian Police Service Officers
| Reporting Year - Financial Year |
| Activity | Cut-off dates |
| Blank PAR form to be given to the officer reported upon by theAdministration Division/Personnel Department, specifying thereporting officer and reviewing authority | 1stJune |
| Filling in Section II by the officer reported upon | 15thJune |
| Appraisal by reporting authority | 15thJuly |
| Appraisal by reviewing authority | 15thAugust |
| Appraisal by accepting authority | 15thSeptember |
| Disclosure to the officer reported upon | 30thSeptember |
| Comments of the officer reported upon, if any (If none,transmission of the PAR to the MHA) | 15thOctober |
| Forwarding of comments of the officer reported upon to thereviewing and the reporting authority by the accepting authority,in case the officer reported upon makes comments | 31stOctober |
| Comments of reporting authority | 15thNovember |
| Comments of reviewing authority | 30thNovmber |
| Comments of accepting authority/PAR to be finalized anddisclosed to him | 15thDecember |
| Representation to the Referral Board by the officer reportedupon | 31stDecember |
| Forwarding of representation to the Referral Board along withthe comments of reporting authority/reviewing authority andaccepting authority | 31stJanuary |
| Finalization by Referral Board if the officer reported uponrepresents against the decision of the Accepting Authority. | 28thFibruary |
| Disclosure to the officer reported upon | 15thMarch |
| End of entire PAR Process | 31stMarch |
| Form III |
| [See rule 4] |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| (Applicable for Indian Police Service officers who are on deputation under clauses (I) and (II) of sub-rule 2 of rule 6 of the Indian Police Service (Cadre) Rules, 1954] |
| Performance Appraisal Report for the period from _______________to______________ |
| | Section I-Basic information |
| | (To be filled in the Adminstration Division/Home Department) |
| 1.| Name of the officer reported upon :| |
| 2.| Service :| | 3.Cadre :| | 4.Year of allotment : |
| 5.| Date of Birth :| | |
| 6.| Present Grade :| | |
| 7.| Present Post :| |
| 8.| Date of appointment to present post :| | |
| 9.| Reporting, Reviewing and Accepting Authorites |
| ReportingAuthority | Name& Designation | Periodworked |
| ReviewingAuthority | ||
| AcceptingAuthority |
| 10.| Period of absence on leave, etc. |
| Period | Type | Remarks | |
| OnLeave (specify type) | |||
| Others(specify) |
| 11.| Training Programs attended |
| Datefrom | Dateto | Institute | Subject |
| 12.| Awards/Honours |
| 13.| Details of PARs of officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14.| Date of filing the property return for the year ending December| |
| 15.| Date of last prescribed medcal examination (Mandatory for All Indian Police Service officers) Attach summary of the medical report.| |
| Date : | Signature on behalf of Admn/HomeDept_______________ |
| | Section II - Self Appraisal |
| | 1. Brief description of duties : |
| | (Objectives of the position you hold and the tasks you are required to perform, in about 100 words) |
| | 2. Annual work plan and achievement : |
| Tasksto be performed | Deliverables5[1] | ActualAchievement6[2] | |
| Initial7[3] | Midyear8[4] | ||
| | 3. During the period under report, do you believe that you have made any exceptional contribution? If so, please give a verbal description (within 100 words) : |
| | 4. Declaration |
| Have you filed your immovable properly return due if yesplease mention date | Yes/No | Date |
| Have you undergone the prescribed medical check up ? | Yes/No | |
| Have you set the annual work plan for all officers for thecurrent year, in respect of whom you are the reporting authority? | Yes/No |
| Date : | Signature of officer reported upon _______________ |
| | Appraisal |
| | Section III |
| | 1. Assessment of Attributes (This assessment should rate the officer vis-vis his peers and not the general population. Grade should be assigned on a Scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade). 70% weightage will be assigned to this item. |
| Reporting Officer | Reviewing officer | Initial of Reviewing Officer | ||
| i | Attitute to work | |||
| ii | Decision making ability | |||
| iii | Initiative | |||
| iv | Ability to inspire and motivate | |||
| v | Strategic Planning ability/innovativeness | |||
| vi | Coordination ability | |||
| Overall Grading on Attributes |
| | 2. Assessment of work output (This assessment should rate the officer vis-a-vis his peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 30% weightage will be assigned to this item). |
