deZpkjh dksM Employee Code

Uksg: ;qok dsUnz laxBu ds vf/kdkfj;ksa

ds fy,
Okkf’kZd dk;Zfu’iknu ewY;kadu izfrosnu

Annual Performance Appraisal Report

For Officers of
Nehru Yuva Kendra Sangathan

ftyk ;qok vf/kdkjh@lgk;d funs'kd@ lgk;d funs'kd& jktHkk"kk

District Youth Officer / Assistant Director / Assistant Director (Official Language)

vf/kdkjh dk uke
Name of Officer: ……………………………………………………………………………………

lekfIr o’kZ@vof/k dk izfrosnu

Report for the year/period ending………………………………………………………………
 -1-

ea=ky;@foHkkx & ;qok dk;Zdze ,ao [ksy ea=ky;

Ministry/ Department - Ministry of Youth Affair & Sports

izi=
Form

Uksg: ;qok dsUnz laxBu ds ftyk ;qok vf/kdkjh@lgk;d funs'kd@ lgk;d funs'kd& राजभाषा
Annual Performance Appraisal Report of District Youth Officer / Assistant Director/ Assistant Director (Official
Language)

lekfIr o’kZ@vof/k dk izfrosnu

Report for the year/period ending……………………………………………………………

oS;fDrd C;kSjs
PERSONAL DATA

Hkkx&1
PART-1

(ea=ky;@foHkkx@dk;Zky; ds lacaf/kr iz‛kklfud vuqHkkx }kjk Hkjs tkus ds fy,)

(To be filled by the Administrative Section concerned of the Ministry/Department/Office)

vf/kdkjh dk uke
Name of Officer ……………………………………………………………………………………………………..

tUe dh rkjh[k (fnu@ekg@o’kZ) (‚kCnksa esa)

Date of Birth (DD/MM/YYYY) ………/………./………….. (In words)…………………………………………….

orZeku Js.kh es yxkrkj fu;qfDr dh rkjh[k fnukad Js.kh

Date of continuous appointment to present grade Date ………………………. Grade ………………….

orZeku in rFkk ml ij fu;qfDr dh rkjh[k in fnukad

Present post and date of appointment thereto Post ………………………. Date ……………………

o’kZ es dk;Z ls vuqifLFkfr dh vof/k (NqVVh izf‛k{k.k vkfn ij)

;fn mDr vf/kdkjh us izf‛k{k.k fy;k gS rks mldk fooj.k nsA
Period of absence from duty (on training leave etc.)
during the year. If he/she has under gone training
specify.

Contd ………2

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Hkkx&2
PART-2

ftl vf/kdkjh dk izfrosnu fy[kk tkuk gS] mlds }kjk Hkjs tkus ds fy,
To be filled in by the officer reported upon

(ÑIk;k izfof’V;ksa dks Hkjus ls igys vuqns‛kksa dks /;ku ls i< ysa)(Please read carefully the instructions before filling the entries)

1. fd;s x;s dk;ksZ dk laf{kIr fooj.k

Brief description of the duties.

2- dk;Z ds tks y{;@mn~n‛s ;@/;s; vkius Lo;a vius fy, fu/kkZfjr fd;s gks]a ;k vkids fy, fu/kkZfjr fd;s x, gks mu
¼ifj.kke@ek=k ;k vU; #i es½ dk;ksZ dh vkB & nl ensa izkFkfedrk ds vk/kkj ij cuk,a vkSj gj,d y{; dh n`f’V ls viuh
miyfC/k crk,A ¼mnkgj.k ds fy, vkids izHkkx ds fy, okf’kZd dk;Z ;kstuk½

Please specify targets/objectives/goals (in quantitative or other terms) of work you set for yourself or that were set for
you, eight to ten items of work in the order of priority and your achievement against each target. (Example: Annual
Action Plan for your Division)

y{;@mn~ns‛;@/;s; miyfC/k;ka
Targets/Objectives/Goals Achievements

Contd ………3

fujarj-----------3
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3- ¼v½ ÑIk;k en 2 es crk, x, y{;ksa @mn~n‛s ;ksa@/;s;ksa dh izkfIr esa jgh dfe;ksa dk la{ksi esa mYys[k djsAa ;fn y{;ksa dh
izkfIr esa dksbZ ck/kk, jgh gksa rks os crk,A
(A) Please state briefly, the shortfalls with reference to the targets/objectives/goals referred to in item 2. Please
specify constraints, if any, in achieving targets.

