______________ School
Annual Confidential Report
(Strictly Confidential)
Guidelines:
Please relate to actual event and work during the period of assessment
and not any earlier period.
Assessee should complete the Appraisal Form (Part II) within three days
of receipt of the same and return it to his / her appraising authority.
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PART I
BASIC INFORMATION
(To be filled in by the Principal’s Secretariat)
Review Period from: ______________ to _____________
Name of the Employee: ____________________ Personal File No: ____
Date of Birth: _____________________ Date of Joining: __________________
Date of Probation: __________________ Present Salary: ___________________
Educational Qualifications: ________________________
Leave Record: (Leaves taken during the session ______________)
Casual Medical E.L. E.O.L. L.W.P. Total Remarks
Leave Leave Absence
No. of Half Day Leaves taken during the Session: _______
No. of Late arrivals during the session: ________
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PART II
Self Appraisal for ACR
(To be filled in by the teacher)
Session: ____________
Name: _______________________________ Designation: _______________
D.O.B: __________________ Date of Joining: _________________
Attendance for the Period: _______________ Total working days present: _________
Your Hobbies& Interest: ______________ Total Teaching Experience: __________
Total Teaching Experience in GIS Sonipat: ___________
Knowledge of Computer / ICT: __________
Address for Communication: ______________________________
______________________________
______________________________
______________________________
Tel. No. with STD code: (…………) ………………………………Cell No(s): ____________
Academic Achievements:
S.No Class Total No. of
/ Sec. No. of Students Pass Detained Distinction I II
Students Passed % (%) (%) (60%) (50%)
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Periods / Class Taken:
Subject Class No. of Periods Total No. of
Taught / Sec. in a Week Periods in a
Week
Special responsibilities held by you at _____________________ School.
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Extra responsibilities that you can do with some new / creative ideas:
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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Participation in School life:
(School function / Events/ Games & Sports, Cultural Activities, Literary Activities, Field Trips / Excursions /
Camps, Interschool Competitions etc.)
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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Innovations and experiments conducted related to teaching methods
or techniques. (Teaching aids used / prepared)
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Special Projects Undertaken:
Seminars/ Workshops/Exhibition / Academic Fair/Event organised:
_______________________________________________________________________________
_______________________________________________________________________________
Association with Public Examinations:
_______________________________________________________________________________
_______________________________________________________________________________
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Remedial teaching programme conducted / organised:
_______________________________________________________________________________
_______________________________________________________________________________
Initiative taken for encouraging love for reading in your students:
_______________________________________________________________________________
_______________________________________________________________________________
Any significant additional achievement apart from those mentioned earlier:
_______________________________________________________________________________
_______________________________________________________________________________
Any area of school activity that you would like to be involved in future:
_______________________________________________________________________________
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Name two books recently read (related to your subject):
_______________________________________________________________________________
_______________________________________________________________________________
Name two books recently read (Not related to your subject):
_______________________________________________________________________________
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Seminars / Workshops recently attended:
_______________________________________________________________________________
_______________________________________________________________________________
State briefly the shortfalls with reference to your targets / objectives related to
your assigned duties and specify constraints (if any) in achieving the targets:
_______________________________________________________________________________
_______________________________________________________________________________
Rate your performance in the year and grey areas in which you would require
more inputs for professional development:
_______________________________________________________________________________
_______________________________________________________________________________
Foreign Assignments, if any:
_______________________________________________________________________________
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_______________________________________________________________________________
Efforts made to enhance Academic Level:
In spite of the best efforts done within time by you, what amount of portions
remained uncovered?
_______________________________________________________________________________
_______________________________________________________________________________
Give the class and subject-wise details of extra classes conducted to
complete the syllabus:
_______________________________________________________________________________
_______________________________________________________________________________
Being a teacher, what efforts have you taken to inculcate / develop moral
values in your students?
_______________________________________________________________________________
_______________________________________________________________________________
What actions have you taken for the following and what was the result?
Cleanliness of students: ____________________________________________________________
Late arrival of students: ____________________________________________________________
Improper uniform of students: _______________________________________________________
Cleanliness of class rooms: _________________________________________________________
Cleanliness of school campus: _______________________________________________________
In spite of best efforts, Amount of home work / No. assignments that could
not be checked due to school related / personal reasons:
_______________________________________________________________________________
_______________________________________________________________________________
How can you help the students who are not able to take full benefit of
normal teaching?
