Ikzi= &A

FORM-I

LVkQ uaaSTAFF No.__________

Cyw cqd ds eqrkfcd

(As per Blue Book)

nwjlapkj lsok] Hkkjrh; Mkd vkSj nwjlapkj ys[kk ,oa for lsok Hkou fuekZ.k dk;Z laca/kh oxZ ^[k* vf/kdkfj;ksa ds fy, OkkfkZd dk;Zfuiknu ewY;kadu izfrosnu
ANNUAL PERFORMANCE APPRAISAL REPORT For Group B Officers of Telecom Service P&T Accounts and Finance & P&T (BWS) Service of DOT

vf/kdkjh dk uke
Name of Officer

tUe frfFk
Date of Birth

lekIr gksus okys okZ ] vof/k dh fjiksVZ

Report for the year/period ending

ea=ky; @ foHkkx izi=&A

Ministry/Department of

Ikzi=
Form

nwjlapkj lsok] Hkkjrh; Mkd vkSj nwjlapkj ys[kk ,oa foRr lsok ] Hkou fuekZ.k dk;Z laca/kh oxZ ^ [k * ds vf/kdkfj;ksa ds fy, okfkZd ewY;kadu izfrosnu
Annual Performance Appraisal Report of Group B Officers of Telecom Service, P&T Accounts and Finance & P&T (BWS) Service of DOT

lekfIr okZ @ vof/k dk izfrosnu

Report for the year/period ending

oS;fDrd C;kSjs
PERSONAL DATA

Hkkx & 1
PART-1

ea=ky; foHkkx dk;kZy; ds lacaf/kr izkklfud vuqHkkx }kjk Hkjs tkus ds fy,
(To be filled by the Administrative Section concerned of the Ministry/Department/Office)

1- vf/kdkjh dk uke
Name of Officer

2- d tUe dh rkjh[k fnu @ekg @ okZ

Date of Birth ( DD/MM/YYYY)

kCnksa esa
(In words)

[k D;k vf/kdkjh vuqlwfpr tkfr @ vuqlwfpr tutkfr dk gS \

Whether the officer belongs to SC/ ST/ OBC

3- orZeku Js.kh esa yxkrkj fu;qfDr dh rkjh[k

Date of continuous appointment to the present grade

fnukad
Date

Js.kh
Grade

4- orZeku in rFkk ml ij fu;qfDr dh rkjh[k

Present post and date of appointment thereto

in
Post

fnukad
Date

5- okZ esa dk;Z ls vuqifLFkfr dh

vof/k izfk{k.k] NqV~Vh] vkfn ij ;fn mDr vf/kdkjh us izf'k{k.k fy;k gS rks mldk fooj.k nsa
Period of absence from duty (on training, leave, etc) during the year. If he has undergone training, specify.

vf/kdkjh dk uke
Name of the Officer

fjiksVZ dh vof/k %
Reporting Period

Hkkx&2 ftl vf/kdkjh dk izfrosnu fy[kk tkuk gS] mlds }kjk Hkjs tkus ds fy,
PART-2 To be filled by the Officer reported upon

d`i;k izfofV;ksa dks Hkjus ls igys vuqnskksa dks /;ku ls i<+ ysa
(Please read carefully the instructions before filling the entries)

1-

fd, x, dk;ksZa dk laf{kIr fooj.k

Brief description of duties

dk;Z ds tks y{; @ mn~ns; @/;s; vkius Lo;a vius fy, fu/kkZfjr fd, gksa ;k vkids fy, fu/kkZfjr fd, x, gksa mu ifj.kke @ ek=k ;k vU; :Ik esa dk;ksaZ dh vkB&nl ensa izkFkfedrk ds vk/kkj ij cuk,Wa vkSj gjsd y{; dh n`fV ls viuh miyfC/k crk,Wa A
Please specify targets/objectives/goals (in quantitative or other terms) of work you set for yourself or that were set for you, eight to ten items of work in the order of priority and your achievement against each target.