¼c½ ÑIk;k mu enksa dk mYys[k djsa ftuesa dkQh vf/kd miyfC/k;ka jgh gSa vkSj muesa vius ;ksxnku dk Hkh myYs[k djsAa
(B) Please also indicate items in which there have been significantly higher achievements and your contribution
thereto.

4- ”Ik;k mYys[k djs fd D;k iwooZ rhZ dSyS.Mj o’kZ dh vpy laifRr okf’kZd fooj.kh fu/kkZfjr rkjh[k vFkkZr dSyS.Mj o’kZ ls
mRrjorhZ o’kZ dks 31 tuojh rd ntZ djk nh xbZ FkhA ;fn ugh rks vkbZihvkj çLrqr u djus ds dkj.kksa dks crk,aA
Please state whether the annual return on immovable property for the preceding calendar year was filled within the
st
prescribed date i.e. 31 January of the year following the calendar year. Specify the reason, if not.

gk¡ Yes ugh No

Date of Please specify the reason for non-submission of IPR.
Submission: Submitted to: vkbZihvkj çLrqr u djus ds dkj.kksa dks crk,a!
çLrqfr dh frfFk : dks çLrqr:

fnukad( lwpuk nsus okys vf/kdkjh ds gLrk{kj

Date: ……………….. Signature of officer reported upon

Contd.……4
fujarj-----------4
 -4-

Hkkx&3
PART-3

To be filled by Reporting Officer (fjiksfVaZx vf/kdkjh }kjk Hkjk tkuk)

¼”Ik;k izfof’V;ks dks Hkjus ls igys fn‛kk funsZ‛kks dks /;ku ls i< ys½(Please read carefully the guidelines before filling the entries)

1- tuekul ds lkFk Hkkxhnkjh ¼tgkW dgha Hkh ykxw gks ½ &(Relations with the public (wherever applicable)
¼tuekul dh vko';drkvksa vkSj mudh vko';drkvksa ds çfr muds mÙkjnkf;Ro ds çfr vf/kdkjh dh igq¡p ij ”i;k
fVIi.kh nsAa ½
(Please comment on the Officer’s accessibility to the public and responsiveness to their needs)

2- çf'k{k.k & Training

¼ÑIk;k vf/kdkjh dh izHkkfork ,oa dk;Z {kerkvksa esa vkSj vf/kd lq/kkj vkSj o`f) djus dh n`f’V ls mlds izf‛k{k.k ds fy, flQkfj‛ksa djsAa ½
(Please give recommendations for training with a view to further improving the effectiveness and capabilities of the officer)

3- LokLF; dh fLFkfr & ( Status of health )

4- lR;fu’Bk &( Integrity )

¼ÑIk;k vf/kdkjh dh lR;fu’Bk ij fVIi.kh nsAa (Please comment on the integrity of the officer)

fuEufyf[kr esa ls fdlh ,d dk p;u djsa ¼✓½

Select only one among the following options (✓)

fuLlansg Beyond doubt

pwafd vf/kdkjh dh lR;fu"Bk langs kLin gS] ,d xksiuh; fVIi.kh layXu gSA
Since the integrity of the officer is doubtful, a secret note is attached.

vf/kdkjh ds dk;ksaZ dks leqfpr le; rd ugha ns[kk blfy, fu.kkZ;d fu.kZ; ugha fn;k tk ldrk
ysfdu vf/kdkjh ds çfr dqN Hkh udkjkRed rF; esjs lkeus ugha vk;k gSA
Not watched the officer's work for sufficient time to form a definite judgment
but nothing adverse has been reported to me about the officer.

Contd………5
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 -5-
5- fjiksfVaZx vf/kdkjh }kjk vf/kdkjh dh leLr foks’krkvksa dk laf{kIr fooj.k ¼yxHkx 100 ‚kCnksa es½a ftlesa lkeF;Z {ks= ,oa de
lkeF;Z {ks=] vlk/kkj.k miyfC/k;kW] egRoiw.kZ vlQyrkvksa ¼lanHkZ( Hkkx &2 dk 3¼v½ ,oa 3 ¼c½ ,oa nqcZy oxksZ ds izfr vfHko`fRr
‚kkfey gksA

Pen picture by Reporting Officer (in about 100 words) on the overall qualities of the officer including area of
strengths and lesser strength, extraordinary achievements, significant failures (ref: 3 (A) & 3 (B) of
Part-2) and attitude towards weaker sections.