| Reporting Officer | Review officer | Initial of Reviewing Officer | ||
| i | Accomplishment of planned work | |||
| ii | Quality of Output | |||
| iii | Accomplishment of unforeseen tasks/exception work during the period. | |||
| Overall Grading on 'Work Output' |
| | 3. Integrity |
| | Please comment on the integrity of the officer, keeping in mind both his financial integrity and his moral integrity. |
| | 4. Pen picture by the Reporting Authority. Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
| | 5. Recommendation relating to domain assignment (Please tick mark any four) |
| Anti-Corruption & Vigilance | Police Research & Development | ||
| Criminal Investigation (CBI, CID) | Security Related Communication Network/IT | ||
| Paramilitary forces | Intelligence | ||
| Railways | Counter-insurgency | ||
| Econimic Offences | Security (VIP & Industrial) | ||
| Traffic | Armed Police Bn. | ||
| Law & Order | Metropolitan & Urban Policing | ||
| Police Training | Anti Terrorism | ||
| Personnel Administration | Cyber Crimes | ||
| Border Management | Others | ||
| Forest & Wild life related crimes |
| | 6. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reporting Authority _______________ |
| | Review |
| | Section IV |
| | 1. Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes In section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and for significant failurs of the moS I officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initil your entries). |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Comments, if any, on the picture written by the Reporting Authority. |
| | 4. Recommendation relating to domain assignment (Please tick mark any four) |
| Anti-Corruption & Vigilance | Police Research & Development | ||
| Criminal Investigation (CBI, CID) | Security Related Communication Network/IT | ||
| Paramilitary forces | Intelligence | ||
| Railways | Counter-insurgency | ||
| Econimic Offences | Security (VIP & Industrial) | ||
| Traffic | Armed Police Bn. | ||
| Law & Order | Metropolitan & Urban Policing | ||
| Police Training | Anti Terrorism | ||
| Personnel Administration | Cyber Crimes | ||
| Border Management | Others | ||
| Forest & Wild life related crimes |
| | 5. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reviewing Authority _______________ |
| | Section V - Acceptance |
| | 1. Do you agree with the remarks of the reporting/reviewing authorities ? |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Accepting Authority _______________ |
1. Introduction
2. Section-I
3. Section-II
4. Section-III
5. Section-IV
6. Section-V
7. Numerical Grades
8. Schedule for completion of PARs of Indian Police Service Officers
The completed PAR should reach the Cadre Controlling Authority by 31st March the following year. The Cadre Controlling Authority will prepare a list of PARs not received and follow up with the concerned organisations.| Form III A |
| See rule 4 |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| PERFORMANCE REPORT ON STUDY LEAVE/LEAVE FOR STUDY |
| (Applicable for Indian Police Service Officers) |
| (For the year/period ending ______________________) |
| A. PERSONAL DATE |
| 1. Name of the Officer | Date |
| 2. Cadre/year of allotment | |
| 3. Date of Birth | |
| 4. Present Grade | |
| 5. Study Leave/Leave Details | |
| a) Course | |
| b) Institution | |
| c) Duration | |
| 6. Period of Sancitined Leave | |
| 7. Details ofDegree/Certificate/Diploma and Evaluation obtained during theperiod (copies to be enclosed) | |
| 8. Date of Filing Annual PropertyReturns. |
| B. SELF ASSESSMENT :- |
| Officer's Signature __________________Date :_______________ |
| To be filled in duplicate and submitted to cadre Controlling Authorities in the State and the Central Government. |
| Form III B |
| See rule 4 |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| PERFORMANCE REPORT ON TRAINING |
| (Applicable for Indian Police Service Officers) |
| (For the year/period ending ______________________) |
| A. PERSONAL DATE |
| 1. Name of the Officer | Date |
| 2. Service/Cadre/year of allotment | |
| 3. Date of Birth | |
| 4. Present Grade | |
| 5. Training Details | |
| a) Course | |
| b) Institution | |
| c) Duration | |
| 6. Details of Degree/Certificate/Diploma and Evaluation obtained during the period (copies to be enclosed) | |
| 7. Date of Filing Annual Property Returns |
| B. SELF ASSESSMENT :- |
| Officer's Signature __________________Date :_______________ |
| To be filled in duplicate and submitted to cadre Controlling Authorities in the State and the Central Government. |
| Signature |
