ANNUAL CONFIDENTIAL REPORT
ON THE WORK AND CONDUCT OF
CLASS IV STAFF
OF AIDED/UNAIDED RECOGNISED SCHOOLS
REPORT FOR THE PERIOD FROM TO .
Name of the School
PART-I
1. Name of Official :
(in block letters)
2. Whether SC/ST/OBC/PH :
3. Fathers/Husbands Name : ......... ..
4. Date of Birth : ..
5. Post Held :
6. Present basic pay with scale :
7. Date of initial appointment in School : ......
8. Period of absence from duty
on leave etc. during the year :
9. Disciplinary Proceedings (if any) : ..
10. Can He/She read and write : .
Hindi/English
PART II
(Brief statement (not exceeding 50 words ) of the work handled by the official)
(Signature of the official)
PART III
OBSERVATION ON :-
11. State of Health :
12. General Intelligence : ....
Above average Average Poor
13. Amenability to Discipline :
Amenable Reasonably Amenable Indiscipline
14. Punctuality in attendance :
Punctual Occasionally Late Comer Habitual Late Comer
15. Relationship with fellow employees:
Good Gets
on Fair
16. Honesty & integrity:
17. Length of service under Reporting
18. Is he/she fit for promotion to the grade
of Jamadar/Daftary/Record Keepar .
19. Grading .
Outstanding Very Good Good Average Poor
20. Remarks : ..
Signature of Reporting Officer .. ..
Name in block letters ..
Designation ..
Date ..
21. Do you agree with remarks of the Reporting Officer
Yes No
If not , indicate extent : .
Signature of Reviewing Officer ..
Name in block letters ..
Designation ..
Date ..
SCHEDULE FOR
SUBMISSION OF ACR OF THE CLASS-IV FOR
THE YEAR.
· Last date for submission of ACR by the Head of School i.e.
Reporting Officer to the Managing Committee. (By 30th June)
· Last date of review by the Managing Committee. (By 31st August)