6- fjiksfVaZx vf/kdkjh ,oa leh{kk vf/kdkjh }kjk la[;kRed xzsfMax fn;k tkuk gS tks fd 1&10 rd gksuk pkfg, tgka 1 lcls de
rFkk 10 mPpre xzsM dk myys[k djsA
Numerical grading is to be awarded by reporting and reviewing authority which should be on a scale of 1-10,
where 1 refers to the lowest grade and 10 to the highest.

6(v½ dk;Z fu’iknu dk ewY;kadu ¼bl Hkkx dk osVst 40% gksxk½

6(A) Assessment of work output (weightage to his section would be 40%)

fjiksfVaZx leh{kk leh{kk

vf/kdkjh vf/kdkjh vf/kdkjh ds
Reporting Reviewing gLrk{kj
Authority Authority Initial of
(Refer Reviewing
Para 2 of Authority
Part-5)
i) iwoZ fu;ksftr dk;Z dh ifjiw.kZrk@fo’k; ds vk/kkj ij vkcafVr fd;k x;k
dk;Z(Accomplishment of planned work/work allotted as per subjects allotted)
ii) dk;Z fu’iknu dh dksfV (Quality of output)
iii) fo‛ys’k.kkRed ;ksX;rk (Analytical ability)
iv) vlk/kkj.k dk;Z dh ifjiw.kZrk@fd;s x, vizR;kf‛kr dk;Z
(Accomplishment of exceptional work/unforeseen tasks performed)
v) vkSlr ;ksx [i+ii+iii+iv]/4, Total Average [i+ii+iii+iv]/4
vi) fuxZr dk;Z ij dqy feykdj Js.khdj.k
(Overall Grading on ‘work output’)
(vkSlr ;ksx (v) का 40%,40% of Total Average(v))

Contd…..…6
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6(c) O;fDrxr fo‛ks’krkvksa dk ewY;kadu ¼bl Hkkx dk osVst 30% gksxk½
6(B) Assessment of personal attributes (Weightage to his Section would be 30%)
fjiksfVaZx leh{kk leh{kk
vf/kdkjh vf/kdkjh vf/kdkjh ds
Reporting Reviewing vk|{kj
Authority Authority Initial of
(Refer Para Reviewing
2 of Part-5) Authority
i) dk;Z ds çfr “f"V(Attitude to work )
ii) ftEesnkjh dk cks/k ( Sense of responsibility )
iii) vuq‛kklu ( Maintenance of Discipline)
iv) laizs’k.k {kerk, ( Communication skills)
v) usrR` o xq.k ( Leadership qualities)
vi) nyh; Hkkouk esa dk;Z djus dh {kerk (Capacity to work in team spirit )
vii) le; lkfj.kh dk vuqlj.k djus dh {kerk
Capacity to adhere to time-schedule
viii) ijLij O;fDrxr lac/a k ( Inter-personal relations)
ix) lexz Nfo ,oa O;fDrRo ( Overall bearing and personality )
x) vkSlr ;ksx Total Average [i+ii+iii+iv+v+vi+vii+viii+ix]/9

xi ) O;fDrxr fo‛ks’krkvks ij lexz xzsfMax

Overall Grading on ‘Personal Attributes’
(vkSlr ;ksx (x) का 30%) (30% of Total Average(x)

6¼l½ dk;ZkRed {kerk dk ewY;kadu ¼bl Hkkx dk osVst 30% gksxk½

6(C) Assessment of functional competency (Weightage to this Section would be 30%)
fjiksfVaZx leh{kk vf/kdkjh leh{kk
vf/kdkjh Reviewing vf/kdkjh ds
Reporting Authority (Refer vk|{kj
Authority Para 2 of Part-5) Initial of
Reviewing
Authority
i) fu;e@fofu;e@dk;Z ,oa ;ksX;rk ds {ks= esa izfdz;k,W ,oa muds lgh
iz;ksx dh tkudkjh
Knowledge of Rules / Regulation / Procedures in the area of
function and ability to apply them correctly.
ii) uhfrc) ;kstuk cukus dh {kerk &(Strategic planning ability)

iii) fu.kZ; ysus dh {kerk &(Decision making ability)

iv) leUo; {kerk &(Coordination ability)
v) v/khuLFk dks izsfjr ,oa fodflr djus dh {kerk
Ability to motivate and develop subordinates
vi) igy{kerk&(Initiative)
vii) vkSlr ;ksx Total Average[i+ii+iii+iv+v+vi]/6

viii) izdk;ZkRed l{kerk ij dqy feykdj xzsfMax

Overall Grading on ‘Functional Competency’
(vkSlr ;ksx (vii) dk 30%) 30% of Total Average(vii)

