ANNEXURE -I
(FORMAT OF ANNUAL CONFIDENTIAL REPORT ON
GROUP A & B OFFICERS FOR THE PERIOD FROM 04.09.2019 TO 06.62.2020,
a) Name of the Officer reported upon
) Designation
Date of appointment to the present post
Length of service under the reporting
officer (from 04.09.2019 to 06.02.2020
Details of leave, trainings attended during
ANAZAR KHAN, MA, BEd.,
Divisional Assistant Director of
Statistics. Usilampatti, Madurai District
13.03.2019 AM
5 Months 5 days
@) Leave Nil
the period under report
Gi Nil
a) Whether the above officer filed the
property retum as per Tamil Nadu
Govemment Servants Conduct Rules, fg
1973.
b) Whether Self assessment report
fumished by the officer Yes
Physical Capacity Good
Assessment of “Work Output™ Reporting] Reviewing | Initial of
(weightage to this section would be 40% Olficer Officer | reviewing
(Refer (Refer | authority
guidelines 4.1 | guidelines
two4.tlin | 5.1 &5.2)
Annexure I)
(i Accomplishment of planned work/ 10 3
subjects allotted.
|_| Gi Quality of Output 10 9
ii) Analytical ability 10 9 | =
(iv) Accomplishment of exceptional 10
work/unforescen tasks performed 9
Overall Grading on “Work Output”
(Average value of (i) to (iv) 40 36'90%
| Assessment of “Personal Aitributes™ Reporting | Reviewing | Initial of
| Officer Officer | reviewing
(Weightage to this section would (Refer (Refer | authority
be 30%) guidelines 4.1 | guidelines
to4ilin | 5.1852)
Annexure II)
@ Attitude to work 4 4
{ii)Sense of responsibility 4 4 =
(ii) Maintenance of Discipline 4 4
(iv) Communication Skills 4 4Reviewing | Initial of
30%)
if
Competency” | Officer Officer | reviewing
‘ 6 (Refer (Refer | authority
(Weightage 10 this ection would be| | guidelines 4.1 | guidelines
to 4.11 in 8.1 & 8.2)
a ere
Knowledge of Rules! ‘Regulations 6
Procedures in the area of function
and ability to apply them correct
Pen picture by porting ‘Authority
(Please. ‘comment oF the overall qualities a
tne officer including Aas of strengths Fares BS OMERATE ae
Oe esser strengins and BIS egude | @O-ORDINATE ERT STAFF
towards weaker sections) 4)HE ONE, TRAD
‘MATERIALSPREP’ :ARATION x
FOR ALL ‘TRAI GS AND FI
FOBJECT. MATERIALS
SCHEMES.
overall grading
Ovezrage vue or columns 7 9) 943%
(o0+100+93-283/5 ie 94.3%)
signature ofthe Reporting ‘Authority +
‘Name in Block Letters
esignation Regional Joint Dieser of Statistics
Madurai
DateREMARKS OF ACCEPTING AUTHORITY
3. Length of Service Under the Accepting Authority ;
4. State clearly whether the Accepting Authority
Fully Agrees with the remarks of the Reporting!
Reviewing Authority. If any modification is made
by him on the remarks of the Reporting Authority,
the reasons for such modification shalll be indicated
‘Signature of the Accepting Authority
Name in Block Letters
Designation:
Date
Acknowledgement by the Officer concerned for having seen the report for the
period from 04.09.2019 to 06.02.2020.
| have perused the report in full. | am satisfied with the report / propose to
make representation against the grading awarded / adverse remarks. ( Strike off the
Sentence which is not relevant)
o
i Sf th ting Authorit eee S ots
Signature of the Accepting Authority. ae
Name in Block Letters : A. NAZAR KHAN
Designation: Divisional Assistant Director Of Statistics,
Usilampatti
Date : 24.11.2020.