_______________________________________________________________________________
_______________________________________________________________________________
Point out the effective methods adopted during the session to raise / uplift
the level of examination result?
_______________________________________________________________________________
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_______________________________________________________________________________
_______________________________________________________________________________
To what extent (level) are you satisfied with your teaching progress. (Fully
satisfied / highly satisfied / normally satisfied / not satisfied):
_______________________________________________________________________________
How many times were you late in the school during this session?
_______________________________________________________________________________
How many times you failed to attend morning assembly?
_______________________________________________________________________________
About your work at _________________ School
I am satisfied because:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Not satisfied because:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Suggestions for the betterment of academics.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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Result Analysis
Class /Sec. Subject:
____________
S.No Particulars No. %
1 No. of Students Appeared
2 No. of Students Passed
3 No. of Students Failed
4 No. of Students Placed in 1st Division
5 No. of Students Placed in 2nd Division
6 No. of students who scored 90% and above
7 No. of students who scored 80% and above
8 No. of students who scored 75% and above
9 No. of students who scored between 60% and 75%
10 No. of students who scored between 50% and 60%
12 No. of students who scored between 40% and 50%
13 Total No. of Distinctions
TOP FIVE RANKS OF THE SUBJECT
S.No Name Total Marks %age of
Marks
1
2
3
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4
5
Declaration
I, the ________________________________________________________(Class & Subject)
teacher hereby declare / certify that the particulars / information provided / furnished
above are true to the best of my knowledge and belief. I have not concealed any
information which is likely to impair my fitness for increment / employment. If it is
revealed later that I have given false / incorrect details or concealed material
information, my service shall be liable to summary termination without any notice or
compensation.
(Signature & Name of the teacher)
Date: ………………………
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Part III
Evaluation by the Initiating Authority
(To be filled in by the Principal)
Key: 6- Outstanding 5- Well-above average 4- Above average
3- Average 2- Below average 1- Unsatisfactory
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Professional Competence as a Teacher:
6 5 4 3 2 1
a Power of expression / communication skills
b Knowledge of subject
c Involvement in lesson planning
d Keeping up with educational developments
e Efforts put in for making quality assignments / question papers
f Proper correction work and follow up
g Class control / management
h Competence to care for / handle / counsel students
Attitude an Enthusiasm:
6 5 4 3 2 1
a Interest in school works
b Capacity for sustained hard work
c Commitment to quality of work
Dependability & Sense of Responsibility:
6 5 4 3 2 1
a Willingness to own and assume responsibility
b Extent to which he /she can be depended upon to discharge
his /her duties without prodding
c Punctuality in work schedule
d Punctuality in reaching school
Integrity & Loyalty:
6 5 4 3 2 1
a Professional integrity
b Financial integrity
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c Personal involvement with the institution
Initiative and Resourcefulness:
6 5 4 3 2 1
a Capacity for creative thinking
b Willingness to try new ideas
c Ability to solve problems
Interpersonal Skills:
6 5 4 3 2 1
a Ability to get along with the people in general
(tact, sociability, patience, perseverance etc.)
b Persuasive ability
c Amenability to discipline
d Ability to relate positively to every pupil irrespective of
pupils’ achievements
e Ability to help students gain confidence
f Interaction with parents
g Appropriate appearance and manner
Teamwork:
6 5 4 3 2 1
a Ability to inspire confidence in colleagues / juniors / students
b Team spirits initiative and willingness to share workload.
Remarks:
Any knowledge of personal problems which may affect the performance of the teacher:
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Areas in which he /she needs inputs for further growth / better performance:
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______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Frequent complaints, if any, of parent’s / students’ / colleagues’ that merit recording in
the A.C.R.
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Any warning letter / memos issued: Yes / No
______________________________________________________________________________
Sparks of superlative performance in any area. (specific instances, examples to be given)
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Suggestions made to the individual employee for improvement:
______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Remarks of Headmistress
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Date: …………………. Signature: …………………….
Remarks by the Final Authority (Principal)
Date: ……………… Signature: ……………….
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