Contd ……7
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 -7-

7- izfrosnu ds Hkkx 3% Øekad & 6 ds [kaM v] c rFkk l esa fn, x, osVst ds vk/kkj ij dqy feykdj la[;kRed xzsfMaxA
Overall numerical grading on the basis of weightage given in Section A, B and C in Part-3(Point No:-6)
of the Report.

6 (v½ 6(A) 6(c) 6(B) 6¼l½ 6(C)

tSlk fd 6(A)(vi) esa crk;k tSlk fd 6(B) (Xi) esa crk;k tSlk fd 6(C) (viii) esa crk;k
x;k gS &fuxZr dk;Z ij x;k gS &O;fDrxr x;k gS &izdk;ZkRed l{kerk
dqy feykdj xzsfMax fo'ks"krkvksa ij dqy ij dqy Grand Total
feykdj xzsfMax feykdj xzsfMax iw.kZ ;ksx
(Overall Grading on ‘work Overall Grading on Overall Grading on
output’) as mentioned at ‘Personal Attributes’ as ‘Functional Competency’
6(A)(vi) mentioned at 6(B) (Xi) as mentioned at 6(C) (viii)

fjiksfVaZx vf/kdkjh ds gLrk{kj

Signature of the Reporting Officer

LFkku: Ukke lkQ v{kjksa esa :

Place: ……………….. Name in Block Letters: ………………………………………

Iknuke :
Designation: ………………………………………………….

fnukad: izfrosnu dh vof/k:

Date: ………………… Duration of the period of Report: ……………………………….

Contd ………8
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Hkkx &4
(PART-4)

leh{kk vf/kdkjh dh fVIif.k;k¡

Remarks of the Reviewing Officer

1-leh{kk vf/kdkjh ds vUrxZr lsok dky

Length of service under the Reviewing Officer

2- ”i;k gk¡ ;k uk es mÙkj nsA Please answer the following in Yes or No.
 D;k vki Hkkx &3 es fuxZr dk;Z rFkk fofHkUu xq.kks ds laca/k es fjiksfVaZx vf/kdkjh }kjk fd;s x, ewY;kadu ls lger gS\
 D;k vki vf/kdkjh dh vlk/kkj.k miyfC/k;ksa @ egRoiw.kZ vlQyrkvksa ds laca/k esçfrosnu vf/kdkjh }kjk fd;s x,
ewY;kadu ls lger gS\
¼lanHZ k Hkkx&3 ¼6½ ¼v½¼iv½ rFkk Hkkx &3 ¼5½ ½
 ¼;fn vki fjiksfVaZx vf/kdkjh }kjk fn, x, xq.kksa ds fdlh la[;kRed ewY;kadu ls lger ugh gS rks ”Ik;k viuk ewY;kadu
bl [kaM ds fn, x, LraHk es nsa rFkk çfof"V ij vius gLrk{kj djs½a
 Do you agree with the assessment made by the reporting officer with respect to the work output and the
various attributes in Part-3?
 Do you agree with the assessment of reporting officer in respect of extraordinary achievements/significant
failures of the officer reported upon? (Ref: Part-3 6 (A) (iv) and Part-3(5).
 (In case you do not agree with any of the numerical assessments of attributes please record your
assessment in the column provided for you in that section and initial your entries).

gkW ugha
Yes No

3- vlger gksus dh fLFkfr es ”Ik;k blds dkj.k crk;s- D;k dksbZ ,slh ckr gS ftls vki dqN cnyuk ;k tksMuk pkgrs gS\
In case of disagreement, please specify the reasons. Is there anything you wish to modify or add ?

