CHS Officer Part-I - Central Industrial Security Force

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PROFORMA-B ANNUAL PERFORMACE APPRISAL REPORT FOR OFFICEU.S OF THE CENTRAL HEALTH SERVICE Name of the officer (Full ~'lmc iT) Bloc· )t.:l(crs) J late of join ins Ccmral Health IcrV1CCS Date of continuous appointment to present grade Depart ment! 0 rganiz ati 0n where \vl)fking aDd :-;i'lCt: when Period or absence from duty i) Leavl: 10. Date of filing rhe Annual Property Return (i) NON -TEACHING (ii) GDMO (Regular I Regulariscd)
1\ame o~Offlcer :--_.- -- -----_._,- .._--_ .._._ .. "' Designation :__ .__ ._ (To be filled by the cd/leer reported lIP01~) (Piew;;e N!c1d ccmful{I' the inSTructions glWff/ be/ore filling the enlm:s) 2. Rfsume of work done during the period under report: (Please ndicatc c1imcal researcltltrainingkldmimsrratille work brJtlj.('Jlg achievements with lmf'liL'ldar rr:/ut'JJce to targets, if a,~l'. Pil.!aYc be brit~f)
Page 1 and 2: No. E-15013/10/MO/2006/CS- Grt To A
Page 3 and 4: Submission of self- appraisal to Re
Page 5 and 6: 6. As per O.M. No. A.28012/15/2009-
Page 7 and 8: Name ofOfflCer : Designation :---=-
Page 9 and 10: Name of Officer : _._--------_._--
Page 11 and 12: Nnme ofOfficef : ._ Period ending:
Page 13: N,me of Officer :~~ __~_~~~~ __ ~~
Page 17 and 18: Name of Officer = ._. ._ Period end
Page 19 and 20: Name of Officer :~,~~_,~~_. periode
Page 21 and 22: Name of Officer : Period ending: _
Page 23 and 24: Name ofOfficei : -Period ending: --

CHS Officer Part-I - Central Industrial Security Force

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