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vfeieorét apr arrar (Fateh eure fered sn GAY FI/Name of the Ratee Officer ACKNOWLEDGEMENT FORM. Hobe tiled by Ine officer reported upon anc Fewarded 1o APAR Cal The ACR/APA® of the undersigned for the pefiod _ Oller fing Por ond arta hos been fowarded to Repotiing Officer, shi f smi / km. ao _ {nome & designation). Signature Name Designation 5 : bate lo. Shi Nitin Gupte, Assit. Manager (Adon) “onlidential Report C National Highways Avthosiy of nd, G58 6, Sector 10, Dworka. New Dethi~ 110075 ACKNOWLEDGEMENT. FORM ~ I Jobe filed by the Reporting Offer Gad Tonwerded lo APAR Cal & Officer teportet pe {CR/APAR of Shi Sem J Ken. eee _— (name & designation) for whe petiod 7 has been reporied by the undersigned and foworcled lo Reviowing Oltices, Sr J Swi J Ken,__ (oome & designaticn) Signature Name ao Designation a baie as to, @ ——SWNItin Gupta, Ass. Manager {adm Confidential Report Cel, National Highways Authodity of Indic, 6-58 6, Seclor-10, Dwvarko, New Delhi~ 10075 (Copy to the officerroperted upon: ANY COLUMN BLANK, arf ar arr (fare Rete fared st wh BY/Name of the Ratee Office SUMMARY SHEET NAME OF THE OFFICER DESIGNATION WHETHER WORKING ON REGULAR/ DEPUIATION/ CONTRACT BASIS PERIOD OF ACR/APAR REASONS FOR GAP, IF ANY * NAME & DESIGNATION OF REPORTING OFFICER * PERIOD FOR WHICH WORKED UNDER THE REPORTING OFFICER NAME & DESIGNATION OF REVIEWING OFFICER ** PERIOD FOR WHICH WORKED UNDER THE REVIEWING OFFICER ADDRESS WITH PIN CODE TELEPHONE NO. CELL NO. E-MAIL ID foason, ploase indicate here, In case there is sorne gop in the ACR/APAR potiod due fo being under posting / leave or any other ** In cose there are more than one reporting / reviewing officers during the year, please indicale the names, designation and period for which worked under them, NOTE: que aif aft ato Regt at OREPLEASE = ANY COLUMN BLANK, iftedh cnr anor (Fae ROE fAaH Se TAT EYName of the Ratee Officer, ao ee adie wet worant siffrerot NATIONAL HIGHWAYS AUTHORITY OF INDIA FORM OF ANNUAL PERFORMANCE, . WORKING ON RE PERSONN aiden wr ArT NAME OF THE OFFICER we DESIGNATION Ferra why safe a Rate REPORT FOR THE YEAR/ PERIOD ENDING NAME & DESIGNATION OF REPORTING OFFICER NAME & DESIGNATION OF REVIEWING OFFICER PLACE OF POSTING (In case of HQ, ple: freer wet wae tre eee er er 25 ane bey a eel Retrgat ajar PUNE aH wo APPRAISAL REPORT FOR FINANCE LAR AND DEPUTATION BASIS indicate the Division) 2 NOE: quem alg sh ais Fact aT _BHYPLEASE DO NOT LEAVE ANY COLUMN BLANK aftlendt an saa (EoeAT UE Faatt oT GET By/Name of the Ratee Offieer. ane aafeerra flaw PART-I PERSONAL DATA afiane®) cor ane Name of the Officer are FORT Date of Birth aadanet ike Pea a ater Present Post & Date of appointment, ager Seale of Pay ze heres ya wut aerate & Profes goutteaey XIN awe nal Qualification Intermediate/XII onwards 3 ar ag ah altar Real aT BPLUEASE DO NOT LEAVE ANY COLUMN BLANK Sacto at ag WaT ath oe [ TaRRaeiaapeeit Sia aor wiser amination Passed wi at University/Institute Parentage of Year of Marks Passing HS arfeerngy apr ary (fared RANE faedy r-TE Cy/Name of the Rates Officer. axraenPas eoresi(al) a eRe A ae 6. Membership of professional Organization(s) if any.

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