| Appendix III |
| Form I |
| See rule 4 |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| [Applicable for All Indian Foest service officers except the leval of Principal chief conservator of Forests or Additional Principal Chief Conservator of Forests] |
| Performance Appraisal Report for the period from __________to_________ |
| Section I-Basic Information |
| To be filled in by the Administration Division/Environment & forest Department) |
| 1.| Name of the officer reported upon :| |
| 2.| Service :| | 3.Cadre :| | 4.Year of allotment :| | 5.Date of Birth :| |
| 6.| Present Grade :| | | 7.Present post :| |
| 8.| Date of appointment to present post :| | |
| 9.| Reporting, Reviewing and Accepting Authorities. |
| ReportingAuthority | Name& Designation | Periodworked |
| ReviewingAuthority | ||
| AcceptingAuthority |
| 10.| Period of absence on leave, etc. |
| Period | Type | Remarks | |
| OnLeave (specify type) | |||
| Others(specify) |
| 11.| Training Programs attended |
| Datefrom | Dateto | Institute | Subject |
| 12.| Awards/Honours |
| 13.| Details of PARs of officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14.| Date of filing the property return for the year ending December| |
| 15.| Date of last prescribed medcal examination (Mandatory for All Indian Police Service officers) Attach summary of the medical report.| |
| Date : | Signature behalf of Admn/Environment & Foresty Department _______________ |
| | Section II - Self Appraisal |
| | 1. Brief description of duties : |
| | (Objectives of the position you hold and the tasks you are required to perform, in about 100 words) |
| | 2. Annual work plan and achievement : |
| Tasksto be performed | Deliverables9[1] | ActualAchievement10[2] | |
| Initial11[3] | Midyear12[4] | ||
| | 3. During the period under report, do you believe that you have made any exceptional contribution, e.g. successful completion of an extraordinarily challenging task or major systemic improvement (resulting in significant benefits to the public and/or reduction in time and costs) ? If so, please give a verbal description (within 100 words) : |
| | 4. What are the factors that hindered your performance ? |
| | 5. Please indicate specific areas in which you feel the need to upgrade your skills through training programs : |
| For the current assignment :For your future career |
| | Please Note :You should send an updated CV, including additional qualifications acqired/training programs attended/publications/special assignments undertaken, in a prescribed proforma, to the cadre controlling authority, once in 5 years, so that the records available with the cadre controlling authority remain updated. |
| | 6. Declaration |
| Have you filed your immovable properly return due if yesplease mention date | Yes/No | Date |
| Have you undergone the prescribed medical check up ? | Yes/No | |
| Have you set the annual work plan for all officers for thecurrent year, in respect of whom you are the reporting authority? | Yes/No |
| Date : | Signature of officer reported upon _______________ |
| | Appraisal |
| | Section III |
| | 1. Please state whether you agree with the responses relating to the accomplishments of the work plan and unforeseen tasks as filled out in Section II, if not please furnish factual details. |
| | 2. Please comment on the claim (if made) of exceptional contribution by the officer reported upon. |
| | 3. Has the officer reported upon met with any significant failures in respect of his work ? If yes, please furnish factual details. |
| | 4. Do you agree with the skill up-gradation needs as identified by the officer ? |
| | 5. Assessment of work output (This assessment should rate the officer vis-a vis his peers and not the general population. Grades should be assigned on a scale of 1-10 in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. Weightage to this Section will be 40%) |
| Reporting Authority | Reviewing Authority | Initial of Reviewing Authority | |
| i. Accomplishment of planned work including training coursesfor various ranks | |||
| ii. Quality of output and effectiveness in areas likeForest and wildlife conservation, supervision and investigation in forest offences. | |||
| iii. Accomplishment of exceptional work/unforeseen tasksperformed | |||
| Overall grading on 'work Output' |
| | 6. Assessment of Personal Attributes (on a scale of 1-10 Weightage to this Section will be 30%) |
| Reporting Authority | Reviewing Authority | Initial of Reviewing Authority | ||
| i | Attitute to work | |||
| ii | Sense of responsibility | |||
| iii | Overall bearing and personalty | |||
