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.
Classes No. of No. of No. of No. of %age Board Remarks
taught periods periods students students %age for
allotted taken appeared passed variation
in exam.
19. Record of sports activities.
Name of the Tournament Game/ cultural Position Individual events
activities 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 …………………
