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    Annexure Form - A Part-I: Item of Work Physical or Financial Achievements Target/Objective/Goal

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    Madu Jagu
    This document contains forms for a special confidential report for a government officer. It collects information about the officer's duties, achievements against targets, knowledge, conduct, initiative, judgment, supervision skills, health, and attendance. It also notes any punishments, indebtedness, and confirms the officer's position. The reporting officer provides an overall grading of the officer's performance and signs the form, which is then countersigned and commented on by additional reviewing officers up to the head of the department.

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    © All Rights Reserved
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    Annexure Form - A Part-I: Item of Work Physical or Financial Achievements Target/Objective/Goal

    Uploaded by

    Madu Jagu
    354 views3 pages
    This document contains forms for a special confidential report for a government officer. It collects information about the officer's duties, achievements against targets, knowledge, conduct, initiative, judgment, supervision skills, health, and attendance. It also notes any punishments, indebtedness, and confirms the officer's position. The reporting officer provides an overall grading of the officer's performance and signs the form, which is then countersigned and commented on by additional reviewing officers up to the head of the department.

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    Special CR vanaja-converted

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    This document contains forms for a special confidential report for a government officer. It collects information about the officer's duties, achievements against targets, knowledge, conduct, initiative, judgment, supervision skills, health, and attendance. It also notes any punishments, indebtedness, and confirms the officer's position. The reporting officer provides an overall grading of the officer's performance and signs the form, which is then countersigned and commented on by additional reviewing officers up to the head of the department.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    354 views3 pages

    Annexure Form - A Part-I: Item of Work Physical or Financial Achievements Target/Objective/Goal

    Uploaded by

    Madu Jagu
    This document contains forms for a special confidential report for a government officer. It collects information about the officer's duties, achievements against targets, knowledge, conduct, initiative, judgment, supervision skills, health, and attendance. It also notes any punishments, indebtedness, and confirms the officer's position. The reporting officer provides an overall grading of the officer's performance and signs the form, which is then countersigned and commented on by additional reviewing officers up to the head of the department.

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    © All Rights Reserved
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    of 3

    ANNEXURE

    FORM–A
    PART-I

    SPECIAL CONFIDENTIAL REPORT OF SRI.


    FOR THE PERIOD FROM TO.

    TO BE FILLED BY THE OFFICER REPORTED UP ON

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

    2. Please specify important items of work in order of priority where in quantitative/


    Physical/Financial targets objectives/goals were set for you or set by yourself for the
    reporting year and achievements made.

    ------------------------------------------------------------------------------------------------------------
    ITEM OF WORK PHYSICAL OR FINANCIAL ACHIEVEMENTS
    TARGET/OBJECTIVE/GOAL.
    ---------------------------------------------------------------------------------------------------------------------------------

    1.

    2.

    3.

    4.

    5.
    ------------------------------------------------------------------------------------------------------------

    3. a) In case of a shortfall of expected quality/


    quality of performance please state
    the reasons.

    b) Please indicate your control button in


    case of significantly higher achievement
    of the target/goal/objective. :

    SIGNATURE
    FORM – A
    PART - II
    SPECIAL CONFIDENTIAL REPORT OF GAZETTED OFFICERS.

    Name :

    Branch:

    Post Held :

    Date of (a) Birth :

    (b) Entry into


    Government service :

    Present Grade and pay :

    1) Knowledge of :

    a) Branch of Section :

    b) Department
    :
    2) Acceptance or otherwise of the self Appraisal
    Report of the Non-Gazetted Officer indicated
    In Part-I and if not agreed to the reasons therefore

    3) Personality, Conduct and Character :

    4) Power of taking responsibility :

    5) Initiative :

    6) a) Judgment :

    b) Accuracy :

    7) Tact and temper :

    8) Power of supervising staff :

    9) Zeal and industry :

    10) Health :

    11) Attendance :

    12) Capacity to note and Draft :

    13) Punishments, censures or special commendations


    During the period under report.

    14) Date of communication of adverse remarks:


    If any to the officer since last report.

    15) Indebtedness (indebted, the extent of personal :


    Responsibility of incurring the debts.

    16) Is he confirmed in this post If not, :


    What is his substantive post
    17) General remarks (including a statement on :
    Discipline, integrity, reliability and any other
    Special qualifications not included above).

    18) Grading:
    a) Outstanding
    b) Very Good.
    c) Good.
    d) Satisfactory.
    e) Poor

    (Clearly indicate the reasons for grading of the office)

    19 ) Reporting Officer :

    Date:

    Signature:
    Name and Designation (in block Letters)

    20) Remarks of the


    Countersigning Officer :

    Date:
    Signature:
    Name and Designation (in block Letters)

    21) Opinion of the Head of the Department


    On the conduct and efficiency of the Officer
    Reported on:

    Date:
    Signature:
    Name and Designation (in block Letters)
    Head of the Department

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