Contd…………9
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 &9&

4- leh{kk vf/kdkjh }kjk laf{kIr fooj.kA ”Ik;k lekykspu djsa ¼ yxHkx 100 ‚kCnksa esa ½ fVIi.kh nsAa ftlesa vf/kdkjh dh leLr
fo‛ks’krkvksa dh lkeF;Z {ks= ,oa de lkeF;Z {ks= ,oa mldh nqcZy oxksZ ds izfr vfHko`fRr ‚kkfey gksA
Pen pictures by Reviewing Officer. Please comment (in about 100 words) on the overall qualities of the officer
including areas of strengths and lesser strength and his attitude towards weaker sections.

5- izfrosnu ds Hkkx 3 ¼7½ esa fn, x, osVst ds vk/kkj ij dqy feykdj la[;kRed xzsfMaxA
Overall numerical grading on the basis of weightage given in Para-3(7) of the Report.

leh{kk vf/kdkjh ds gLrk{kj

Signature of the Reviewing Officer

LFkku: Ukke cM+s v{kjksa esa :

Place of posting: ……………….. Name in Block Letters: ………………………………………

Iknuke :
Designation: ………………………………………………….

fnukad: izfrosnu dh vof/k :

Date: ………………… Duration of the period of Report: ……………………………….

Contd………10
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 -10-

Lak[;kRed Js.khdj.k ds lkFk ,ih,vkj Hkjus ds laca/k esa fn‛kkfuns‛Z k

Guidelines regarding filling up of APAR with numeric grading

(i) ,ih,vkj ds LraEHk fof/kor lko/kkuh vkSj /;kuiwod

Z rFkk Ik;kZIr le; nsrs gq, Hkjus pkfg,A
The columns in the APAR should be filled in with due care and attention and after devoting adequate time.

(ii) ;g vk‛kk dh tkrh gS fd 1 vFkok 2 ds fdlh oxhZdj.k ¼fuxZr dk;Z ;k fo‛ks’krkvks ;k dqy feykdj Js.khdj.k ds izfrdwy½ dks
fof‛k’V vlQyrkvks ds ekxZ ls dye fp= esa Ik;kZIr #i ls vkSfpR; fn;k tk,xk vkSj blh izdkj 9 vFkok 10 ds fdlh Js.kh ds
laca/k esa fof‛k’V miyfC/k;ks ds laca/k esa vkSfpR; fn;k tk,xkkA Js.kh 1&2 vFkok 9&10 fojy gksrh gS vr( mudk vkSfpR; fn,
tkus dh t#jr gSA lkaf[;d Js.kh iznku djrs gq, fjiksfVaZx ,ao leh{kk izkf/kdkfj;ks dks fdlh vf/kdkjh dk ntkZfu/kkZj.k muds
v/khu cgh la[;k esa orZeku esa dk;Zjr lg;ksfx;ksa dh rqyuk esa djuk pkfg,A
It is expected that any grading of 1 or 2 (against work output or attributes or overall grade) would be adequately
justified in the pen-picture by way of specific failure and similarly, any grade of 9 or 10 would be justified with
respect to specific accomplishments. Grades of 1-2 or 9-10 are expected to be rare occurrences and hence the
need to justify them. In awarding a numerical grade the reporting and reviewing authorities should rate the officer
against a larger population of his / her peers that may be currently working under them.

(iii) ,ih,vkj dk 8 ls 10 ds chp dk oxhZdj.k ÞmR”‘Vß fy;k tk,xk rFkk lwphdj.k @ izksUufr ds fy, vkSlr izkIrkad dh x.kuk
djus ds fy, izkIrkad 9 fn;k tk,xkA
APARs graded between 8 and 10 will be rated as “Outstanding” and will be given a score of 9 for the purpose of
calculating average scores for empanelment / promotion.

(iv) ,ih,vkj dk 6 rFkk 8 ls deds chp dk oxhZdj.k ßcgqr vPNkÞ fy;k tk,xk rFkk izkIrkad 7 fn;k tk,xkA
APARs graded between 6 and short of 8 will be rated as “Very Good” and will be given a score of 7.

(v) ,ih,vkj dk 4 rFkk 6 ls deds chp dk oxhZdj.k ÞvPNkß fy;k tk,xk rFkk izkIrkad 5 fn;k tk,xkA
APARs graded between 4 and 6 short of 6 will be rated as “Good” and given a score of 5.

(vi) ,ih,vkj dk 4 ls de oxhZdj.k Þ‚kwU;ß fy;k tk,xkA

APARs graded below 4 will be given a score of “Zero”.

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