Yk{;@mn~ns;@/;s;
Targets/Objectives/Goals

miyfC/k;kWa
Achievements

3 v d`Ik;k en 2 esa crk, x, y{;ksa @ mn~ns;ksa @ /;s;ksa dh izkfIr esa jgh dfe;ksa dk la{ksi esa mYys[k djsa A ;fn y{;ksa dh izkfIr esa dksbZ ck/kk,Wa jgha rks os crk,Wa A
(A) Please state briefly, the shortfalls with reference to the targets/objectives/goals referred to in item 2. Please specify constraints, if any, in achieving the targets.

c d`Ik;k mu enksa dk Hkh mYys[k djsa ftuesa dkQ+h vf/kd miyfC/k;kWa jgh gSa vkSj muesa vius ;ksxnku dk Hkh mYys[k djsa
(B) Please also indicate items in which there have been significantly higher achievements and your contribution thereto.

4- d`Ik;k mYys[k djsa fd D;k iwoZorhZ dSYkSaMj okZ dh vpy laifRr fooj.kh fu/kkZfjr rkjh[k vFkkZr~ dSySaMj okZ ls mRRkjorhZ okZ dh 31 tuojh rd ntZ djk nh xbZ Fkh A ;fn ugha rks fooj.k ntZ djkus dh rkjh[k nh tk, A
Please state whether the annual return on immovable property for the preceeding calendar year was filed within the prescribed date i.e. 31st January of the year following the calendar year. If not, the date of filing the return should be given.

fnukad %
Date :

Lkwpuk nsus okys vf/kdkjh ds gLrk{kj

Signature of officer reported upon

vf/kdkjh dk uke
Name of the Officer

fjiksVZ dh vof/k %
Reporting Period

Hkkx&3
PART-3

Lka[;kRed oxhZdj.k dk fu/kkZj.k izfrosnu rFkk iqufuZjh{k.k izkf/kdkjh }kjk fd;k tkuk gS tks 1&10 ds iSekus ij gksuk pkfg,] tgkWa 1 lcls de Js.kh dk rFkk 10 mPpre Js.kh dk mYys[k djrk gS A
Numerical grading is to be awarded by reporting and reviewing authority which should be on a scale of 1-10, where 1 refers to the lowest grade and 10 to the highest.

d`i;k izfofV;ksa dks Hkjus ls igys fnkk funsZkksa dks /;ku ls i<+ ysa
(Please read carefully the guidelines before filling the entries)

v dk;Z fuiknu dk ewY;kadu @bl Hkkx dk Hkkj 40% gksxk

(A) Assessment of work output (weightage to this Section would be 40%)

izfrosnu izkf/kdkj h
Reporting Authority

iqujkoyksdu iqujkoyksdu izkf/kdkjh izkf/kdkjh ds lanHkZ Hkkx&5 vk|{kj Initial of Reviewing dk iSjk 2
Reviewing Authority
(Refer Para-2 of Part-5)

Authority

i)

iwoZfu;ksftr dk;Z dh ifjiw.kZrk @ fok; ds vk/kkj ij vkcafVr fd;k x;k dk;Z

Accomplishment of planned work/work allotted as per subjects allotted

ii) iii) iv)

dk;Z fuiknu dh dksfV foysk.kkRed ;ksX;rk

Quality of output Analytical ability

vioknkRed dk;Z dh ifjiw.kZrk @ fd, x, vizR;kfkr dk;Z

Accomplishment of exceptional work/unforeseen tasks performed v) fuxZr dk;Z ij dqy feykdj Js.khdj.k Overall Grading on Work Output

c O;fDrxr fokskrkvksa dk ewY;kadu @bl Hkkx dk Hkkj 30% gksxk

(B) Assessment of personal attributes (weightage to this Section would be 30%)

Ikzfrosn u izkf/kdkj h
Reporting Authority

iqujkoyksdu iqujkoyksdu izkf/kdkjh izkf/kdkjh ds lanHkZ Hkkx&5 vk|{kj Initial of Reviewing dk iSjk 2
Reviewing Authority
(Refer Para-2 of Part-5)

