Dated: Name & Sig. ANNUAL CONFIDENTIAL …

1 Dated: _____ name & ANNUAL CONFIDENTIAL report IN respect OF OFFICERS (GAZETTED staff ). FOR THE YEAR _____ Department/ Office_____ Part I 1. name of the Officer & Designation: 2. Date of birth: 3. Date of appointment in Health Services: 4. Educational Qualification: 5. Present appointment: 6. Present scale of Pay: 7. Pay on the Ist April: (Other than casual leave)/training. Fellowship study leave during the year: Place of Posting Date: _____ Signature of the Officer: Part II Brief resume of the work done bay the officer reported upon during the period from _____ to _____ bringing out any special achievement of his/her during the period , not exceeding the hundred words (to be filled (to be filled by the officer reported upon) 2 name & 8. Assessment by Reporting Officer: Do you agree with the report of the work as indicating by the officer in Part-II if not, give reasons disagreeing with it: 9.)

8 HIMACHAL PRADESH SERVICES Annual confidential report in respect of Non-Gezatted Staff (Clerical Staff). For the year Ist April _ to 31st March 1.

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