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NAME OF INSTITUTION :
__________________________________________
REPORT FOR THE YEAR /PERIOD :
__________________________________________
PART-I
1 Name of the contractua em!o"ee
# $ontact Num%er of em!o"ee
& Date of %'rth
( E)ucat'ona/Techn'ca *ua'f'cat'on+ Po,t He)
- Nature of en.a.ement/a!!o'ntment
Date of 'n't'a en.a.ement/
a!!o'ntment to the !re,ent !o,t
0 Pa"
Dut" A,,'.ne)
12
Su%3ect 4',e re,ut of the em!o"ee
'n ca,e of 'n,truct'ona
teach'n./techn'ca ,taff5
Subject/Semester/year Trainees
appeared
Trainees
passed
Pass
%
Signature of the Employee
PART-II-Report of I/ !ranch/"I/c !rancg/#I/$" etc&
11 Assessment of Special aptitude Remar's
6'7 Amena%''t" of )',c'!'ne
6''7 $a!ac't" to 'm!art tra'n'n.
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6'''7 8or9 an) con)uct
6'7 *ua't" of 4or9
67 Statu, of manner,
6'7 Statu, of !o4er of 4or9'n. 4'th other,
6''7 Statu, of !unctua't" an) re.uar't"
6'''7 Sen,e of re,!on,'%''t"
6';7 *u'c9ne,, 'n the )',!o,a of 4or9
6;7 'nte'.ence an) un)er,tan)'n.
Signature of I/c !ranch/"I/c !ranch/ #I/$" etc&PART-III
Report /Recommendation of Principal
1# I, the ,er'ce an) con)uct of the em!o"ee ', ,at',factor"<
'f not
rea,on, thereof5
1& Re!ort on oer a !erformance of the em!o"ee 'n ca,e of
'n,truct'ona/
non 'n,truct'ona teach'n./techn'ca ,taff 6Out,tan)'n./=er"
>oo)/>oo)/ Sat',factor"/Poor7
1( Recommen)at'on, of Pr'nc'!a 4'th re.ar) to ,er'ce an) con)uct
of the
concerne) contractua em!o"ee
Signature of Principal (ith office seal/stamp
It ', cert'f'e) that the Ser'ce, an) con)uct of Shr'
___________________________ ',
,at',factor" )ur'n. the !er'o)/"ear un)er re!ort an) there ',
re?u'rement of the ,er'ce, of ,a')
Shr' __________________________for ne;t "ear 'n the
!u%'c/aca)em'c/tra'n'n. 'ntere,t
Therefore< 't ', recommen)e) to rene4/e;ten) the !er'o) of
contract 'n faour of Shr
______________________________for the ne;t "ear a,o5
Signature of Principal (ith office seal/stamp
OR
It ', cert'f'e) that the Ser'ce, an) con)uct of Shr'
____________________ ', not ,at',factor"
)ur'n. the !er'o)/"ear un)er re!ort5 Therefore< the contract
'n
faour of Shr' _________________________ ma" not %e
rene4e)/e;ten)e)5
Signature of Principal (ith office seal/stamp
Report/Remar's of the Accepting "fficer
)$ead of epartment*
a7 Out,tan)'n.
%7 =er" >oo)
c7 >oo)
)7 Sat',factor"
e7 PoorSignature of $ead of
epartment