Authority

i) dk;Z dh vfHko`fRr
Attitude to work ii) ftEesnkjh dk cks/k Sense of responsibility iii) vuqkklu dk vuqj{k.k Maintenance of Discipline iv) laizsk.k {kerk,Wa Communication skills v) usr`Ro xq.k Leadership qualities vi)

ny dh Hkkouk esa dk;Z djus dh

{kerk
Capacity to work in team spirit

le; lkfj.kh dk vuqlj.k djus dh {kerk

vii) Capacity to adhere to time-schedule viii) ijLij O;fDrxr laca/k Inter-personal relations ix) lexz Nfo ,oa O;fDrRo Overall bearing and personality

O;fDrxr fokskrkvksa ij dqy feykdj Js.khdj.k

Overall Grading on Personal Attributes

vf/kdkjh dk uke
Name of the Officer

fjiksVZ dh vof/k %
Reporting Period

l izdk;kZRed l{kerk dk ewY;kadu bl Hkkx dk Hkkj 30 % gksxk

(C) Assessment of functional competency (weightage to this Section would be 30%)

izfronsu izkf/kdkjh
Reporting Authority

iqujkoyksdu izkf/kdkjh lanHkZ Hkkx&5 dk iSjk&2

Reviewing Authority
(Refer Para-2 Part-5) of

iqujkoyksd u izkf/kdkjh ds vk|{kj

Initial of Reviewing Authority

i)

fu;e @ fofu;e@ dk;Z ,oa ;ksX;rk ds {ks= esa izfdz;k,Wa ,oa muds lgh iz;ksx dh tkudkjh
Knowledge of Rules/Regulations/Procedures in the area of function and ability to apply them correctly ii) iii) iv) v)

uhfrc) ;kstuk cukus dh {kerk

Strategic planning ability

fu.kZ; ysus dh {kerk

Decision making ability

leUo; {kerk
Coordination ability

v/khuLFk dks izsfjr ,oa fodflr djus dh {kerk

Ability to motivate and develop subordinates vi)

igy kfDr
Initiative

izdk;kZRed Js.khdj.k

l{kerk

ij

dqy

feykdj

Overall Grading on Functional Competency

Hkkx&4
PART-4 Relations with the public (wherever applicable)

lkekU;
GENERAL

1- turk ds lkFk Hkkxhnkjh tgkWa Hkh iz;ksT;

turk dh vko;drkvksa dk mRrjnkf;Ro ,oa vf/kdkjh rd vfHkxe ij d`Ik;k fVIi.kh nsa
(Please comment on the Officers accessibility to the public and responsiveness to their needs)

2- izfk{k.k
Training

d`Ik;k vf/kdkjh dh izHkkfork ,oa dk;Z {kerkvksa esa vkSj vf/kd lq/kkj vkSj o`f) djus dh n`fV ls mlds izfk{k.k ds fy, flQ+kfjksa djsa
(Please give recommendations for training with a view to further improving the effectiveness and capabilities of the officer)

3- LokLF; dh fLFkfr
State of health

4- lR;fuBk
Integrity

d`Ik;k vf/kdkjh dh lR;fuBk ij fVIi.kh nsa

(Please comment on the integrity of the officer)

5- izfrosnu vf/kdkjh }kjk vf/kdkjh dh leLr fokskrkvksa dh dye rLohj yxHkx 100 kCnksa esa ] ftlesa lkeF;Z {ks= ,oa de lkeF;Z {ks=] vlk/kkj.k miyfC/k;kWa] egRoiw.kZ vlQ+yrkvksa lanHkZ % Hkkx 2 dk vak 3v ,oa 3c ,oa nqcZy oxksaZ ds izfr vfHko`fRr kkfey gks A
Pen Picture by Reporting Officer (in about 100 words) on the overall qualities of the officer including area of strengths and lesser strength, extraordinary achievements, significant failures (ref: 3(A) & 3(B) of Part-2) and attitude towards weaker sections.

6- izfronsu ds Hkkx&3 ds [kaM v] c rFkk l esa fn, x, Hkkjkak ds vk/kkj ij dqy feykdj la[;kRed oxhZdj.k
Overall numerical grading on the basis of weightage given in Section A, B and C in Part-3 of the Report

izfrosnu vf/kdkjh ds gLrk{kj

Signature of the Reporting Officer

LFkku
Place:

Ukke lkQ+ v{kjksa esa %

Name in Block Letters

inuke
Designation

fnukad %
Date:

Ikzfronsu dh vof/k esa %

During the period of Report

vf/kdkjh dk uke
Name of the Officer

fjiksVZ dh vof/k
Reporting Period

Hkkx & 5
PART-5

iqujkoyksdu vf/kdkjh dh vfHk;qfDr %

REMARKS OF THE REVIEWING OFFICER

iqujkoyksdu vf/kdkjh ds varxZr lsok dky

Length of service under the Reviewing Officer

2- D;k vki Hkkx&3 o Hkkx&4 esa fuxZr dk;Z rFkk fofHkUu xq.kksa ds laca/k esa izfrosnu vf/kdkjh }kjk fd, x, ewY;kadu ls lger gSa \ D;k vki vf/kdkjh dh vlk/kkj.k miyfC/k;ksa@egRoiw.kZ vlQ+yrkvksa ds laca/k esa fd, x, ewY;kadu ls lger gSa \ lanHkZ Hkkx&3v iv rFkk Hkkx &45 ;fn vki izfrosnu vf/kdkjh }kjk fn, xq.kksa ds fdlh la[;kRed ewY;kadu ls lger ugha gSa rks d`Ik;k viuk ewY;kadu bl [kaM ds fn, x, LraHk esa nsa rFkk fo|ekurk dks vk|{kj djsa A
Do you agree with the assessment made by the reporting officer with respect to the work output and the various attributes in Part-3 & Part-4? Do you agree with the assessment of reporting officer in respect of extraordinary achievements/significant failures of the officer reported upon? (Ref: Part-3(A)(iv) and Part-4(5)
(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)

gkWa
Yes

ugha
No

3- vlger gksus dh fLFkfr esa d`Ik;k blds dkj.k crk;sa] D;k dksbZ ,slh ckr gS ftls vki dqN cnyuk ;k tksM+uk pkgrs gSa \
In case of disagreement, please specify the reasons. Is there anything you wish to modify or add?

4- iqujkoyksdu vf/kdkjh }kjk dye rLohj A d`Ik;k lekykspu djsa yxHkx 100 kCnksa esa ftlesa vf/kdkjh dh leLr fokskrkvksa dh lkeF;Z {ks= ,oa de lkeF;Z {ks= ,oa mldh nqcZy oxksaZ ds izfr vfHko`fRr kkfey gks A
Pen Picture by Reviewing Officer. Please comment (in about 100 words) on the overall qualities of the officer including area of strengths and lesser strength and his attitude towards weaker sections.

5- izfrosnu ds Hkkx&3 ds [kaM &v] rFkk [kaM&c rFkk [kaM& l esa fn, x, Hkkjkak ds vk/kkj ij dqy feykdj la[;kRed oxhZdj.k A
Overall numerical grading on the basis of weightage given in Section-A, Section-B and Section-C in Part-3 of the Report.

iqujkoyksdu vf/kdkjh ds gLrk{kj

Signature of the Reviewing Officer

LFkku %
Place:

Ukke lkQ+ v{kjksa esa %

Name in Block Letters

inuke fnukad %
Date: Designation

izfrosnu dh vof/k esa %

During the period of Report

CERTIFICATE
(To be filled up by the Incharge entrusted with the responsibility of maintenance of Circle Copy of APAR in the Field Unit/Circle/Distt.) This is to certify that this APAR (earlier ACR) for the period.has been disclosed to the officer reported upon and all actions in compliance to the DOP&T O.M.No.21011/1/2005-Estt.(A) (Pt.III) dated 14th May, 2009 in connection with the Annual Performance Appraisal Report of the officer have been completed.

Signature of the Incharge entrusted with the responsibility of maintenance of APAR in the Field unit/Circle/Dist.

