Hkkjrh; vk;qfoZKku vuqla/kku ifj’kn

Indian Council Of medical Research

okf’kZd fu’iinu eqY;kadu xksiuh; fjiksVZ
Confidential Annual Performance Appraisal Report
rduhdh lgk;d rduhdh lgk;d ¼vfHk;af=d Kku½ ls Åij inks ds fy,
(For Technical Assistant/Technical Assistant[Engg.Support] upwards)
Hkkx&1 ¼O;fDrxr fooj.k dk;kZy; ˜kjk Hkjk tk,½
Part I (Personal Data to be filled by office)

oxZ@Discipline:

mioxZ@ Sub-Discipline:
vuqlwfpr tkfr@tutkfr SC/ST:

deZpkjh dk uke
1
Name of the Employee

2 inuke@Designation
3 lewg foHkkx@Group Division
fnu ekg ls fnu ekg
4 fjiksVZ dh vof/k@ Period of
D D M M Y Y D D M M Y Y
Report (from ----to----)
to

fnu ekg
5 tUe frfFk@Date of Birth D D M M Y Y

orZeku dsUnz@laLFkku esa

fnu ekg
6 rSukrh dh rkjh[k@ Date of
D D M M Y Y
posting to present
Institute/Center
7 orZeku osru cSaM ¼ih
ch½@Present Pay Band (PB) &
ysoy@level
orZeku osru cSaM esa fu;qfDr fnu ekg
8
dh rkjh[k@ Date appointment D D M M Y Y
to present Post
9 orZeku eqy osru½@
Present Basic Pay
orZeku eqy osru çkfIr djus dh fnu ekg
10
rkjh[k@ Date acquiring D D M M Y Y
present Basic Pay

okf’kZd laifRr fjVuZ Hkjus dh fnu ekg

11
rkjh[k@ Date of filling Annual D D M M Y Y
Property Return

1
 Hkkx&2 ¼ fjiksVZ deZpkjh )kjk Hkjk tk,½
Part I (To be filled by the employee reported upon)

12. “kSf{kd vgrkZ,a ¼bl fjiksVZ dh vof?k ds nkSjku çf”k{k.k dksZl esa Hkkx ysus lfgr
çkIr dh xbZ ;ksX;rkvksa dks js[kkafdr djsa½
Academic qualification (underling qualifications obtained, including training courses
attended, during the period of the report)

fMxzh@fo’k; laLFkku@ fo{ofo? o’kZ xzsM@Js.kh

Degree/Subject kky; Year Grade/Division
Institute/University

13. orZeku gqbZ fu;qfDr lfgr fu;qfDr;ksa dk fooj.k ¼vkbZ lh ,e vkj ds lkFk &lkFk vkbZ
lh ,e vkj ds ckgj nksuksa dk dkydze esa ½
Details of appointments held including the current one (both ICMR as well as out site
ICMR in chronological order)

fLFkfr leqg@foHkkx ls rd
Position Group/Division From To

2
 Hkkx&2 ¼vuqdze esa½
Part –II (Continued)

14. fjiksVZ dh vof/k ds nkSjku dk;Z dh çÑfr ftlds fy, deZpkjh dks fu;qDr fd;k x;k A
Nature of work on which the employee has been employed during the period of the
report.
esa
-------------------------------------------------------------------------------------------------------------
------------------------dks viuk dk;Z çLrqr djrk gwWaA
I report upon my work to……………………………………………………………………..

y{; miyfC/k;kW@dfe;kW
Target Achievement/Shortfall

3
fjiksfVZr deZpkjh }kjk lkekU; fVIif.k;ka

General remark by the employee reported upon

¼dk;Z larqf"V] dk;Z dk okrkoj.k] çf”k{k.k @ visf{kr fo”ks’kKrk dk fooj.k “kkfey djds½

To include particulars about job satisfaction, working environment, training specialization

needed)

………………………………………………………………………………………………………………………………………….

deZpkjh ds gLrk{kj
Signature of the Employee
fnukad

4
Date: