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A.C.R. (H.P.

DEPARTMENT OF ELEMENTARY EDUCATION , GOVT. OF HIMACHAL PRADESH

Annual Confidential Report of the teachers working in Government Primary/Elementary Schools

Year: ……………… Session : …………………

1. Name of the Teacher( In block letters): ………………………………………………………


2. Designation : ……………………………………………………….
3. Date of Birth ( In figures and words) : ……………………………………………………….
4. Date of first Appointment : ……………………………………………………….
5. Grade of Pay : ……………………………………………………….
6. Basic Pay : ……………………………………………………….
7. Name of School where working : ……………………………………………………….
Block-…………. Distt…………………. (H.P.)

Sr. Class Session No. of students No. of students No. of failed Percentage of No. of students No. of students
No. taught appearing in passing the exam students pass students passing with passing with
exam in the class 60% or above less than 60%
marks marks

It is certified that all the above mentioned details are correct according to me and the institutional
record.
Date: ……………………… ( Signature of the teacher)

1. Has the teacher done his / her work with due diligence ? ……………………………………………
2.
3. Reputation for integrity during the period under report: ……………………………………………
…………………………………………………………………………………………………………….

4. Has any incident occurred during the period under report which reflects credit/discredit on the
teacher ? …………………………………………………………………………………………………
5.
6. Special aptitude ( Speaking/ Writing/ Organization): ………………………………………………..
7.
8. Achievement of the teacher : (a) Academic: …………………………………………………………..
(b) Others : …………………………………………………………..
General Remarks
Outstanding/ Very Good/ Good/ Average / Below Average

Reporting Officer

Reviewing Officer

Accepting Officer

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