GUJARAT METRO RAIL CORPORATION (GMRC) LIMITED

(50:50 SPV of GOI and GOG)

PERFO RMA NCE APPRAISAL FOR M (Financial Year)

Section-I Basic Information

(To be filled in by the employee)

1 Name of the employee

2 Designation
Date of Appointment to
3
present Post
Performance Appraisal Report for
4
the period from

5 Reporting Authority

(a) Name & Designation

(b) Period Worked

6. Period of absence due to on leave or other reason(s)

Period Type Remarks
On leave (Specify Type)

Others (Specify Type)

7. Training Programs attended

Date from Date to Institute Subject

Date:
Place:

Signature of the employee

1
Section – II Self Appraisal

(To be filled in by the employee)

1. Annual work plan and achievement

Tasks to be performed Deliverables Actual Achievement

2. During the period under report, do you believe that you have made any extra ordinary
contribution? E.g. you may mention any awards or honours received. (Resulting in Significant
benefits to the public and/or reduction in time and costs) Is so, please give a verbal description within
100 words):

3. What are the factors that hindered your performance?

4. Declaration
Activities Yes/No Date
(a) Have you undergone the prescribed medical check-
up?

Name & Signature of the employee

2
 Designation:
Section – III Appraisal
(To be filled in by the Reporting Authority)
1. Please state whether you agree with the responses relating to the accomplishments of the work
plan and unforeseen tasks as filled out in Section-II. If not, please furnish factual details.
YES/NO

2. Please comment on the claim (if made) of extra ordinary contribution by the officer reported
upon.

3. Has the officer reported upon met with significant failures in respect of his work or if any
disciplinary action has been taken, during the year under report? If yes, please furnish factual
details.

4. Attributes of Assessment for officer reported

Assessment Excellent Very Good Good Average Below Average
1. Work Output
2. Personal Attributes
3. Functional Competency
4. Organisational Competency
5. Communication skills
(Numerical Value of Final rating: Excellent=20 points, Very Good=16 points, Good=12 points, Average=8
points, Below Average=4 points)

Signature of Reporting Officer

Date: Name:
Designation:

3
 Section-IV Review
(To be filled in by the Reviewing Authority/HOD)
1. Do you agree with the assessment made by the reporting officer with respect to the work output and
the various attributes and extraordinary achievements and/or significant failures in section III? (In case
you do not agree with any of the numerical assessment of attributes please record tour assessments in
the column provided for you in that section and initials your entries.)
YES/NO

2. In case of difference of opinion details and reasons for the same may be given.

3. Comments, if any, on the Pen Picture written by the Reporting Authority.

4. Overall assessment & rating

Date:
Place:

Signature of Reviewing Authority

Name:
Designation:
GMRCL