| iv | Emotional Stability | |||
| v | Communication Skills | |||
| vi | Moral courage and willingness to take a professional stand | |||
| vii | Leadership qualities | |||
| viii | Capacity to work in time limit | |||
| Overall Grading on Personal Attributes |
| | 7. Assessment of Functional Competency (on a scale of 1-10 Weightage to this Section will be 30%) |
| Reporting Authority | Review Authority | Initial of Reviewing Authority | ||
| i | Knowledge of forest and related laws/rules/procedures/knowledge of area and terrain/awareness of local (culture, customs, language etc.) in the relevant area and IT skills. | |||
| ii | Strategic planning ability | |||
| iii | Decision making ability | |||
| iv | Initiative | |||
| v | Interest in welfare of forest officials and appraising agbility | |||
| vi | Ability to motivate and develop subordinates work in a team | |||
| Overall Grading on 'Functional competency' |
| | 8. Integrity |
| | Please comment on the integrity of the officer : |
| | 9. Pen picture by Reporting Officer, Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
| | 10. Recommendation relating to domain assignment (Please tick mark any four) |
| Afforesation/agro-forestry and tribal/hill areas development | Bio-diversity and wildlife management | ||
| Social Welfare of Dwellers in forest and tribal areas | Training | ||
| Forest adn wild life related crimes | Research and Development | ||
| Natural Resource Management(i) General Forestry(ii) Minor Forest Produce | Bio-technology | ||
| Environmental issues including climate change | Forest Personnel Administration | ||
| Forest conservation and development | Others |
| | 11. Overall grade (on a score of 1-10)| | |
| Date : | Signature of Reporting Authority _______________ |
| | Review |
| | Section IV |
| | 1. Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes In section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and/or significant failurs of the moS I officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initil your entries). |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Comments, if any, on the pen picture written by the Reporting Authority. |
| | 4. Recommendation relating to domain assignment (Please tick mark any four) |
| Afforesation/agro-forestry and tribal/hill areas development | Bio-diversity and wildlife management | ||
| Social Welfare of Dwellers in forest and tribal areas | Training | ||
| Forest adn wild life related crimes | Research and Development | ||
| Natural Resource Management(i) General Forestry(ii) Minor Forest Produce | Bio-technology | ||
| Environmental issues including climate change | Forest Personnel Administration | ||
| Forest conservation and development | Others |
| | 5. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reviewing Authority _______________ |
| | Acceptance |
| | Section V |
| | 1. Do you agree with the remarks of the reporting/reviewing authorities ? |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Overall grade (on a score of 1-10)| | |
| Date : | Signature of Accepting Authority _______________ |
1. Introduction
2. Section-I
3. Section-II
4. Section-III
5. Section-IV
6. Section-V
7. Numerical Grades
8. Disclosure
9. Schedule for completion of PARs of Indian Forest Service Officers
| | Reporting Year-Financial Year |
| Cut-off dates | ||
| Below Super Time Scale | Super Time Scale | |
| Blank PAR form to be given to the officer reported upon by theAdministration Division/Environmental & Forest specifying thereporting officer and reviewing authority | 1stApril | 1stMay |
| Self appraisal for current year | 30thApril | 31stMay |
| Appraisal by reporting authority | 31stMay | 30th June |
| Appraisal by reviewing authority | 30thjune | 31stjuly |
| Appraisal by accepting authority | 31stJuly | 31stAugust |
| Disclosure to the officer reported upon | 15thAugust | 15thSeptember |
| Comments of the officer reported upon, if any (If none,transmission of the PAR to the Ministry of Environment &Forest) | 31stAugust | 30thSeptember |
| Forwarding of comments of the officer reported upon to thereviewing and the reporting authority by the accepting authority,in case the officer reported upon makes comments | 15thSeptember | 15thOctobet |
| Comments of reporting authority | 30thSeptember | 31stOctober |
| Comments of reviewing authority | 15thOctober | 15thNovember |
| Comments of accepting authority/PAR to be finalized anddisclosed to the officer reported upon. | 31stOctober | 30thNovember |
| Representation to the Referral Board by the officer reportedupon | 30thNovember | 31stDecember |
