AMC ACR Revised 2019

CONFIDENTIAL
COL (TS), LT COL AND BELOW (& EQUIV): AMC/ AD CORPS - (Revised 2019)
CONFIDENTIAL REPORT
INTERIM / EARLY / ANNUAL / DELAYED / SPECIAL / REVIEW / ADVERSE
PERS NO ______________________________________
(MR/ MS/ DR/ DS No)
RANK ______________________________________
NAME ______________________________________
UNIT ______________________________________
FORMATION ______________________________________
MED CAT ______________________________________
PERIOD COVERED FROM _________________TO __________________
EMAIL ID ______________________________________
MOBILE NUMBER ______________________________________
TELE NO ______________________________________
FORM TO BE DOWNLOADED, PRINTED (both sides) AND HAND FILLED, NO ALTERATIONS ALLOWED
1 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
ADMINISTRATIVE INSTRUCTIONS FOR FILLING UP OF REVISED ACR FORMS

(IAFI-1124) AND INTERNAL ASSESSMENT OF ACR
INTRODUCTION
1. The present ACR form has been found inadequate to provide necessary input for selection process as well as for
performance appraisal of officers in a balanced and accurate manner. The inadequacy of the form will be more critical once the
required promotion policy and selection procedure for AFMS officers are adopted. In order to overcome the lacunae, the
reconstruction of this important instrument for judging career advancement potential of AFMS officers, the ACR form (IAFI-1124A)
has been revised. The succeeding paragraphs amplify the procedure for filling up of the form.
GENERAL
Medical Data
2. The ratee will endorse the previous & present medical category in Paragraph 7 (e) & (f) and authenticate with initials.
Qualification
3. The Civil Academic Qualification will be mentioned in Paragraph 8 (a) along with year of passing within bracket i.e. ratee
who has passed his MBBS examination in 1971 will endorse the qualification as 'MBBS (1971)'.
Appointment (s) Held During the Period
4. All the appointment(s) including those in officiating capacity held for more than a total period of 30 days should be entered
in Paragraph 10 (c).
Recommendations for Employment
5. The specific appointment recommended will be endorsed by various reporting officers in Para 19 (e)
Remarks of the Reporting Officer
6. The IO and the RO in their remarks must highlight at least one achievement of the ratee during the period under report and
also mention the weak points (if any) in the Para 13 and 14 in Part II of the form. Similarly, the FTO and STO should highlight the
professional achievements and lapses, if any, in Para 27 and 30 respectively of Part IV of the ACR form. The reporting officer will
communicate the weakness/ advisory/ adverse remarks (if any) to the ratee offr. The ratee is required to acknowledge these remarks
by his full signature and date as per provisions of Para 7.10.3 of AO 01/ 2010/ DGMS (and equiv NO & AFO).
7. The IO and RO will mark within the rating scale of 1 to 9 in the boxes provided against the various qualities in Para 12.
Arithmetical average of the marks given in Para 12 up to the second place of decimal will be entered in the box provided in Para 13
for IO and Para 14 for RO. The reporting officers in Part IV i.e. FTO and STO will similarly mark within same rating scale (i.e. 1 to 9)
in Para 26 for each of the ten qualities. Arithmetical average upto the second place of decimal will be endorsed in the box provided
in Para 27 by FTO and Para 30 by STO.
8. The SRO (Para 21), HTO (Para 31), DGsMS (Para 22) & DGAFMS (Para 23) will mark within the rating scale of 1 to 9
against the various qualities and will endorse the arithmetical average of the marks given, up to the second place of decimal, in the
box provided in the respective Paras.
9. The COAS/ CNS/ CAS will not make any numerical endorsement at Para 24.
INTERNAL ASSESSMENT
10. The internal assessment of the ACR in respect of all Armed Forces Medical Service Officers will be carried out in the Office
of the DGAFMS. The procedure to be followed for internal assessment is given in the succeeding paragraphs.
11. The ACR of AFMS officers, once received in the Office of the DGAFMS will be scrutinized by the CRD Cell for technical
validity, consistency and trend of performance. In case of any discrepancy, the ACRs would then be scrutinised by Dy DGAFMS (HR)
who will endorse the observation(s). The ACRs will then be submitted to Addl DGAFMS (HR)/ DG (Org & Pers)/ DGAFMS. In case
the ACRs are in order, the same will be filed in the Offr’s CR Dossier. In case the ACRs are found to be worth further
assessment/scrutiny the Dy DGAFMS/ Addl DGAFMS/ DG (Org & Pers) should give their recommendations and submit the ACR to
DGAFMS. If the DGAFMS feels that the ACR needs to be further acted upon, he with his remarks will submit the same to the
respective Service Chiefs for final decision. The Service Chief would give his decision regarding setting aside the whole ACR or
expunging the aberrant portion only.
12. All ACRs which have either been set aside or portion of which have been expunged will be brought to the notice of the
Selection Board as and when the ratee is considered for promotion to the next higher rank.
ACKNOWLEDGEMENT
13. The acknowledgement card for Reporting Officers in chain of reporting and CRD cell will be attached by the ratee.
ENQUIRY
14. In case of any CR related issues, please contact Col AFMS (CRD) at 011-23094502 and Brig AFMS (HR) at 011-23093251.
2 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
MOVEMENT OF CR
Report handed over/ dispatched by ratee to IO _____________________ on ____________________
(Signature of Ratee) (Signature of IO)

