ACR Form For 17 and 18
ACR Form For 17 and 18
ACR Form For 17 and 18
Certified that I
(Name of Officer) (Group/Service) (BS)
)
to
(Name/Designation of Reporting Officer)
My countersigning officer is
(Name/Designation of Countersigning Officer)
Name/Designation/Department of officer
Department/Office Service/Group
PART I
2. Personnel number
3. Date of birth
6. Academic qualifications
7. Knowledge of languages (Please indicate proficiency in speaking (S), reading (R) and writing (W)
1
8. Training received during the evaluation period
Name of course attended Duration with dates Name of institution and country
9. Period served
PART II
1. Job description
2
2. Brief account of performance on the job during the period supported by statistical data
where possible. Targets given and actual performance against such targets should be
highlighted. Reasons fro shortfall, if any, may also be stated.
PART III
The rating in Part III should be recorded by initialing the appropriate box.
The ratings denoted by alphabets are as follows:
'A' Very Good, 'B' Good, 'C' Average, 'D' Below Average
A B C D
1. Intelligence
3
A B C D
3. Acceptance of responsibility
Reluctant to take on
responsibility; will avoid
Always prepared to take on it whenever possible.
responsibility even in difficult cases.
5. Financial responsibility
Irresponsible
Exercises due care and discipline
6. Relations with
(i) Superiors
Un-cooperative
Cooperative and trusted
ii) Colleagues
Difficult colleague
Works well in a team
4
A B C D
Indecisive;
Vacillating
Logical and decisive
PART IV
1. Please comment on the officer's performance on the job as given in Part II(2)
with special reference to knowledge of work, quality and quantity of output.
How far was the officer able to achieve targets? Do you agree with what has
been stated in Part II (2)?
5
2. Integrity (Morality, uprightness and honesty)
3. Pen picture with focus on the officer's strengths and weaknesses not
covered in Part III (Weakness will not be considered as adverse entries unless
intended to be treated as adverse).
4. Special aptitude
6
6. Overall grading
(ii) Good
(iii) Average
Designation Date
7
PART V
1. How well do you know the officer? If you disagree with the assessment of
the reporting officer, please give reasons
Designation Date
8
PART VI
Name Signature
Designation Date