Proforma for Performance Appraisal Report for top level posts

8.Date of appointment to present post:

9. Awards/Honours*

10.Reporting and Reviewing officers

	Name & Designation
Reporting officer
Review officer

11.Period of absence on leave, etc.

	Period	Type	Remarks
On Leave (specify type)
Others (specify)

Section II – Certification

i.Have you filed your immovable property return, as due	Yes/No
ii.Have you undergone the prescribed medical check up within the last two years	Yes/No
iii.Have you set the annual work plan for the current year, in respect of all officers for whom you are the reporting authority	Yes/No
iv.Have you completed the Performance Appraisal reports of all the officers for whom you are the reporting officer (if not, please indicate details in the following table)	Yes/No

Name	Designation	Reason for non-submission of performance appraisal

Signature of appraisee with date

*includes medals for gallantry/meritorious service and any other recognition earned.

Section III - Appraisal

For how long has the appraisee served under you during the period under report (please specify dates)?
Pen Picture by reporting authority

Please comment (in about 100 words) on the overall qualities of the officer and his performance

Signature of Reporting Authority with date

Section IV – Review

For how long has the appraisee served under you during the period under report (please specify dates)?
Please record a pen-picture of the appraisee in about 100 words.

Signature of review officer, with date