OR
Ratee has not handed over ACR. Hence ACR initiated under the provisions of Para 5.25 & 5.26 of AO
01/2010/DGMS (& equiv orders in Navy & Air Force)
(Signature of IO)
Reporting Date of Date of Time taken To whom dispatched Signature
Officer Receipt Dispatched (in days) Rank, Name & Appt
IO
FTO
RO
STO
SRO
HTO
DGMS
NOTE: Report initiated later than 90 days from the due date of initiation will be accompanied with a
‘DELAY REPORT’ duly signed by the ratee and countersigned by the IO (Para 5.2.1 of AO 01/2010/DGMS
& equiv orders in Navy & Air Force).
3 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
CHECK LIST OF ENCLOSURES

(Tick the documents enclosed in the relevant box)
1. Details of Service rendered: -
Physical Service Under IO (Page 15)

Physical Service Under RO (Page 16)
Concurrent Service Under SRO (Page 17)
Concurrent Service Under FTO (Page 17)
Concurrent Service Under STO (Page 17)
Concurrent Service Under HTO (Page 17)
2. Details of last two years ACR & current ACR, with reason for the report
3. Delay Report duly signed, if initiated later than due date by the ratee,
duly countersigned by the IO/ RO
4. DGMS sanction for Officiating reporting officer (if applicable)
5. SRO sanction for Initiation by RO (if applicable)
6. Personal & Service Particulars of offrs to be detached at O/o DGMS
7. Reason for Initiation:
* Annual CR due as per Para 5.1 of AO 01/2010/DGMS (& equiv orders in

Navy & Air Force).
* Early CR/ ICR due to Posting Out/ Retirement / Release/ Promotion of ratee
* Early CR/ ICR due to Posting Out/ Retirement of IO
* Delayed CR by delay of 60 days or less
* Under para 5.25 & 5.26 of AO 01/2010/DGMS (& equiv orders in Navy &
Air Force) as ratee refused to handover CR in time.
* NIR as no CR could be initiated under IO/ RO
8. PCR fwd to Senior Advisor for a corresponding period
________________ ______________
(Signature of Ratee) (Signature of IO)
Date : …………….. Date : ……………..
4 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
For use by Office

