APPENDIX ‘D’

THE INSTITUTION OF ELECTRONICS AND TELECOMMUNICATION ENGINEERS ANNUAL CONFIDENTIAL/ SPECIAL/ PROBATION REPORT ON STAFF YEAR ___________/PERIOD FROM____________ TO _________

(To be completed by Administration)

PERSONAL DATA

Name :  Shri/ Smt/ Km			Staff No:
Date of Birth:		Qualifications:
Date of Joining:		Appointment/Department
Date of Promotion/ACP	(1^st)	(2^nd)	(3^rd)
	(4^th)	(5^th)	(6^th)

Leave availed during the period under Consideration: EL  ML   Mat L   L w/o P

Pay Scale

Present Pay Rs Disciplinary action, if any

Self Appraisal not exceeding 300 words duly signed including the task assigned

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Instructions:

The assessment of the staff is very important administrative function and Reporting Officers should take great pains to complete the report as accurately as possible. Various qualities have been listed and the marks to be allotted are indicated on a 10 point scale. When the individual is given less than 4 marks or more than 8 marks, it will be mandatory to give the details , explaining the short comings or the outstanding performance meriting such marks. The form is to be completed in the Reporting Officers own handwriting by giving marks in the appropriate box below.

ASSESSMENT

Ten point scale: [9-10: Outstanding (A)]; [7-8: Very good (AA-)]; [6: Good (A-)];

[5: Average (B)]; [4: Poor (B-)]; [3 & below: Bad (C)]

PERFORMANCE APPRAISAL
Assessment Parameters				Reporting	Reviewing
				Officer	Officer
1.	Personality (General Bearing, smartness, inspiring confidence)
2.	Work knowledge ( knowledge of rules & procedures, quality of
	work, promptness, accuracy and capability)
3.	Devotion to duty & Institution (Institution’s Interest,
	Implementation of decisions, ability to work hard, efficiency)
4.	Responsibility (goes ahead with work unguided, acceptance of
	additional responsibility, good housekeeping & reporting to the
	supervisor about the completion of job and status)
5.	Reliability (Dependability without reminder/ supervision)
6.	Integrity and Honesty (honouring norms, rules and regulations)
7.	Discipline (conduct and behaviors, good house-keeping, adherence
	to orders, Instructions)
8.	Cooperation (Inter-relationship and readiness to work with
	superiors, co-workers and subordinates.
9.	Group Behavior (readiness to cover accomplishment a task as a
	team, tact, awareness, espirt-de-corps)
10. Punctuality (regularity and punctuality in attendance and also of
	the work allotted )
Reporting Officer (RO)
Date		Designation		Signature
Reviewing Officer (RO)
Date		Designation	Signature

Reporting- Officer’s Observations / Remarks (Obligatory if the marks are more than 8 or less than 4)

Date Designation Signature

Reviewing Officer

Report of the period from _____________________ to __________________

Length of service under the Assessor from _________________ to ___________

1. Do you agree with the assessment of Reporting Officer? If NOT, in what respects?

Date Designation Signature

RECOMMENDATIONS

1.	Fitness for increment.		YES	NOT YET	NO
		RO
		RO

2.	Suitability for promotion.	RO
		RO

3. Special achievements meriting Accelerated increment/ Promotion

Secretary General

4. Overall Grading & General Remarks : Outstanding (A), Very good (AA-), Good (A-), Average (B), Poor (B-), Bad (C), (Based on the recordings of the Officer, Reporting Officer & Reviewing Officer + own impressions about the work)

Secretary General

5. Any oral/ in writing remarks for improvement during the Period by Reporting Officer/ Reviewing Officer/CSO

6.	Adverse remarks communicated if any:	Ref	Date
7.	Meritorious remarks if any:	Ref	Date
	Date:		Secretary General

8. General Remarks (where ever applicable)

Date: President