FORM-A

PART-II

ANNUAL CONFIDENTIAL REPORT OF GAZEETED OFFICERS FOR THE YEAR

2019-2020
Name of the Officer : P. Chakrapani,
Administrative Officer,
O/o D.T.C Office,
Chittoor.
Date of Birth :
1. Appointment held during the year :
(with date)
and pay and scale of pay.
2. General qualifications and aptitude for post :
held including any special or
technical and professional attainments.
a) Acceptance or otherwise of self-appraisal :
report of Gazetted Office indicated in Part I
and if not agreed to the reasons therefore
b) Manner in which the officer discharged his :
3. duties during the year(i.e.,) in satisfactory
or otherwise (Specific instances at
unsatisfactory work in adversely
commented is to cited with number and
date or orders
Does the Officer exhibit: -
i. Patience :
ii. Tact :
4. iii. Courtesy :
iv. Impartiality in his relations with the public :
and subordinate or superior staff with
whom he comes in contact:
Is the Officer: -
5. i. Of good Character :
ii. Of sound constitution :
Is the Officer: -
6. i. Physically energetic :
ii. Mentally alert :
How the Officer: -
i. Initiative and drive :
7.
i. Powers of Control :
ii. Powers of application :
8 Has the Officer any special characteristics and / :
or any outstanding merits or abilities which
would justify his advancement and special
selection for higher appointments in the service.

9. Is he confirmed in this post if not, :

What is his substantive post?

Contd.,
 a) Date of submission of Annual Property :
Returns Statement pertaining to the year
2023
10.
b) Punishments, censures or special :
Commendations in the period under
report.
a) Date of communication of adverse :
remarks since last report.
11.
b) Orders on the representation if any arising :
from (a) above.
12. General remarks (Comment generally on the :
way the Officer has carried out his duties,
estimate of his personality etc.)
13 Grading:-
i. Outstanding :
ii. Good :
iii. Satisfactory :
iv. Poor :
(Clearly indicate the reasons for grading of
the
Officers)
14 Reporting Officer :

Date:

Signature
Name and Designation
(in block letter)

15 Remarks of the Countersigning Officer :

Date:
Signature
Name and Designation
(in block letter)

16. Opinion of the Head of the Department :

(when not reporting Officer) on conduct
and efficiency of Officer reported on.

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

FORM-A

PART-II
 ANNUAL CONFIDENTIAL REPORT OF GAZEETED OFFICERS FOR THE YEAR
2020-2021
Name of the Officer : P. Chakrapani,
Administrative Officer,
O/o D.T.C Office,
Chittoor.
Date of Birth :
1. Appointment held during the year :
(with date)
and pay and scale of pay.
2. General qualifications and aptitude for post :
held including any special or
technical and professional attainments.
c) Acceptance or otherwise of self-appraisal :
report of Gazetted Office indicated in Part I
and if not agreed to the reasons therefore
d) Manner in which the officer discharged his :
3. duties during the year(i.e.,) in satisfactory
or otherwise (Specific instances at
unsatisfactory work in adversely
commented is to cited with number and
date or orders
Does the Officer exhibit: -
v. Patience :
vi. Tact :
4. vii. Courtesy :
viii. Impartiality in his relations with the public :
and subordinate or superior staff with
whom he comes in contact:
Is the Officer: -
5. iii. Of good Character :
iv. Of sound constitution :
Is the Officer: -
6. iii. Physically energetic :
iv. Mentally alert :
How the Officer: -
ii. Initiative and drive :
7.
iii. Powers of Control :
iv. Powers of application :
8 Has the Officer any special characteristics and / :
or any outstanding merits or abilities which
would justify his advancement and special
selection for higher appointments in the service.

9. Is he confirmed in this post if not, :

What is his substantive post?
10. c) Date of submission of Annual Property :
Returns Statement pertaining to the year Contd.,
2023
d) Punishments, censures or special :
 Commendations in the period under
report.
c) Date of communication of adverse :
remarks since last report.
11.
d) Orders on the representation if any arising :
from (a) above.
12. General remarks (Comment generally on the :
way the Officer has carried out his duties,
estimate of his personality etc.)
13 Grading:-
v. Outstanding :
vi. Good :
vii. Satisfactory :
viii. Poor :
(Clearly indicate the reasons for grading of
the
Officers)
14 Reporting Officer :

Date:

Signature
Name and Designation
(in block letter)

15 Remarks of the Countersigning Officer :

Date:
Signature
Name and Designation
(in block letter)

16. Opinion of the Head of the Department :

(when not reporting Officer) on conduct
and efficiency of Officer reported on.

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

FORM-A

PART-II

ANNUAL CONFIDENTIAL REPORT OF GAZEETED OFFICERS FOR THE YEAR

2021-2022
Name of the Officer : P. Chakrapani,
Administrative Officer,
O/o D.T.C Office,
Chittoor.
Date of Birth :
1. Appointment held during the year :
(with date)
and pay and scale of pay.
2. General qualifications and aptitude for post :
held including any special or
technical and professional attainments.
e) Acceptance or otherwise of self-appraisal :
report of Gazetted Office indicated in Part I
and if not agreed to the reasons therefore
f) Manner in which the officer discharged his :
3. duties during the year(i.e.,) in satisfactory
or otherwise (Specific instances at
unsatisfactory work in adversely
commented is to cited with number and
date or orders
Does the Officer exhibit: -
ix. Patience :
x. Tact :
4. xi. Courtesy :
xii. Impartiality in his relations with the public :
and subordinate or superior staff with
whom he comes in contact:
Is the Officer: -
5. v. Of good Character :
vi. Of sound constitution :
Is the Officer: -
6. v. Physically energetic :
vi. Mentally alert :
How the Officer: -
iii. Initiative and drive :
7.
v. Powers of Control :
vi. Powers of application :
8 Has the Officer any special characteristics and / :
or any outstanding merits or abilities which
would justify his advancement and special
selection for higher appointments in the service.

