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 BLANKaftlendt 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 HSarfeerngy 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.