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

Organization

Date

Remarks

(a)
(b)
(c)
5. Experience other than CSE: Qualification
(a)
(b)
(c)

Part II CSE Career Profile

6. Date of Joining CSE..Post..Pay..
7. Any Training/Course done Details and Duration:
.

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.
No. of
No.
%Age
of Classes Students
Passed
1.
2.
3.
4.
5.
6.
12.

Reasons
for low%

If working in Lab or lab i/c

Sem

S. No.

Name of Lab

No. of classes

Are eqpt
available as
per syllabus

If not action
taken

1.
2.
3.
4.

13. Secondary Duties Performed

Duration

Any Distinction

(a).____________________

_________________

____________________

(b).____________________

_________________

____________________

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

____________

22. Discipline:

23. Students Feedback Analysis

Sem

Subject

Satisfaction level
Teaching

Satisfaction level
Practical

Remark

Part V Assessment of HOD/Dean Academics/Principal

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

25. Assessments Academics

S. No.

1.
2.
3.
4.
5.
6.
7.
Total
(Ex-90

Attributes

By HOD

By Dean/ Principal

Professional knowledge (25)

Job Performance (15)
Intelligence (10)
Discipline/Punctuality (20)
Initiative/Involvement (10)
Attitude (10)
Interpersonal Relationship (10)
100
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

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)