IAFI-1124B (Revised-2019)
Of the DGAFMS INTERIM/ EARLY/ ANNUAL/ DELAYED For the AMC/AD
Stamp
SPECIAL/ REVIEW/ ADVERSE Corps Officers of the
CONFIDENTIAL REPORT FOR THE PERIOD rank of Col (TS), Lt
Diary No. _______ FROM _____________ TO _____________ Col & Below (and
equivalent ranks) in
Initials ______ the Navy and Air
Force
PART - I PERSONAL DATA, SERVICE RECORD
AND AUTHENTICATION DATA PASTE LATEST
PHOTO
PERSONAL DATA
1.Personal No with 2. Rank 3. Name in full with surname first (BLOCK) :

check Suffix
(a) Acting- NA
(b) Substantive
4. 5. Decorations and Awards

(a) Service (Army/Navy/AF)
(b) AMC/AD Corps
(c) Unit/Ship :
Date of TOS :
Date of TORS:
6. Dates of (a) Birth : (b) Commission :
(c) Seniority : (d) Substantive Rank :

7. Medical Data & Physical Fitness 8. Qualifications:
(a) Civil academic
(a) Height
(b) Weight Actual -
Permissible - (b) Courses attended/

Promotion examination passed
(c) Chest
(d) Range of expansion

(c) Name of Specialty
(e) Previous Medical Category
(f) Present Medical Category
(g) Periodic/ Annual Medical Exam held at (d) Date of grading/

______________ on _____________ classification
9. I Certify that :-
Physical fitness :-
(a) I have served under IO___________________
(a) PPT rating for at least 90 days during the period of this ACR.
(b) BPET rating (b) My marital status is - Married / Single
Date : _____________________
(Signature of IO)
(Signature of the Ratee)
5 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
No. with check suffix,

Rank and name of 10. (a) Period covered by the report from _____________ to ______________
the Officer
(b) Period actually served under Initiating Offr (IO/ RO, as applicable) from
________________ to_________________
(c) Appointment(s) held during the period of the report:

_______________________________________________________
Initials……..
(d) Attach a copy of promulgated ACR Channel by DGAFMS/ respective
DGMS and mention Channel No. _____________________________
11. AUTHENTICATION DATA
REPORTING PERSONAL RANK NAME (BLOCKS) AND APPOINTMENT

OFFICER NO
IO
RO
SRO
FTO
STO
HTO
NOTE: 1. If endorsed by Officiating Reporting Officer (IO/ RO/ SRO), it is mandatory to attach
sanction of the competent authority.
2. MR / MS/ DR/ DS number to be endorsed in case of Med / Dental reporting officers.
6 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
Rank and name of the
Officer
NUMERICAL SCALE OF MARKING
(Exceptionally Outstanding 9, Outstanding 8, Above Average 7,

High Average 6, Average 5, Low Average 4, Below Average 3,
Poor 2, Exceptionally Poor 1)
Initials………… PART II - PERSONAL QUALITIES, ABILITY AND LEADERSHIP

(Mark each quality out of 9, in WHOLE NUMBER as given in Numerical Scale)
IO RO
12. (a) Initiative
(b) Presence of Mind
(c) Decisiveness
(d) Adaptability and Tact
(e) Delegation of authority
(f) Integrity
(g) Loyalty
(h) Sense of duty
(j) Moral Courage
(k) Sense of Discipline
(l) Physical Fitness & Effectiveness under stress
(m) Appearance and Bearing
(n) Attitude towards Service
(o) Ability to Organise, Execute and monitor
(p) Grasp and Analytical ability
(q) Drive and Determination
(r) Team spirit
(s) Administrative ability and man management
(t) Concern for welfare and development of subordinates
(u) Social conduct
Average (up to second decimal without rounding off)
7 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
No. with check

suffix, Rank and
name of the Officer
Initials…………
13. Remarks of IO
{Average of
Para 12 upto
2nd decimal}
Date Signature & Stamp…………..…

