PROFORMA -D'

Kendriya Vidyalaya Sangathan

(fRrT HATY, HNT HOR )
(Ministry of Education, Govt. of India)
faer -110 016
New Delhi - 110 016

ANNUAL PERFORMANCE ASSESSMENT REPORT

( fRTTquf)
(TEACHING STAFF )

Name of Officer OMes.ohormala Sex

Employee Code
29148
Designation JIGSelatha..
Office
(+fardsTft)
(KVIZIET)

Report for the yearlperiod ending

 1

Report lor the yeariperiod ending

Kendriya Vidyalaya Sangathan

(frT ATGs, HRA HRGTR )
(Ministry of Education, Govt. of India)

(Deptt. of School Education &Literacy)

feti- 110016
New Delhi - 110016

Annual Perfomance Assessment Report of Teaching Staff of Kendriya Vidyalaya SangathanZIETIKendriya Vidyalaya
.....

YIT-1
PART-1
utado SICI/ PERSONAL DATA
(To be filled by the Administrative Section of the Office)

1.
Name of the Officer ohrs olmals Bex
(Jhoenty second October
2 Date ot rth (00Mwmmneteen hunded slenty )
(in words)
3
Employee Code 29148
OBC
4.
Category (Gen/OBCISCIST/PH)
5. B.Sc- Ed. MA.
Educational Qualification

Date of entry in KVS

R9.07. (995
qG TGT
7. Date 27.951 Post
Date of continuous appointment in the present post
8 Period of absence from duty on leave, training, etc. during the year

9.
Signature of the Officer being reported
10.
Signature of the Office Assistant
 2
K NirmYlY De
Name of the Offic
2022-23
**........... .. ...
... ...........

HTT-2 Report for the yearlperiod endin

PART-2
Are

SELF ASSESSMENT

(To be filled in by the Officer reported upon)

(Please read carefully the instructions before filling the entries)

Blass Jeachwsip XD
1.
Brief description of duties

4 Member Mathe lab

Jeacm
3. Membel
Matiemdta to casscs xB X
VIIC

5AcP tacliato fol clas VIC

6. Cordilcled sLATEeram to cla VIlL(Apr 2g*% 2022)
7. B346 President Auoud Camp (aApr -i2Ap 22)-Mes uty
8 Esceled NcC cadett to putie n Inlenaionel ve
Day ceietations c Slhek oks Inlindonal sheet , bacd
7. INchge B IOgM 2022-23
c kr sches Innuwaluen Abasa
Reguled n of22
fom N CERT Jarchirg Malhemaig wate
GeoGelsr(u
2.

Briefly specify targets/objectives/goals (in quantitative or other terms) of work you set for yourself or that were set for
ou echt to tenitems of work;/Section
in the order
/KV)
of priority and your achievement against each target (example Annual
action plan for your Division

Please note that your achievement against expectations will be vital parameter for appraisal. You are therefore
the following.
advised to respond in unambiguous terms on

description and expectatione

Targets set by you at the commencement of this session vis-a-vis job
sr / And

end
Targets acheived at the year

efforts planned and milestonee t

The efforts made by you during the year in Comparison to the
 3

Name of the Officer

2022 3
************ere*******tret

Report for the yeariperiod ending

Areas for self-Appraisal Achievernents for the

Target/Objectives/Goals for Current session
the current session

PlanningtAnuual &Lesson): Jo make Mathy Reued iatidrl

Awcud fr llu phrGtCt
Frequency &Quality klynadeni Jeacby.Matii.
2. Q1GH qUi
Sylabus completion Geoseloh
mplcmen) Ltencdsd
(Teaching -Leaming Process (TLP): Acliity based
leacl Loilk eacly prete,
Sincerity in adhering to the planning, effectiveness
Remedial measures, use of lCT etG O0 ell miiE D
At school Based Examination
|Gbebr
At Board Examination (Pass %&PI)
3. 34 SRY M tths +On-ne Jiwo sudent, ·Rcelea
At any other forum lcnd Konde heleived
emducted. |O metit celtcali
cBSE.
Students performance: Achievements of students at Jo qchee (oo/hesrom
Formative & Summative Assessment tests e SEE
Sueatin Centucled onne
ist alic cheptunse
SP Prpüed fuyai|Lsng homi wr P.
Assessment: Conduct of Formative & Summative
Assessment question Paper, Frequency &Quality of
Prpit
evaluation, analysis of pupil performance diagnosis and (loung Getsebr
remediation etc.

vey good roppot Constantlyblloreci

Reporting to students parents, subject commitee and |sladnt
Principal etc. Frequency, Quality and impact. lgcups
Mess i
Organization of KVI Cluster /I Regional / KVS level Eesled 0CC Cackcter IYD- 22. to Sheae
andninneonxd scho
activities including Club activities Role, Contribution
special achievement. if any

Mu: kihn
olher A Conpufon
Intra & Inter House Activities : role & Contribution and
special acheivement, if any. ctatimtpcA
elscitt.
Committees : Role & Contribution & Special acheivement
if any

Any other area of Contribution

Jclul
AHEev Tr CBSC AICcE 2022
 4

Name of the Oflc

2022 23
Report for the yearlperiod endin

3. ()

Please state briefy the shortfalls with reference to the targets/objectives/ goals referred to in item 2. Please
3. (A)
specify constraints, if any, in achieving the targets.

(A)

E)
contribution
(B) Please also indicate items in which there have been significantly higher achievements and your
thereto.

