ACR FORM TECHNICAL

Report for the year / period from

 To

Department / Office:

PART – I – PERSONAL DATA

(To be filled in by the Establishment Section concerned of Department / Office)

1.

Name of Official

2.

Designation / post held

3.

Date of birth

4.

Whether the official belongs to Scheduled Caste / Scheduled Tribe           

5.

Date of continuous appointment to the present grade viz. 

6.

Whether permanent or temporary or officiating

7.

Section (s) in which served during the year under report and period of service in each.           

Section

Period

8.

Period of absence from duty on leave, training etc. during the period.

PART – II – SELF APPRASAL

1.

Brief description of duties and responsibility:-

2.

Brief resume of works done during the period under report:-

Signature of the Government Servant

PART – III – ASSESSMENT OF THE REPORTING OFFICER

(Please read carefully the instruction given at the end of the form before filling the entries)

1.

Does the Reporting Officer agree with the statement made in Part- II

2.

If not, the extent of disagreement and reasons therefore

3.

What is your opinion about his

a) Arrangement and execution

of work                                  

(b) Promptness in disposal of work

(c)General intelligence and keenness to learn

(c) Punctuality

(d) Amenability to discipline 

(e) Relation with fellow employees/Public Relations(wherever applicable)

(f) Professional ability

(g) Integrity

(h) Reliability 

(i) State of health       

4.

Knowledge of Office Procedure

5.

Knowledge of Rules, Regulation

and Instructions in general and

with Particular reference to the

work allotted to him

6.

Has the officer been reprimanded

For indifferent work or for other

Causes during the period under

Report? If so, please give brief

Particulars.

7.

Has the officer done an outstanding or notable work Meriting commendations? Briefly mention them

8.

Grading(Outstanding/Very Good/

Good/Average/Below Average)

9.

Whether or not considered him

fit for advancement to the next

higher grade   

Station:

Signature of Reporting Officer

Date    :

Name(in block letter)

Designation

NB: (An officer should not be graded outstanding unless exceptional qualifies and performances have been noticed. Grounds for giving such a grading should clearly be brought out)

PART-IV  REMARKS BY REVIEWING OFFICER

1.

.

Length of    service under the Reviewing Officer

2.

Is the Reviewing Officer satisfied that    the Reporting Officer has made his/her report with due care and attention and after taking into account all the relevant factors?

3.

If the officer reported upon is a member Of Schedule Caste/Tribe,  please Indicate specifically whether the Attitude

of the Reporting Officer in Assessing the performance of the SC/ST Officer has been fair and just

4.

General remarks with specific

Comments about the general

Remarks By the Reporting

Officer and remarks About the

Meritorious work of the

  Officer including the grading

5.

Has the officer any special

Characteristics and or any

Abilities Which would justify

his/her Selection for special

assignment or/out Of turn

Promotion?

Place:

Signature of the Reviewing Officer

Date :

Name(in block letter)

Designation

During the period of the report

PART-V REMARKS OF THE ACCEPTING AUTHORITY

(Authority next superior to the Reviewing Authority)

Place :

Signature of Accepting Authority

Date :

Name(in block letter)

Designation

During the period of the report