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  • 7/28/2019 Appraisal Form New 1

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    CONFIDENTIAL(When fill)

    COLLEGE OF SCIENCE & ENGINEERING AMBABAI, JHANSI

    Performance Appraisal Report

    (From 01 July. to 30 June..)

    Part I Particulars

    1. Name of EmployeeStaff No

    2. Designation/Dept/Sec

    3. Educational Qualifications:-

    Qualification Date College/University Division

    (a)

    (b)

    (c)

    (d)

    4. Professional Qualification / Training: -

    Qualification College/Organization Date Remarks

    (a)

    (b)

    (c)

    5. Experience other than CSE: -

    Qualification Organization Date Remarks

    (a)

    (b)

    (c)

    Part II CSE Career Profile

    6. Date of Joining CSE..Post..Pay..

    7. Any Training/Course done Details and Duration:

    .

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    8. Details of pay increments/Promotion in last 3 years.

    Year Increment Revised Pay Revised Post

    (a)

    (b)

    (c)

    9. Other Benefits (Mobile/Fuel):

    (a) (b)

    Part III Performance Profile

    10.Primary Duties Performed Duration Any Distinction

    (a). ____________________ _________________ ____________________

    (b).____________________ _________________ ____________________

    11.To be filled by teaching Staff-Performance in last two semesters

    Sem S.No. Subject Taken Total No.of Classes

    No. ofStudents

    No.Passed

    %Age Reasonsfor low%

    1.

    2.

    3.

    4.5.

    6.

    12. If working in Lab or lab i/c

    Sem S. No. Name of Lab No. of classesAre eqpt

    available asper syllabus

    If not actiontaken

    1.

    2.

    3.

    4.

    13. Secondary Duties Performed Duration Any Distinction

    (a).____________________ _________________ ____________________

    (b).____________________ _________________ ____________________

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    14. Any Special Task/Assignment/Project done

    (a).____________________ _________________ ____________________

    (b).____________________ _________________ ____________________

    (c).____________________ _________________ ____________________

    15. If paper presented/published/courses attended/Function organized (During last one year)

    (a)

    (b)

    (c)

    (d)

    16. How has the past year been for you, and why?

    ..

    17. What do you consider to be your most important achievements of the past year?

    ..

    18. What do you consider to be your most important aims and tasks in the next year?

    ..

    19. What action could be taken to improve your performance in your current position by you,and your head?

    ..

    20. What kind of work or job would you like to be doing in one/two/five years time?

    .

    Part IV From Records

    21. Leave Record of last One year

    Total Absence Duty Leave Actual Absence during academic session

    ____________ ____________ ____________

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    22. Discipline: -

    23. Students Feedback Analysis

    Sem Subject Satisfaction level Satisfaction level RemarkTeaching Practical

    . .

    . .

    . .

    . .

    Part V Assessment of HOD/Dean Academics/Principal

    24. Objection/Remarks/on Information provided at part I to III: -

    25. Assessments Academics

    S. No. Attributes By HOD By Dean/ Principal

    1. Professional knowledge (25)

    2. Job Performance (15)

    3. Intelligence (10)

    4. Discipline/Punctuality (20)

    5. Initiative/Involvement (10)

    6. Attitude (10)

    7. Interpersonal Relationship (10)

    Total 100

    (Ex-90 VG-80 G-75 Sat-65 ) Upper Limit Ex 20%,VG 30%, G 20% of faculty strength

    26. Assessment Departmental work:

    Comments

    Assessments on a scale 20

    27. Assessment Discipline:

    Comments

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    Assessments on a scale 30.

    28. Overall Assessment (21+22+23):

    29. Remarks of HOD

    30. Remarks of Dean academics/Principal

    Part VI Directors Assessment

    31. Academics

    32. Other Duties.

    33. Discipline. .

    34. Overall Assessment on scale of 100

    35. Recommendation/Remarks.

    (Signature of Director)

    Part VII Remarks of Chairman (OPTIONAL)

    (Signature of Chairman)