Keceeved Naicn ALuic mnovlie piaclires

epeumeni i Sduccaion flschools anmd Ieaclee Edtuc
mstitulins hom NCERT fL muy, BecGebv,?
wlt!
Mallemalie' made t f l Innyeuon Ambassadoy c
Receyed cealcaes clorschost Genla nni coUses n
Digital
3.dmplemtted Blended 'leanng
sltdiut, e n feisliret
hos and
amd seGekore.
4

Please state whether the annual return on immovable property for the preceding calendar year was filed within
(iv) year following the calender year. If not, the date filing the return
the prescribed date i.e. 31 January of the
should be given.

RIA/Placebfydeakuk
i |Date : .....
K NIRMAA De

Name and Signature of the Officer

 5

Name of the Officer

2022 3
Report for the year(period ending
4NT-3
PART-3

Numeical grading is to be awarded for each of the attributes by the

scale of 1-10 [Grade 1-2 and 9-10are expected to be rare reporting authority which should be on a
pen picture) (Grade 1 is the occurrences and hence need to be justified in the
lowest and Grade 10 is the highest )

(A) ASSESSMENT OF WORK OUTPUT (weightage to this section will be 40%)

SI. Attributes
No
Assessing |Initial of Reporting Reviewing Authority Initial of Reviewing
Reporting Authority Authority (Refer Para 2 of Part-5 )
Authority

1 2 3 4 5 6

1 ufkyufat
Accomplishment of planned
work/work allotted as per
subject alloted

2
Quality of work output &
3
Analytical ability

4 Accomplishment of
exceptional work/unforeseen
task performed

p 3H afaI 1+2+3+4 +4
Overall average grading on
Work Output 1+2+3+4 +4

40%
40% weightage of overall
average grading
 6

Name of the Olic

2022- 23
Report for the year/period endin

ASSES
30% )
ASSESSEMENT OF PERSONAL ATTRIBUTES (weightage to this section will be

faf
Attr
Attributes initial of Reviewing
Initial of Grades by
SI Grades by Reviewing Authority Authority
No. Reporting Reporting
Authority Authority
5 6
1
3 1

1
Attitude to work

2 Sense of responsibility

3 Maintenance of discipline
2
4 Communication skills

5 Leadership Qualities

6
HG.
Capacity to work in a team with
team spirit.

7 Capacity to adhere to time

schedule

8 Inter personal relations

Managerial skills of the officer

gpHI 1+2+3+4+5+6+7+8

Overall Average Grading on

Personal Attributes
1+2+3+4+5+6+7+8+9 +9

30% e
30% weightage of overall
average grading
 Name of the Officet
202273
Report for the ysarlperod ending

ASSESSMENT OF FUNCTIONAL COMPETENCY (weightage to this section will be

30%)

Attributes

Grades by Initial of Grades by Initial of Reviewing

Reporting Reporting Reviewing Authority Authority
1 2
Authority Authority
3 5 6

Knowledge of Rules/
Regulations/Procedures in the
area of function and ability to
apply them correctly.

2
Strategic planning ability

3
Decision making ability

4
Coordination ability

5
Ability to motivate and develop
work culture among
|subordinates

6
Initiative

34y4 Ht 1+2+3+4+5+6+6 Ha0

Overall Average Grading on

Functional attributes
1+2+3+4+5+6+6

30% weightage of overall average

grading
 8

Name of th
2022-Report forHHIA
******.,
23
the T|3rafu:
-4 yearlperiog
PART-4 frf
f

GENERAL REMARKS OF THE REPORTING Per

OFFICER stre
1 se

Relations with the public (wherever applicable)

(Please comment on the officer's
accessibility to the public and responsiveness to their needs)

2.
ufRTUT/ Training
(Please give recommendations for training with a view to improve the effectiveness and 7.
capabilities of officer)

3 taR/ State of Health

Huf18T/ Integrity
(Please comment on the integrity of the officer)

Doyou agree with the exceptional good work done by the oicer as
please grade him/her appropriately with maximum one mark as (D). indiçated at item 3(B) in pat 2 f ves
 Name of the Officer

Roport for the year/period ending

Pen picture by Reporting Officer (in about 100

words) on the overall qualities of the officer including area of
strengths and lesser strength, extraordinary achievements, signiflicant failures and attitudes towards weaker
sections.

nbadt

7.

Overall numerical grading on the basis of weightage given in Part 3 (A+8+C)+D of Part 4 of the report.

RIH/Place :
fats /Date :.. Signature of the Repoting ficg
Name in Block letters:

Designation:
 10 KNrmYlY Bro.
Name of the
2022- 23
Report for the year/period
HT-5
1 PART-5
Remarks of the reviewing officer
Length of service under the Reviewing
Oficer

Do you agree with the

attributes in Part-3 andassessment made by the
Part-4? Do you agree withreporting officer with respect to the work output and the
the assessment of reporting various
achievements/significant
with failures
maximum one mark as (D).
of the officer reported upon ? officer in respect of
(Ref: Part 4 item 5, if yes please extraordinary
grade him/her
(In case you do not agree with
any of the numerical
that section and initialassessments
the column provided for you in of attributes please record your assessment in
your entries)

In case of
or add ? disagreement including Pen-Picture please specify the
reasons. ls there anything you wish to modify
e of the

aafa
eriod Name of the Officer
2022 23
Report for the yearlperiod ending

Do you agree with the grade

given by reporting officer in "D" of Part
one mark as 4if "Yes' indicate appropriately with naximum
"D'......:).
Overall numerical grading on the basis of
weightage given in Part3 (A+B+ C) + Part 5 (D) of the report

RIHIPlace
Signature of the Reviewing Officer,
Commissioner
Name in Block lettersAssistant
qfa.LBA, (3.H.)
Sangathan (H.R.)
fy+d,Vidyaiaya
Designation: Kendriya fhfG-500 009,
Picket, Secunderabad-500 009.