| Forwarding of representation to the Referral Board along withthe comments of reporting authority/reviewing authority andaccepting authority | 15thDecember | 15thJanuary |
| Finalization by Referral Board if the officer reported uponrepresents against the decision of the Accepting Authority. | 15thJanuary | 15thFebuary |
| Disclosure to the officer reported upon | 31stJanuary | 28thFebruary |
| End of entire PAR Process | 31stMarch | 31stMarch |
| Form II |
| [See rule 4] |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| (Applicable for Indian Forest Service officers of the level of Principal Chief Conservator of Forests or Additional Principal Chief Conservator of Forests] |
| Performance Appraisal Report for the period from _______________to______________ |
| Section I-Basic information |
| (To be filled in the Adminstration Division/Environment & Forest Department) |
| 1.| Name of the officer reported upon :| |
| 2.| Service :| | 3.Cadre :| | 4.Year of allotment : |
| 5.| Date of Birth :| | |
| 6.| Present Grade :| | |
| 7.| Present Post :| |
| 8.| Date of appointment to present post :| | |
| 9.| Reporting, Reviewing and Accepting Authorites |
| Name& Designation | Periodworked | |
| ReportingAuthority | ||
| ReviewingAuthority | ||
| AcceptingAuthority |
| 10.| Period of absence on leave, etc. |
| Period | Type | Remarks | |
| OnLeave (specify type) | |||
| Others(specify) |
| 11.| Training Programs attended |
| Datefrom | Dateto | Institute | Subject |
| 12.| Awards/Honours |
| 13.| Details of PARs of officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14.| Date of filing the property return for the year ending December| |
| 15.| Date of last prescribed medical examination (Mandatory for All Indian Forest Service Officers) Attach summary of the medical report.| |
| Date : | Signature on behalf of Admn/Environment & ForestDepartment_______________ |
| | Section II |
| | 1 Declaration |
| Have you filed your immovable properly return, as due if yesplease mention date | Yes/No | Date |
| Have you undergone the prescribed medical check up ? | Yes/No | |
| Have you set the annual work plan for all officers for thecurrent year, in respect of whom you are the reporting authority? | Yes/No | |
| Have you prescribed the work plan for yourself ? | Yes/No | |
| Have you enclosed a note on important achievements during the period ? | Yes/No |
| Date : | Signature of officer reported upon _______________ |
| | Appraisal |
| | Section III |
| | 1. Assessment of Attributes (This asessment should rate the officer vis-a-vis his peers his peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 70% weightage will be assigned to this item.) |
| Reporting Officer | Reviewing officer | Initial of Reviewing officer | ||
| i | Attitute to work | |||
| ii | Decision making ability | |||
| iii | Initiative | |||
| iv | Ability to inspire and motivate | |||
| v | Strategic Planning ability/innovativeness | |||
| Overall Grading on Attributes |
| | 2. Assessment of work output (This asessment should rate the officer vis-a-vis his peers his peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 30% weightage will be assigned to this item.) |
| Reporting Officer | Review officer | Initial of Reviewing officer | ||
| i | Accomplishment of Planned Work including training courses for various ranks | |||
| ii | Quality of Output ad effectiveness in areas like forest and wildlife conservation, supervision and investigation in forest offences. | |||
| iii | Accomplishment o exceptional work/unforeseen tasks performed | |||
| Overall Grading on 'Work Output' |
| | 3. Integrity |
| | Please comment on the integrity of the officer keeping in mind both his financial integrity and his moral integrity. |
| | 4. Pen picture by the Reporting Authority. |
| | Please comment (in 100 workds) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
| | 5. Recommendation relating to domain assignment (Please tick mark any four). |
| Afforesation/agro-forestry and tribal/hill areas development | Bio-diversity and wildlife management | ||
| Social Welfare of Dwellers in forest and tribal areas | Training | ||
| Forest adn wild life related crimes | Research and Development | ||
| Natural Resource Management(i) General Forestry(ii) Minor Forest Produce | Bio-technology | ||
| Environmental issues including climate change | Forest Personnel Administration | ||
| Forest conservation and development | Others |
| | 6. Overall Grade (on a scale of 1-10)| | |
| Date : | Signature of Reporting Authority _______________ |
| | Section IV-Reviw |
