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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 4 Reviewing | 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 Date REMARKS 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.

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