PANEL PROFORMA FOR HIGH POWERED SELECTION BOARD FOR PROMOTION TO BS-22 POSTS (AS ON )

In respect of Mr/MS. Domicile: Educational Qualification Personal No. _______________ Service/Group: Date of Birth Sen. No.: Date of superannuation

SERVICE PARTICULARS
Date of joining Academy (CSA)/ SERVICE Date of Promotion in Present Scale BS-21 Scale BS-20 Length of Service Total In Present Scale BS-21 Eligibility for Promotion to BS-22

Appointments/Experience in BS-20 & BS-21

BS-20 BS-21

1 2 3 4 5 6

1 2 3 4 5 6

Penalties during his tenure (under relevant rules) in BS-21 (if any) Gradings of mandatory trainings at NMC/NDU: --------NIPA ---------Number of PERs in BS-20& BS-21
Good Average Below Average Adverse Report/ Remarks

Basic Scale BS-20 BS-21

Year 2004 2005 2006 2007 2008 2009

Out-standing

Very Good

Grading of the due PERs of last six years*

B.S Out Standing V. Good Good Average Below Average

Awaited Report

Additional Information including pending disciplinary /criminal proceedings, if any or any other relevant information etc.

*In cases where PER for any year between 2004 to 2009 is not due then the PER for the year 2003 be included to complete record for six years. Prepared by: _________ S.O or Equivalent Checked by: ________ D.S or Equivalent Signed by ________ J.S or Equivalent