| | 1. Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes In section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and/or significant failurs of the moS/officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initil your entries). |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Comments, if any, on the pen picture written by the Reporting Authority. |
| | 4. Recommendation relating to domain assignment (Please tick mark any four) |
| Afforesation/agro-forestry and tribal/hill areas development | Bio-diversity and wildlife management | ||
| Social Welfare of Dwellers in forest and tribal areas | Training | ||
| Forest adn wild life related crimes | Research and Development | ||
| Natural Resource Management(i) General Forestry(ii) Minor Forest Produce | Bio-technology | ||
| Environmental issues including climate change | Forest Personnel Administration | ||
| Forest conservation and development | Others |
| | 5. Overall Grade (on a scale of 1-10)| | |
| Date : | Signature of Reviewing Authority _______________ |
| | Section V-Acceptance |
| | 1. Do you agree with the remarks of the reporting/reviewing authorities ? |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Accepting Authority _______________ |
1. Introduction
2. Section-I
3. Section-II
This Section requires the officer reported upon to record certain certificates about submission of property returns, annual medical check up, setting up of annual work plan for whom he/she would be the reporting authority as well as for himself. The officer has to report on the preparation of the work plan for himself and has the option to enclose a note on the important achievements during the period.4. Section-III
5. Section-IV
6. Section-V
7. Numerical Grades
8. Disclosure
9. Schedule for completion of PARs of Indian Forests Service Officers
| Reporting Year - Financial Year |
| Activity | Cut-off dates |
| Blank PAR form to be given to the officer reported upon by theAdministration Division/Environment & Forest Department, specifying thereporting officer and reviewing authority | 1stJune |
| Filling in Section II by the officer reported upon | 15thJune |
| Appraisal by reporting authority | 15thJuly |
| Appraisal by reviewing authority | 15thAugust |
| Appraisal by accepting authority | 15thSeptember |
| Disclosure to the officer reported upon | 30thSeptember |
| Comments of the officer reported upon, if any (If none,transmission of the PAR to the Ministry of Enviornment & Forest) | 15thOctober |
| Forwarding of comments of the officer reported upon to thereviewing and the reporting authority by the accepting authority,in case the officer reported upon makes comments | 31stOctober |
| Comments of reporting authority | 15thNovember |
| Comments of reviewing authority | 30thNovmber |
| Comments of accepting authority/PAR to be finalized anddisclosed to him | 15thDecember |
| Representation to the Referral Board by the officer reportedupon | 31stDecember |
| Forwarding of representation to the Referral Board along withthe comments of reporting authority/reviewing authority andaccepting authority | 31stJanuary |
| Finalization by Referral Board if the officer reported uponrepresents against the decision of the Accepting Authority. | 28thFibruary |
| Disclosure to the officer reported upon | 15th March |
| End of entire PAR Process | 31stMarch |
| Form III |
| [See rule 4] |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| (Applicable for Indian Police Service officers who are on deputation under clauses (I) and (II) of sub-rule 2 of rule 6 of the Indian Forest Service (Cadre) Rules, 1966] |
| Performance Appraisal Report for the period from _______________to______________ |
| | Section I-Basic information |
| | (To be filled in the Adminstration Division/Environment & Forest Department) |
| 1.| Name of the officer reported upon :| |
| 2.| Service :| | 3.Cadre :| | 4.Year of allotment : |
| 5.| Date of Birth :| | |
| 6.| Present Grade :| | |
| 7.| Present Post :| |
| 8.| Date of appointment to present post :| | |
| 9.| Reporting, Reviewing and Accepting Authorites |
| Name& Designation | Periodworked | |
| ReportingAuthority | ||
| ReviewingAuthority | ||
| AcceptingAuthority |
| 10.| Period of absence on leave, etc. |
| Period | Type | Remarks | |
| OnLeave (specify type) | |||
| Others(specify) |
| 11.| Training Programs attended |
| Datefrom | Dateto | Institute | Subject |
| 12.| Awards/Honours |
| 13.| Details of PARs of officers not written by the officer as reporting/reviewing authority for the previous year. |
| 14.| Date of filing the property return for the year ending December| |
