APPENDIX ‘X vide para18(i)

Form ‘E’ (Fresh)

Class-IV
GOVERNMENT OF KHYBER PAKHTUNKHWA
WILDLIFE DEPARTMENT
CONFIDENTIAL REPORT
For the period from ______________ to _______________

PART-I
1. Name : _____________________________________
2. Father Name: _____________________________________
3. Designation (when appointed) _____________________________________
4. Present Designation __________________________________
5. Date of Birth ____________________Pay Rs. ___________________/-Per Month
6. Date of Entry into Government Service________________________
7. Qualification at the time of appointment _________________________
8. Branches/Sections in which employed during the period ____________________
9. Qualification acquired after employment ___________________________

PART-II

A PERFORMANCE AI A B C D
(1) Promptness and accuracy in disposing of
work
(2) Sense of responsibility
(3) Takes interest in his work
(4) Whether he possesses adequate knowledge of
the work assigned to him

5. Integrity.
(a) Incorruptible………………………………………..
(b) Reported to be corrupt……………………………………
(c) Believed to be corrupt, because of……………………
1. Monetary consideration ………..…………………….
2. Other considerations ………………………………

YES NO
6. Knowledge of Typing ……...………………………
7. Trustworthy ……….………………………………
8. Honest ...……………………………..
9. Confident ………….………………………
 PART-III
By Reporting By Countersigning
10. Fit for any responsible Job………………………….. Officer Officer

(a) Recommended for accelerated promotion

(b) Fit for promotion
(c) Recently promoted/appointed…consideration for premature
(d) Not yet fit for promotion
(e) Unfit for further promotion

PART-IV

General Assessment By Reporting By Countersigning

Officer Officer
i. Very Good
ii Good
iii Average
iv Below Average
v. Poor

PEN PICTURE

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Reporting Officer’s Signature___________________________

Name (in Block letter) ______________________________
Designation __________________________________
Dated_________________

______________________________________________________________________ ___
General Remarks by higher Officers.

Reporting Officer’s Signature___________________________

Name (in Block letter) _______________________________

 Designation ________________________________

Dated________________