14. Remarks of RO
{Average of
Para 12 upto
2nd decimal}
8 of 18 pages
CONFIDENTIAL
CONFIDENTIAL

Rank and name of the
Officer
PART III POTENTIAL OF THE OFFICER
15. How often have you met the Officer during the period IO RO SRO
Daily (D), Frequently (F) or Infrequently (IF)
16. Was the Officer appraised of his weakness periodically during the period of reporting
17. Whether any adverse comment/ adverse marking (at Para 12 & 13) has been communicated to
the Officer? If yes, give details. (Attach copy of counselling letter/ communication of adverse/
advisory comments as per Para 7.10.3 of AO 01/2010/DGMS & equiv orders in Navy & AF)
18. Is the Officer fit for promotion to next higher rank: YES / NO
(If No, attach copy of communication to the ratee)
(Refer Para 7.8.3 of AO 01/2010/DGMS & equiv orders in Navy & AF)
Signature of IO/ RO
Date
19. Recommendation for employment
(Indicate by Yes or No)
It is not necessary to recommend for all type of IO RO SRO
appointments listed below
(a) Command
(b) Staff
(c) Instructional
(d) Specialist appointment
(e) Miscellaneous (specify appointment)
20. Signature & Stamp: -
IO RO SRO
……………….. …………………… ………………………..
Date:
9 of 18 pages
CONFIDENTIAL
CONFIDENTIAL

Rank and name of the NUMERICAL SCALE OF MARKING
Officer
(Mark each quality out of 9, in WHOLE NUMBER as given in Numerical Scale)

21. Remarks of SRO

(a) Innovation & Ingenuity (c) Orientation to Org Goals
(b) Ethical Conduct (d) Interpersonal Relationship
{Average of
(a) to (d) upto
2nd decimal}

22. Remarks of DGMS
(a) Core Values (c) Orientation to Org Goals
(b) Professionalism (d) Administrative Competence
{Average of
(a) to (d) upto
2nd decimal}

23. Remarks of DGAFMS
(a) Core Values (c) Orientation to Org Goals
(b) Professionalism (d) Administrative Competence
{Average of
(a) to (d) upto
2nd decimal}

24. Remarks of COAS/ CNS/ CAS (No numerical grade to be awarded)
10 of 18 pages
CONFIDENTIAL
CONFIDENTIAL

Rank and name of the NUMERICAL SCALE OF MARKING
Officer
PART IV - PROFESSIONAL ASSESSMENT

Initials………… (To be completed by Reporting Officer if he is Medical/ Dental Officer)
25. How often have you met the Officer during the period FTO STO
Daily (D), Frequently (F) or Infrequently (F)
26. How do you rate the Officer with regard to the following
(a) Professional knowledge & skill
(b) Patient care and clinical acumen (for clinical appts)

OR
Service orientation & Healthcare Administrative acumen
(for Adm & Staff appts)
(c) Professional Ethics
(d) Optimal utilization of equipments and cost consciousness
(e) Documentation
(f) Power of expression (verbal & written)
(g) Bed side manners (for clinical appts)

OR
Soft Skills and Empathy (for Adm & Staff appts)
(h) Administration of wards & departments
(j) Instructional ability
(k) Innovation & Ingenuity
Average (up to second decimal without rounding off)
27. Remarks of FTO
{Average of
Para 26 upto
2nd decimal}
11 of 18 pages
CONFIDENTIAL
CONFIDENTIAL

Rank and name of
the Officer
28. Is the Officer fit for promotion to next higher rank - YES/ NO
(Refer Para 7.8.3 of AO 01/2010/DGMS & equiv orders in Navy & AF)
29. Whether any adverse comments/ adverse marking (at Para 26 & 27) have been communicated
to the officer? If yes, give details. (Attach copy of counselling letter/ communication of Adverse/
Advisory comments Para 7.10.3 of AO 01/2010/DGMS & equiv orders in Navy & AF)
……………………......
Date : Signature of FTO
30. Remarks of STO
{Average of
Para 26 upto
2nd decimal}

31. Remarks of HTO
(a) Professional (c) Documentation &
Knowledge Communication Skills
(b) Medical Ethics (d) Medical Administration
{Average of
(a) to (d) upto
2nd decimal}
12 of 18 pages
CONFIDENTIAL
CONFIDENTIAL

Rank and name of PART V – BRIEF COMMENTS AND PROMOTION POTENTIAL
the Officer (FOR USE IN THE OFFICE OF DGAFMS)
INTERIM/EARLY/ANNUAL/DELAYED/SPECIAL /REVIEW/ADVERSE
CONFIDENTIAL REPORT FOR THE PERIOD
SUMMARY OF ASSESSMENT
1. Numerical Assessment
(a) Personal Qualities, Ability and Leadership (Part – II)
(b) Professional Assessment (Part IV & Part VI (b) of PCR)
(c) Promotion Potential (Part –V)
(d) Overall Average (a+b+c/3)
2. Assessment on criteria qualities
(a) Integrity
(b) Loyalty
(c) Sense of Duty
(d) Moral Courage
(e) Professional Ethics
3. Weak point/ Adverse comments by IO/RO/FTO
4. Irregularities in ACR observed, if any
5. Brief details of the case
6. Approving authority
(a) Dir AFMS (CRD)

(b) Dy DGAFMS (HR)
(c) Addl DGAFMS (HR)
(d) DG (Org & Pers)
(e) DGAFMS
13 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
Personal No Personal No Rank

with check suffix ASSESSMENT SHEET Name
Rank (FOR USE IN THE OFFICE OF THE DGAFMS)
Name IO
INTERIM/EARLY/ANNUAL/DELAYED/SPECIAL/
FTO
REVIEW/ADVERSE CONFIDENTIAL REPORT FOR
FROM_______________TO_________________
RO
1. Assessment criteria O i/c Assessment Dir AFMS DY DGAFMS (HR)

Cell (CRD)
(a) Technical validity Yes/No Yes/No

(b) Consistency in the ACR
(c) Trend of Performance Yes/No Yes/No
Overrated Yes/No Yes/No

Underrated
Yes/No Yes/No
2. Explanatory notes for answer to any criteria in Para 1 above by DIR AFMS(CRD)/ Oi/c
Assessment Cell
Signature ………………………..
3. Dy DGAFMS (HR)
4. Remarks of Addl DGAFMS (HR)
(a) ACR accepted and to be filed

(b) ACR not accepted and recommended the following :-
5. Remarks of the DGAFMS – I recommended the ACR to be accepted/ expunged/ set aside as
per details :-
6. Decision by Service Chief
14 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
DETAILS OF PHYSICAL SERVICE RENDERED BY RATEE UNDER
IO______________________________________________________
(Pers No, Rank, Name, Appt)
DURING THE PERIOD FROM TO_____________
RATEE ASSUMED APPT ON ____________________________
IO ASSUMED APPT ON ____________________________
Date Days Remarks & Reason for initiation

From To Physical Absence
Presence Under IO
Total
Report initiated due to - (a) RATEE VACATED APPT

(b) RATEE PROMOTED
(c) IO VACATED APPT
(d) REPORT DUE AS PER PARA 5.1 OF AO 01/2010/DGMS
(& equiv orders in Navy & AF)
(e) OTHERS (SPECIFY)_____________________________
Signature of Ratee Signature of IO

Name: Name:
Rank: Rank:
Appointment: Appointment:
Date: Date:
15 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
DETAILS OF PHYSICAL SERVICE RENDERED BY RATEE UNDER
RO_____________________________________________________
(Pers No, Rank, Name, Appt)
DURING THE PERIOD FROM TO_____________
RATEE ASSUMED APPT ON ____________________________
RO ASSUMED APPT ON ____________________________
Date Days Remarks & Reason for initiation

From To Physical Absence
Presence under RO
Total
NOTE: 1. To be filled only if CR is being initiated by RO.

2. Copy of SRO SANCTION to be attached if report is initiated by the RO.
Signature of Ratee Signature of RO

Name: Name:
Rank: Rank:
Appointment: Appointment:
Date: Date:
16 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
DETAILS OF SERVICE RENDERED BY RATEE UNDER REPORTING OFFICERS
Reporting Period Total No Remarks Signature of

Officers From To of days Reporting Officers
RO
(Present)
(Minimum
concurrent
Service required
– 75 days) Date:
RO
(Previous)
(Minimum
concurrent
Service required
– 75 days)
Date:
SRO
(Minimum
concurrent
Service required
– 30 days)
Date:
FTO
(Present)
(Minimum
concurrent
Service required
– 90 days) Date:
FTO
(Previous)
(Minimum
concurrent
Service required
– 90 days)
Date:
STO
(Minimum
concurrent
Service required
– 75 days) Date:
HTO
(Minimum
concurrent
Service required
– 30 days)
Date:
Signature of Ratee:
Date :
17 of 18 pages
CONFIDENTIAL
CONFIDENTIAL
DETAILS OF EACH CRs/NON INITIATION REPORT (WITH EXACT DATES) RENDERED

DURING LAST TWO YEARS AND THE CURRENT REPORTING YEAR
Type of Period Reasons for Initiating Command

Report initiation
From To Unit Fmn
Certified that the above information is correct and has been verified by me.
………………………………
(Signature of Ratee)
Personal No :
Rank & Name :
Date :
18 of 18 pages
CONFIDENTIAL

AMC ACR Revised 2019

Uploaded by

Copyright:

Available Formats

AMC ACR Revised 2019

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

AMC ACR Revised 2019

Uploaded by

Copyright:

Available Formats

CONFIDENTIAL

INTERIM / EARLY / ANNUAL / DELAYED / SPECIAL / REVIEW / ADVERSE

MED CAT ______________________________________

PERIOD COVERED FROM _________________TO __________________

MOBILE NUMBER ______________________________________

ADMINISTRATIVE INSTRUCTIONS FOR FILLING UP OF REVISED ACR FORMS

Appointment (s) Held During the Period

Recommendations for Employment

Remarks of the Reporting Officer

Report handed over/ dispatched by ratee to IO _____________________ on ____________________

(Signature of Ratee) (Signature of IO)

CHECK LIST OF ENCLOSURES

1. Details of Service rendered: -

Physical Service Under IO (Page 15)

4. DGMS sanction for Officiating reporting officer (if applicable)

5. SRO sanction for Initiation by RO (if applicable)

6. Personal & Service Particulars of offrs to be detached at O/o DGMS

7. Reason for Initiation:

* Annual CR due as per Para 5.1 of AO 01/2010/DGMS (& equiv orders in

8. PCR fwd to Senior Advisor for a corresponding period

Date : …………….. Date : ……………..

For use by Office

1.Personal No with 2. Rank 3. Name in full with surname first (BLOCK) :

4. 5. Decorations and Awards

(b) AMC/AD Corps

6. Dates of (a) Birth : (b) Commission :

(c) Seniority : (d) Substantive Rank :

(b) Weight Actual -

Permissible - (b) Courses attended/

(d) Range of expansion

(f) Present Medical Category

(g) Periodic/ Annual Medical Exam held at (d) Date of grading/

(b) BPET rating (b) My marital status is - Married / Single

No. with check suffix,

(c) Appointment(s) held during the period of the report:

11. AUTHENTICATION DATA

REPORTING PERSONAL RANK NAME (BLOCKS) AND APPOINTMENT

2. MR / MS/ DR/ DS number to be endorsed in case of Med / Dental reporting officers.

(Exceptionally Outstanding 9, Outstanding 8, Above Average 7,

Initials………… PART II - PERSONAL QUALITIES, ABILITY AND LEADERSHIP

12. (a) Initiative

(b) Presence of Mind

(d) Adaptability and Tact

(e) Delegation of authority

(h) Sense of duty

(j) Moral Courage

(k) Sense of Discipline

(l) Physical Fitness & Effectiveness under stress

(m) Appearance and Bearing

(n) Attitude towards Service

(o) Ability to Organise, Execute and monitor

(p) Grasp and Analytical ability

(q) Drive and Determination

(r) Team spirit

(s) Administrative ability and man management

(t) Concern for welfare and development of subordinates

(u) Social conduct

Average (up to second decimal without rounding off)

No. with check

PERIOD COVERED FROM _TO __

Report handed over/ dispatched by ratee to IO _ on