FORM OF CONFIDENTIAL REPORT FOR MCS/I ISS/DIRECTOR

(NON — IAS & NON — TECHNICAL)

REPORT FOR THE PERIOD ENDING FROM 01/04/2022 to 31/03/2023

Department/Office Of

1. Name of Officer & designation during the period tinder report

2. Services

3. Date of Birth

4. Date of appointment to the service

5. Date of appointment to post held during period under report

6. Periods of absence on leave during the reporting year/period.

7. Training Program Attended

Date From Date To Institute Subject

8. Reporting, Reviewing and Accepting Authorities

Authority Name Designation Period
Reporting Authority

Reviewing Authority

Accepting Authority

Date:
Place: