ANNUAL PERFORMANCE APPRAISAL FORM Period Name Designation Grade Reporting To H.O.

D / From: Location Departme nt DOJ DOC To: Delhi

General Guidelines: Section I OBJECTIVE REVIEW & FEEDBACK - To be filled in by the member and then discussed with the Reporting senior/ H.O.D Section II APPRAISER FEEDBACK, RECOMMENDATION & RATING - To be filled in by the Appraiser Section III OVERALL RATING To be filled in by Internal HR/ Director Section IV YOUR TRAINING FEEDBACK/NEED FOR THE YEAR - To be filled in by the member and then discussed with the Reporting senior/ H.O.D Section V OBJECTIVE SETTING - Objectives for the next review period to be jointly decided by the Appraiser and Appraisee

To be filled in by Internal HR Sent by Internal HR on : Received at Internal HR on : Signature

Section I (To be filled in by the Member and discussed with the Reporting Senior/ H.O.D) H.O.D to rate the members performance on a scale of 1 to 10, 10 indicating outstanding performance N o Objectives/Targets set Remarks Rating Self Review Reporting Senior / H.O.D Remarks Rating

II Other achievements/lapses that you would like to mention other than those stated in Section I. No Achievements Lapses

III Any other activities that took up significant part of your time and efforts.

IV Specify the most important factors (Personal/Organisational/External) affecting your work Facilitating Hindering

V Any other feedback / comments

Section II APPRAISERS FEEDBACK & RATING I Comments of the Reporting Senior/ H.O.D Please write about the members personal & professional growth as experienced by you.

Please rate the members performance on a scale of 1 - 10 1 2 3 4 5 6 7 8 9 10

II Comments of the H.O.D

Please rate the members performance on a scale of 1 - 10 1 2 3 4 5 6 7 8 9 10

Section III OVERALL RATING (To be filled in by Internal HR) 1 2 3 4 5 6 7 8 9 10

(Rating 1 2 : Poor Performance, 3 4 : Below Par, 5 6 : At Par, 7 8 : Above Par, 9 10 : Excellent)

Section IV YOUR TRAINING FEEDBACK/NEED FOR THE YEAR Please give below the details of all the programmes attended by you in the financial year April 2004 September 2004 (Induction, Learning session, Seminars, Conferences, Service specific or any other External or Internal training programmes) Date Nature of the Particulars of the Facilitator Effectiveness of the programme programme programme You may ignore this point as it is currently not applicable.

Please specify areas where you would need inputs by way of training (both professional & personal development). Also specify what would be your efforts in developing yourself in these areas. S No Training need My commitment/efforts Remarks (HOD/Reporting Senior)

Do you have any professional membership? If, so give details.

Signature of the member

Section V OBJECTIVE SETTING FOR THE NEXT YEAR (To be jointly decided by the Appraiser and Appraisee) No 1. Objective / Target Target Date Comments of H.O.D

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