Ikzi= &A

LVkQ+ ua-a

FORM-I

STAFF 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)
@[k@ D;k vf/kdkjh vuqlwfpr tkfr @ vuqlwfpr tutkfr
dk gS \
Whether the officer belongs to SC/ ST/
OBC

(kCnksa es)a
(In words)

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

fnukad

Js.kh

Date of continuous appointment to the

present grade

Date

Grade

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

in

fnukad

Present post and date of appointment

thereto

Post

Date

5-okZ esa dk;Z ls vuqifLFkfr dh vof/k (izfk{k.k]

NqV~Vh] vkfn ij ) ;fn mDr vf/kdkjh us izfk{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

ftl vf/kdkjh dk izfrosnu fy[kk tkuk gS] mlds }kjk Hkjs tkus ds fy,

Hkkx&2
PART-2

To be filled by the Officer reported upon

( d`i;k izfofV;ksa dks Hkjus ls igys vuqns kksa 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;

miyfC/k;kWa

Targets/Objectives/Goals

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 dks 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 %

Lkwpuk nsus okys vf/kdkjh ds gLrk{kj

Date :

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 funsZ kksa 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/kdkjh

@lanHkZ Hkkx&5 dk iSjk 2@

iqufoZyksdu

izkf/kdkjh

Reporting
Authority

(Refer Para-2 of Part-5)

Reviewing Authority

iqufoZyksdu
ds vk|{kj

izkf/kdkjh

Initial of Reviewing
Authority

i) iwofZ u;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)

dk;Z fuiknu dh dksfV

Quality of output

iii)

foysk.kkRed ;ksX;rk

Analytical ability

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

vizR;kfkr dk;Z
iv)

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%)

Ikzfrosnu
izkf/kdkjh
Reporting
Authority

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

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

Authority

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

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

of

Initial
of
Reviewing
Authority

fu;e @ fofu;e@ dk;Z ,oa ;ksX;rk ds {ks= esa

izfdz;k,Wa ,oa muds lgh iz;ksx dh tkudkjh

i)

Knowledge of Rules/Regulations/Procedures in
the area of function and ability to apply them
correctly
ii) uhfrc) ;kstuk cukus dh {kerk
Strategic planning ability
iii) fu.kZ; ysus dh {kerk
Decision making ability
iv) leUo; {kerk
Coordination ability
v) v/khuLFk dks izsfjr ,oa fodflr djus dh {kerk
Ability to motivate and develop subordinates
vi) igy kfDr
Initiative

Ikzdk;kZRed l{kerk ij dqy feykdj Js.khdj.k

Overall Grading on Functional Competency

Hkkx&4

lkekU;

PART-4

GENERAL

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

Relations with the public (wherever applicable)

@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)

1- 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 frfFk
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 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 3@v@ ,oa 3@c@
,oa nqcZy oxksZa 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

Ukke lkQ+ v{kjksa esa %

Name in Block Letters
inuke
Designation

Place:

fnukad %

Ikzfronsu dh vof/k esa %

Date:

During the period of Report

vf/kdkjh dk uke
Name of the Officer

fjiksVZ dh vof/k
Reporting Period

Hkkx & 5
PART-5

iqufoZyksdu vf/kdkjh dh vfHk;qfDr %

REMARKS OF THE REVIEWING OFFICER

iqufoZyksdu 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&3@v@@iv@ rFkk Hkkx &4@5@ @ ;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)

ugha

gkWa

No

Yes

3- vlger gksus dh fLFkfr esa d`Ik;k blds dkj.k crk;s]a 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- iqufoZyksdu 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.

iqufoZyksdu vf/kdkjh ds gLrk{kj

Signature of the Reviewing Officer

Ukke lkQ+ v{kjksa esa %

LFkku %
Place:

Name in Block Letters

fnukad %

inuke
Designation

Date:

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 lac/a 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.
(ii) ;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 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
iqufoZyksdu izkf/kdkfj;ksa dks fdlh vf/kdkjh dk ntkZfu/kkZj.k muds v/khu cgh la[;k esa orZeku esa dk;Zjr lg;ksfx;ksa
dh rqyuk esa djuk pkfg, A
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.
(iii) ,-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
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.
(iv) ,-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
APARs graded between 6 and short of 8 will be rated as Very Good and will be given a
score of 7.
(v) ,-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
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 tk,xk A
APARs graded below 4 will be given a score of Zero.

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@ gjk
Green

@2@ ihyk
Yellow

@3@ lQ+ns
White

&

mPp izkklfud Js.kh ,oa mij

SAG Level & above.

&

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

JTS, STS & JAG

&

oxZ ^[k*

Gr. B.