9. Is he confirmed in this post if not, :

What is his substantive post?
e) Date of submission of Annual Property :
Returns Statement pertaining to the year
2023
10.
f) Punishments, censures or special :
Commendations in the period under
report.
e) Date of communication of adverse :
remarks since last report.
11.
f) Orders on the representation if any arising :
from (a) above.
12. General remarks (Comment generally on the :
way the Officer has carried out his duties,
estimate of his personality etc.)
13 Grading:-
ix. Outstanding :
x. Good :
xi. Satisfactory :
xii. Poor :
(Clearly indicate the reasons for grading of
the
Officers)
14 Reporting Officer :

Date:

Signature
Name and Designation
(in block letter)

15 Remarks of the Countersigning Officer :

Date:
Signature
Name and Designation
(in block letter)

16. Opinion of the Head of the Department :

(when not reporting Officer) on conduct
and efficiency of Officer reported on.

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

FORM-A

PART-II

ANNUAL CONFIDENTIAL REPORT OF GAZEETED OFFICERS FOR THE YEAR

2022-2023
Name of the Officer : P. Chakrapani,
Administrative Officer,
O/o D.T.C Office,
Chittoor.
Date of Birth :
1. Appointment held during the year :
 (with date)
and pay and scale of pay.
2. General qualifications and aptitude for post :
held including any special or
technical and professional attainments.
g) Acceptance or otherwise of self-appraisal :
report of Gazetted Office indicated in Part I
and if not agreed to the reasons therefore
h) Manner in which the officer discharged his :
3. duties during the year(i.e.,) in satisfactory
or otherwise (Specific instances at
unsatisfactory work in adversely
commented is to cited with number and
date or orders
Does the Officer exhibit: -
xiii. Patience :
xiv. Tact :
4. xv. Courtesy :
xvi. Impartiality in his relations with the public :
and subordinate or superior staff with
whom he comes in contact:
Is the Officer: -
5. vii. Of good Character :
viii. Of sound constitution :
Is the Officer: -
6. vii. Physically energetic :
viii. Mentally alert :
How the Officer: -
iv. Initiative and drive :
7.
vii. Powers of Control :
viii. Powers of application :
8 Has the Officer any special characteristics and / :
or any outstanding merits or abilities which
would justify his advancement and special
selection for higher appointments in the service.

9. Is he confirmed in this post if not, :

What is his substantive post?
g) Date of submission of Annual Property :
Returns Statement pertaining to the year
2023
10.
h) Punishments, censures or special :
Commendations in the period under
report.
g) Date of communication of adverse :
remarks since last report.
11.
h) Orders on the representation if any arising :
from (a) above.
12. General remarks (Comment generally on the :
way the Officer has carried out his duties,
 estimate of his personality etc.)
13 Grading:-
xiii. Outstanding :
xiv. Good :
xv. Satisfactory :
xvi. Poor :
(Clearly indicate the reasons for grading of
the
Officers)
14 Reporting Officer :

Date:

Signature
Name and Designation
(in block letter)

15 Remarks of the Countersigning Officer :

Date:
Signature
Name and Designation
(in block letter)

16. Opinion of the Head of the Department :

(when not reporting Officer) on conduct
and efficiency of Officer reported on.

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

FORM-A

PART-II

ANNUAL CONFIDENTIAL REPORT OF GAZEETED OFFICERS FOR THE YEAR

2023-2024
Name of the Officer : P. Chakrapani,
Administrative Officer,
O/o D.T.C Office,
Chittoor.
Date of Birth :
1. Appointment held during the year :
(with date)
and pay and scale of pay.
2. General qualifications and aptitude for post :
held including any special or
technical and professional attainments.
i) Acceptance or otherwise of self-appraisal :
report of Gazetted Office indicated in Part I
and if not agreed to the reasons therefore
j) Manner in which the officer discharged his :
3. duties during the year(i.e.,) in satisfactory
or otherwise (Specific instances at
unsatisfactory work in adversely
commented is to cited with number and
date or orders
Does the Officer exhibit: -
xvii. Patience :
xviii. Tact :
4. xix. Courtesy :
xx. Impartiality in his relations with the public :
and subordinate or superior staff with
whom he comes in contact:
Is the Officer: -
5. ix. Of good Character :
x. Of sound constitution :
Is the Officer: -
6. ix. Physically energetic :
x. Mentally alert :
How the Officer: -
v. Initiative and drive :
7.
ix. Powers of Control :
x. Powers of application :
8 Has the Officer any special characteristics and / :
or any outstanding merits or abilities which
would justify his advancement and special
selection for higher appointments in the service.

9. Is he confirmed in this post if not, :

What is his substantive post?
i) Date of submission of Annual Property :
Returns Statement pertaining to the year
2023
10.
j) Punishments, censures or special :
Commendations in the period under
report.
i) Date of communication of adverse :
remarks since last report.
11.
j) Orders on the representation if any arising :
from (a) above.
12. General remarks (Comment generally on the :
way the Officer has carried out his duties,
estimate of his personality etc.)
13 Grading:-
 xvii. Outstanding :
xviii.Good :
xix. Satisfactory :
xx. Poor :
(Clearly indicate the reasons for grading of
the
Officers)
14 Reporting Officer :

Date:

Signature
Name and Designation
(in block letter)

15 Remarks of the Countersigning Officer :

Date:
Signature
Name and Designation
(in block letter)

16. Opinion of the Head of the Department :

(when not reporting Officer) on conduct
and efficiency of Officer reported on.

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