Government of Himachal Pradesh Education Department Annual Confidential Report of School D.P.E/ P.E.T./ N.D.S.I. Part - I Year .......Name of the School .................. 1. Name ( in block letters). 2. Designation 3. Date of Birth 4. Qualifications 5. Game in which you have specialized 6. Date of appointment 7. Grade of pay 8. Previous three stations along with exact date (i) ____________________(ii) ___________________(iii) ________________________ 9. Period of absence from duty (Leave or training) (Leave of all kinds) ______________________________ 10. Permanent home address of the employee. (Give complete details of address) ______________________________ 11. Whether he/she has worked in Tribal/ sub cadre hard area, if yes, mention period ______________________________ 12. whether departmental exam passed or not ______________________________ Part - II 13. What has been your most outstanding contributions towards the school ______________________________ 14. Does Physical Education Programme cater to all pupils of the school ______________________________ 15. Do you hold physical efficiency test for the students. ______________________________ What is the frequency of holding these test Monthly/ Quarterly/ Half Yearly/ Yearly ______________________________ 16. What were the various activities of physical education under taken. (as mentioned in education code) (a) Indigenous activities (b) Recreational activities (c) Gymnastic activities 17. Whether teachers diary is being maintained. 18. Results of the year under report. 19. Record of sports activities. Classes taught No. of periods allotted No. of periods taken No. of students appeared in exam. No. of students passed %age Board %age Remarks for variation Name of the Tournament Game/ cultural activities Position Individual events with position 1. Block & Zonal Tournament 2. Distt. Tournament 3. State Tournament 4. National Tournament Signature of the officials Remarks of the Reporting officer (Note :- Assessment of this part should not be indicated by tick marking but should be clearly expressed in suitable words. No column of the proforma be left blank.) 20. Do you agree with the report submitted by the officials? 21. If he/she is an efficient worker & does the duty with due diligence. 22. Does he/she maintain teachers diary. 23. Does he/she take keen interest during evening activities. 24. Has he/she prepared outstanding players & athletes by providing special coaching. 25. His/her attitude towards students, colleagues & parents. 26. Does he/she take interest in use of Hindi language in official work. 27. His attitude towards the members of S.C. & S.T. community. 28. Amenable to discipline. 29. Relation with colleagues. 30. Integrity. a. Nothing has come to my knowledge which case any reflection on the integrity. His/ her general reputation for honesty is good and I certify his/her integrity. b. His/ her reputation is of doubtful nature. c. He/she has yet to establish his/her reputation. 31. Any special achievement during the year under report. 32. Whether departmental inquiry/court case vigilance case is pending against the employee, if yes, brief details be given. 33. Over all assessment (a) Excellent (b) Very good (c) Good (d) Average (e) Poor Reporting officer Principal/Headmaster Sr. Sec. School/High School Middle School Remarks of the Reviewing officer 34. Do you agree with the remarks of the reporting officer? 35. Any other remarks. 36. Over all assessment (a) Excellent (b) Very good (c) Good (d) Average (e) Poor Signature of Reviewing Officer Name in the block letters ... Designation ......... Remarks of the next superior officer or Head of the Department. Signature ........ Name in the block letters .... Designation .......
