ACR-GP 1300 to 1800 - Central Institute of Plastics Engineering ...

CENTRAL INSTITUTE OF PLASTICS ENGINEERING AND TECHNOLOGY
Head Office, Guindy, Chennai – 600 032
Telephone: 044-22254780 Fax: 044-22254787
Email: cipethq@vsnl.com Web: www.cipet.gov.in
FORM OF CONFIDENTIAL REPORT OF NON-SUPERVISORS
[Grade Pay from Rs.1300 to 1800]
Report for the year / period ending 20 – (1 st March 20 – 28 th
February 20 )
Centre:__________________
PART – I – PERSONAL DATA
1. Name of the employee :
2. Date of birth :
3. PF. No. :
4.(a) Present post and date of
appointment to the present
post
(b) Qualification at the time of
joining
5. Name of all the earlier posts,
Scale of pay & Period
:
Post : _______________ Scale of pay: _______________
(From__________ month / year To____________ month/ year)
Post : _______________ Scale of pay: _______________
(From__________ month / year To____________ month/ year)
Post : _______________ Scale of pay: _______________
(From__________ month / year To____________ month/ year)
Post : _______________ Scale of pay: _______________
(From__________ month / year To____________ month/ year)
Post : _______________ Scale of pay: _______________
(From__________ month / year To____________ month/ year)
6. Period of absence from duty /
(on leave, training, etc.),
during the year
: CL : SL :
EL :
Others:
(Please Specify)
Form ACR – 1 / Page 1 of 6

PART – II – ASSESSMENT BY THE REPORTING OFFICER / DEPT. HEAD
(Please read carefully the instructions given at the end of the form before filling the
entries)
1. State of health
2. General intelligence and keenness
3. Proficiency in his work
4. Intelligence and keenness
5. Has he/she ever been entrusted with work other than routine? If
so, indicate his/her capacity to express himself/herself with clarity
and comprehension, in his/her notes/drafts/activities
6. Knowledge of office procedure
Form ACR – 1 / Page 2 of 6

7. Knowledge of rules, regulations and instructions in general and
with particular reference to the work allotted to him/her:
8. Quality of work :
(a) Ability to apply the relevant Rules and Regulations correctly
(b)
Promptness in disposal of work:
9. Amenability to discipline
10. Punctuality in attendance
11. Additional educational qualification acquired (write course details &
period of study), if any :
Form ACR – 1 / Page 3 of 6

12. Relations with fellow employees / public relations (wherever
applicable)
13. Has the employee been reprimanded for indifferent work or for
other causes during the period under report? If so, please give
brief particulars
14. Has the employee done any outstanding or notable work meriting
commendation? Briefly mention them
15. Integrity
Signature of the Reporting Officer/Dept. Head
Name in Block letters:
Place : Designation :
Date :
(during the period of report)
Form ACR – 1 / Page 4 of 6

PART III – REMARKS BY REVIEWING OFFICER / CENTRE HEAD
1. Is the Reviewing Officer satisfied that the Reporting Officer has
made his/her report with due care and attention and after taking
into account all the relevant material?
2. Do you agree with the assessment given by the Reporting Officer?
(In case of disagreement, please specify the reasons.) Is there
anything you wish to modify or add?
3. If the employee reported upon is a member of a Scheduled Caste /
Tribe, please indicate specifically whether the attitude of the
Reporting Officer in assessing the performance of the SC/ST
Officer has been fair and just:
4. General remarks with specific comments about the general
remarks given by the Reporting Officer and remarks about the
meritorious work of the employee including the grading
5. Has the employee any special characteristics, and/or any abilities
which would justify his/her selection for special assignment or
out-of-turn promotion?
Signature of the Reviewing Officer/Centre Head
Place : Name in Block letters :
Designation :
(during the period of report)
Form ACR – 1 / Page 5 of 6

PART VI - REMARKS BY THE CENTRE HEAD
Observations of the Centre Head:
Overall Assessment: (Outstanding / Very Good / Good / Average /
Below Average)
(For Office Use only)
PART VII
Signature of the Centre Head
Personnel & Admn. Head of concerned centre
NB:
1).Where ever necessary, additional sheets can be used as
Annexure.
Form ACR – 1 / Page 6 of 6