CERTIFICATE

Certified that I

(Name of Officer) Personnel Number (if allotted)

have on submitted my
(Group/Service) (BPS) (Date)

Performance Evaluation Report for the period

to

(Name/Designation of Reporting Officer)

My countersigning officer is

(Name/Designation of Countersigning OfTicer)

Signatures

DesignationDepartment

Note: - This certificate is required to be dispatched by the officer being reported upon to
the Officer Incharge entrusted with the mainténance of his/her C.R dossier on the
same date the PER is forwarded to his/her repor4ing officer.
8. Training received during the evaluation period

Name of course attended Duration with Name of institution and country

dates

9. Period served

(i) In present post (ii) Under the reporting officer

PART Il
(TO BE FILLED IN BY THE OFFICER REPORTED UPON)

1 . Job description

2. Brief account of performance on the lob during the period supported by

statistical data where possible. Targets given and actual performance
against such targets should be highlighted. Reasons for shortfall, If
any, may also be stated.

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 PART Ill
(EVALUATION BY THE REPORTING OFFICER)

The rating in Part Ill should be recorded by initialing the appropriate box.
The ratings denoted by alphabets are as follows:
'A' Very Good, B' Good, 'C Average, 'D' Below Average

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