| 15.| Date of last prescribed medcal examination (Mandatory for All Indian /Forest Service officers) Attach summary of the medical report.| |
| Date : | Signature on behalf of Admn/Environment & ForstDepartment_______________ |
| | Section II - Self Appraisal |
| | 1. Brief description of duties : |
| | (Objectives of the position you hold and the tasks you are required to perform, in about 100 words) |
| | 2. Annual work plan and achievement : |
| Tasksto be performed | Deliverables13[1] | ActualAchievement14[2] | |
| Initial15[3] | Midyear16[4] | ||
| | 3. During the period under report, do you believe that you have made any exceptional contribution, successful completion of an extraordinarily challenging task or major systemic improvement (resulting in significant benefits to the public and/or reduction in time and costs) ? so, please give a verbal description. |
| | 4. Declaration |
| Have you filed your immovable properly return as due if yesplease mention date | Yes/No | Date |
| Have you undergone the prescribed medical check up ? | Yes/No | |
| Have you set the annual work plan for all officers for thecurrent year, in respect of whom you are the reporting authority? | Yes/No |
| Date : | Signature of officer reported upon _______________ |
| | Appraisal |
| | Section III |
| | 1. Assessment of Personal Attributes (This assessment should rate the officer vis-a-vis his peers and not the general population. Grade should be assigned on a Scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade). 70% weightage will be assigned to this item. |
| Reporting Authority | Reviewing Authority | Initial of Reviewing Authority | ||
| i | Attitute to work | |||
| ii | Sense of responsibility | |||
| iii | Overal bearing and personality | |||
| iv | Emotional Stability | |||
| v | Communication skills | |||
| vi | Moral courage and willingness to take a professional stand | |||
| vii | Leadership qualities | |||
| viii. | Capacity to work in time limit | |||
| Overall Grading on Attributes |
| | 2. Assessment of work output (This assessment should rate the officer vis-a-vis his peers and not the general population. Grades should be assigned on a scale of 1-10, in whole numbers, with 1 referring to the lowest grade and 10 to the best grade. 30% weightage will be assigned to this item). |
| Reporting Authority | Reviewing Authority | Initial of Reviewing Authority | ||
| i | Accomplishment of planned work including training courses for various ranks | |||
| ii | Quality of Output ad effectiveness in areas like forest and wildlife conservation, supervision and investigation in forest offinces. | |||
| iii | Accomplishment of exceptional work/unforeseen tasks performed | |||
| Overall Grading on 'Work Output' |
| | 3. Integrity Please comment on the integrity of the officer, keeping in mind both his financial integrity and his moral integrity. |
| | 4. Pen picture by the Reporting Authority. Please comment (in about 100 words) on the overall qualities of the officer including areas of strengths and lesser strengths and his attitude towards weaker sections. |
| | 5. Recommendation relating to domain assignment (Please tick mark any four) |
| Afforestation/agro-forestry and tribal/hill areas development | Bio-diversity and wildlife management | ||
| Social Welfare of Dwellers in forest and tribal areas | Training | ||
| Forest adn wild life related crimes | Research and Development | ||
| Natural Resource Management(i) General Forestry(ii) Minor Forest Produce | Bio-technology | ||
| Environmental issues including climate change | Forest Personnel Administration | ||
| Forest conservation and development | Others |
| | 6. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reporting Authority _______________ |
| | Section IV - Review |
| | 1. Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes In section III? Do you agree with the assessment of the reporting officer in respect of extraordinary achievements and/or significant failurs of the moS/officer reported upon?(In case you do not agree with any of the numerical assessments of attributes please record your assessment in the column provided for you in that section and initil your entries). |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Comments, if any, on the picture written by the Reporting Authority. |
| | 4. Recommendation relating to domain assignment (Please tick mark any four) |
| Afforestation/agro-forestry and tribal/hill areas development | Bio-diversity and wildlife management | ||
| Social Welfare of Dwellers in forest and tribal areas | Training | ||
| Forest adn wild life related crimes | Research and Development | ||
