You are on page 1of 2

uqde

sutr arrca
(atrta qr atq r,lor sttrt@)
strqtereroft :: fiq761
Fqtq-frqrct-i3(2) / F R.s6(J)201e / uv 6 V fu - 1i.oe.2o1s
qflqa
str@:.etq-ft, qatffieuqq d qrqffiq drtrq. wqtq-u-t1o1g/63/2016
-r+t{ ffi@ d ?T6af rt
os/os/201s d
uq.srtt.s6 (J)/(l) ccs (Pension Rutes), 1972 &
fusdr 48 d d s-@-{ad ffi aaftau q1 qtd t t
ae,a r,rffiq..t
Fs{ ta ax "u" "fr" d a @-rFf€ qtfu qra .Hqfr 2020 A qrd zozo d
4eq so dd @? os € B s aq gfi a @-rFf@ d @tfu qra qarcfl 2o2o A qLd
"rrq'q;t
2020 d qeq ss ft @? erq qat e-s- sA B szerdr d uafi @rfu ffi zo vra d
errs:re?q t}dr :rf qt d Et-#"@rffi d r€{qt d vfrau fuq _rqw d qrtafl :-
wtffi flrdw qerer orFH d s-€-{'rt @? qEqrq ffidqr rq*e[ @-rFf€? d wwil ffi
ufrau q'fue. d€ &??z o? ard B I atfret rfdffd dqt@ c.g,@.j} am ffi ard B I
(1) (2)
1 1 AFI
'RIIWT
2 J-.<etq-qF a
L usan r6d
qt&ilotq u4 a,Frea gt€tr{@ 3 qsfer
4 il€z-{@ 4 qrofl
5 rat ffiffi J uw#erdu
6 fuad ffi ftrfr@ 6 q-M sra?-3"-c
1
ue66 6tt grflfi 7 ?rdr
8

9 arf,ir?
10

11 ddo rzro
rtrd srftFcrd
€wD ort 'u' a
?rreff&m dfrt s 'qr' 6 rrjrqttd szlerorfi qt 1DD(
siler6rTLqt (DD(E)/DD(PyAD(Ey
E)/DD(P
AD(P/PEXAE etc.) A r€{qt & afrau qarffienetq d ?tdf}rd er:qatrart am ,o7 qrffi
Br
as "&" "fr" A sruraqfrd @Brutffi) @rffi (sEA, EA, sr.Tech, Tech,
Helper d uelsafi d ufrau srw a€zfrrafr<o lstfffi),
etc.) strq;nraroft crs (E{efu,
arryJ aru d .afr t t
rtatzttt tieat q suetftrfiq # d @rfud A semrrn d vttilau r{auzm
figy sardt, qg ffi arll. d qriZ g I
areq rier E sduara ftgrd srr@7 erEr"ft ffi/wrqffi & orqterq sqwt
d srrd e f6 a f€rrfd cw (u.w. r d zo aq urrfa Fr) e rd-d f< d *fta
6ffi qr fuwar erqeittr alfr,d fu 3o/os/2019 a-o w-qftla rcdfua frs-{ fuTq
wfirnra aot enqeq@ En a f&d sFt 2tJ*
*m#m (sroier e@r6it)

sfu :-
4e?Tq?€r s sffiaarE rtd d uafr etr<r.greraft d-d7i ,orqtorfi d
dqreqer I
Form to review of service under FR 56 fiXi)/rule 48 of CCS (Pension) rules 1972

1 Name of Officer
) PosVGroup
3 Category
4 Date of Birth
5 Date of ioininq of Service
6 Present place of posting
7 Present assiqnment in brief
8 Whether officer is presently working
in the main line of his cadre

9 Date of last promotion


10 Medical Condition
11 Bio-metric Attendance & Punctuality

12 APAR grading's of last 5 years I 2 3 4 5

13 Complaints against I ndividuals


14 Date of completion of 50/55 years of
age or 30 years of regular sevice as
the case may be
15 Inteqritv
16 Penalty during last 10 years
17 Warning/Admonition, if any during
last 5 vears
18 Disciplinary procedings pending, if
anv
19 Whether officer is eligible for next
oromotion
20 When is the next promotion due?
21 Whether officer performance is
satisfactory enough for his retention
in service
22 lf answer to above is 'No', please
state where officer has failed to
perform. Also comment whether the
officer was given enough opportunity
to improve his performance?

23 Was officer given any


warning/advisory to improve his
oerformance?
24 Any other remarks

25 Specific recommendation of review


committee
26 Signature of members

You might also like