Name of the officer Designation Office

(Note: It must be ensured that while sending the DOT copy of APAR, this certificate must be duly filled up. In the absence of this certificate, the APAR will not be accepted by DOT).

Lka[;kRed Js.khdj.k ds lkFk ,-ih-,-vkj- Hkjus laca/kh fnkkfunsZk

Guidelines regarding filling up of APAR with numerical grading

(i) ,-ih-,-vkj- ds LraHk fof/kor lko/kkuh+ vkSj /;kuiwoZd rFkk Ik;kZIr le;

nsrs gq, Hkjus pkfg, A

The columns in the APAR should be filled in with due care and attention and after devoting adequate time.

;g vkkk dh tkrh gS fd 1 vFkok 2 ds fdlh oxhZdj.k fuxZr dk;Z ;k fokskrkvksa ;k dqy feykdj Js.khdj.k ds izfrdwy dks fofkV vlQ+yrkvksa ds ekxZ ls dye fp= esa i;kZIr :Ik ls vkSfpR; fn;k tk,xk vkSj blh izdkj 9 vFkok 10 ds fdlh Js.kh ds laca/k esa fofkV miyfC/k;ksa ds laca/k esa vkSfpR; fn;k tk,xk A Js.kh 1&2 vFkok 9&10 fojy gksrh gS vr% mudk vkSfpR; fn, tkus dh t+:jr gS A lkaf[;d Js.kh iznku djrs gq, izfrosnu ,oa iqujkoyksdu izkf/kdkfj;ksa dks fdlh vf/kdkjh dk ntkZfu/kkZj.k muds v/khu cM+h la[;k esa orZeku esa dk;Zjr lg;ksfx;ksa dh rqyuk esa djuk pkfg, A
(ii) It is expected that any grading of 1 or 2 (against work output or attributes or overall grade) would be adequately justified in the pen-picture by way of specific failures and similarly, any grade of 9 or 10 would be justified with respect to specific accomplishments. Grades of 1-2 or 9-10 are expected to be rare occurrences and hence the need to justify them. In awarding a numerical grade the reporting and reviewing authorities should rate the officer against a larger population of his/her peers that may be currently working under him.

,-ih-,-,-vkj- dk 8 ls 10 ds chp dk oxhZdj.k ^^ mRd`V ** fy;k tk,xk rFkk lwphdj.k @ izksUufr ds fy, vkSlr izkIrkad dh x.kuk djus ds fy, izkIrkad 9 fn;k tk,xk A
(iii) APARs graded between 8 and 10 will be rated as Outstanding and will be given a score of 9 for the purpose of calculating average scores for empanelment/promotion.

,-ih-,-vkj- dk 6 rFkk 8 ls NksVk ds chp dk oxhZdj.k ^^ cgqr vPNk ** fy;k tk,xk rFkk izkIrkad 7 fn;k tk,xk A
(iv) APARs graded between 6 and short of 8 will be rated as Very Good and will be given a score of 7.

,-ih-,-vkj- dk rFkk 4 rFkk 6 ls NksVk ds chp dk oxhZdj.k ^^vPNk** fy;k tk,xk rFkk izkIrkad 5 fn;k tk,xk A
(v) APARs graded between 4 and 6 and short of 6 will be rated as Good and given a score of 5. (vi) ,-ih-,-vkj- dk 4 ls de oxhZdj.k ^^kwU;** fy;k APARs graded below 4 will be given a score of Zero.

tk,xk A

Hkkjrh; nwjlapkj foHkkx ds fHkUu fHkUu oxksZa }kjk ,-ih-,-vkj- izi= Hkjrs le; jax ;kstuk ds laca/k esa fnkk funsZk A
Guidelines regarding the colour scheme to be used by different grade of Officers in DOT while filling up their APAR form.

1 2

gjk ihyk

&
-

mPp izkklfud Js.kh ,oa mij

SAG Level & above.

Green

&
-

dfuB ] ofjB le;eku o dfuB izkklfud Js.kh

JTS, STS & JAG

Yellow

lQ+sn
-

&
Gr. B.

oxZ ^[k*

White