| Natural Resource Management(i) General Forestry(ii) Minor Forest Produce | Bio-technology | ||
| Environmental issues including climate change | Forest Personnel Administration | ||
| Forest conservation and development | Others |
| | 5. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Reviewing Authority _______________ |
| | Section V - Acceptance |
| | 1. Do you agree with the remarks of the reporting/reviewing authorities ? |
| Yes | No |
| | 2. In case of difference of opinion details and reasons for the same may be given. |
| | 3. Overall grade (on a scale of 1-10)| | |
| Date : | Signature of Accepting Authority _______________ |
1. Introduction
2. Section-I
3. Section-II
4. Section-III
5. Section-IV
6. Section-V
7. Numerical Grades
8. Schedule for completion of PARs of Indian Forest Service Officers
The completed PAR should reach the Cadre Controlling Authorities by 31st March the following year. The Cadre Controlling Authority will prepare a list of PARs not received and follow up with the concerned organisations.| Form III A |
| See rule 4 |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| PERFORMANCE REPORT ON STUDY LEAVE/LEAVE FOR STUDY |
| (Applicable for Indian Forest Service Officers) |
| (For the year/period ending ______________________) |
| A. PERSONAL DATE |
| 1. Name of the Officer | Date |
| 2. Cadre/year of allotment | |
| 3. Date of Birth | |
| 4. Present Grade | |
| 5. Study Leave/Leave Details | |
| a) Course | |
| b) Institution | |
| c) Duration | |
| 6. Period of Sanctioned Leave | |
| 7. Details ofDegree/Certificate/Diploma and Evaluation obtained during theperiod (copies to be enclosed) | |
| 8. Date of Filing Annual PropertyReturns. |
| B. SELF ASSESSMENT :- |
| Officer's Signature __________________Date :_______________ |
| To be filled in duplicate and submitted to cadre Controlling Authorities in the State and the Central Government. |
| Form III B |
| See rule 4 |
| The All India Services (Performance Appraisal Report) Rules, 2007 |
| PERFORMANCE REPORT ON TRAINING |
| (Applicable for Indian Forest Service Officers) |
| (For the year/period ending ______________________) |
| A. PERSONAL DATE |
| 1. Name of the Officer | Date |
| 2. Service/Cadre/year of allotment | |
| 3. Date of Birth | |
| 4. Present Grade | |
| 5. Training Details | |
| a) Course | |
| b) Institution | |
| c) Duration | |
| 6. Details of Degree/Certificate/Diploma and Evaluation obtained during the period (copies to be enclosed) | |
| 7. Date of Filing Annual Property Returns |
| B. SELF ASSESSMENT :- |
| Officer's Signature __________________Date :_______________ |
| To be filled in duplicate and submitted to cadre Controlling Authorities in the State and the Central Government.] |
| Form IV(SeeRule 3)The All India Services (Performance Appraisal Report) Rules, 2007Proforma For Health Check UpDate:Name AgeSex: M/FBrief clinical history, if any :Female OfficersDetailed menstrual history and History of LMP including the date of last confinementA: Examination Physical Systemic{| | |
| Physical | |
| Investigations: | |
| Haemogram | |
| Hb% | |
| TLC | |
| DLC | |
| Peripheral Smear | |
| Blood Sugar | |
| F | |
| P.P. | |
| Lipid Profile | |
| Total Cholesterol | |
| HDL Cholesterol | |
| LDL Cholesterol | |
| VLDL Cholesterol | |
| Triglyceride | |
| Liver Function Test | |
| Total Bilirubin | |
| Direct Bilirubin | |
| Indirect Bilirubin | |
| SCOT | |
| SGPT | |
| ALK Phosphate | |
| Kidney Function Test | |
| Urea | |
| Creatinine | |
| Uric Acid | |
| Electrolytes | Na+ |
| K | |
| Calcium | |
| Inorganic Phosphates | |
| Cardiac Profile | |
| CPK | |
| CK-MB | |
| LDH | |
| SGOT | |
| PSA | |
| PAP Smear | |
| Mammography+ | |
| Urine | |
| Routine | Miscroscopic |
| Sugar | |
| Albumin | |
| E.C.G. | |
| +X-Ray ChestUltra Sound AbdomenAny otherInvestigationAdvise | |
| (mammography and X-Ray examinationto be carried out if advised medically.) |
| 1. Haemoglobin level of the officer | Normal/Low |
| 2. Blood Sugar level | Satisfactory/Normal/High/Low |
| 3. Cholesterol level of the officer | Normal/High/Low |
| 4. Liver functioning | Satisfactory/normal/dysfunctioning |
| 5. Kidney Status | Normal/Both - one kidney not functional optimally |
| 6. Cardiac Status | Normal/enlarged/blocked/not normal |
| 7. In case of female officer, if the Gynae and Memographiccheck up is normal? | Normal/below normal |
| 1. Overall Health of the Officer | Excellent/Very Good/Average |
| 2. Any other remarks based on the health medical check up ofthe officer | |
| 3. Health profile grading | Excellent/Very Good/Good/Average |