izi=& I LVkQ u%

FORM-I STAFF No.

¼CY;q cqd ds eqrkfcd½
(As per Blue Book)
HR NO. 199510708
ERP NO. 7005767

Hkkjrh; nwjlapkj lsok] Hkkjrh; Mkd vkSj nwjlapkj ys[kk ,oa

foRr lsok
Hkou fuekZ.k dk;Z lEcU/kh oxZ ‘[kz’ vf/kdkfj;kas
ds fy;s
okf"kZd dk;Zfu"iknu ewY;kadu izfrosnu

ANNUAL PERFORMANCE APPRAISAL REPORT

For
Group ‘B’ officers of Telecom Service,
P&T Accounts and Finance
& P&T(BWS) Service of DOT

vf/kdkjh dk uke
Name of Officer : Mrs SMITA. D. PATEL
(ERP no. 0705767, H.R. no.199510708)
tUe frfFk
Date of the Birth : 11.06.1971
lekIr gksus okys o"kZ@vof/k dh fjiksVZ
Report for the year/period ending : 01-04-2015 to 31-10-2015.
 1

izi=& I
ea=ky;@foHkkx
Ministry/Department of Department of Telecom, Ministry of Communication

izi=
Form

nwjlapkj lsok] Hkkjrh; Mkd vkSj nwjlapkj ys[kk ,oa foRr lsok Hkou fuekZ.k dk;Z lEcU/kh oxZ [kz
vf/kdkfj;kas ds fy;s okf"kZd ewY;kadu izfrosnu
Annual Performance Appraisal Report of Group ‘B’ Officers of Telecom Service,P&T Accounts and Finance & P&T (BWS)
Service of DOT

lekfIr o"kZ@vof/k dk izfrosnu

Report for the year/period ending 01-04-2015 to 31-03-2016

oS;fDrd C;kSjs
PERSONAL DATA
Hkkx&1
PART-1

¼ea=ky;@foHkkx@dk;kZy; ds lacaf/kr iz’kklfud vuqHkkx }kjk Hkjs tkus ds fy;s½

(To be filled by the Administrative Section concerned of the Ministry/ Department/ Office)

1 ++ vf/kdkjh dk uke
Name of Officer Mrs SMITA. D. PATEL
(ERP no. 0705767, H.R. no.199510708)

2. tUe dh rkjh[k¼afnu@ekg@o"kZ½ ¼a’kCnks esas½ 11/06/71

Date of the Birth (DD/MM/YY) (In words) ELEVENTH JUNE SEVENTY ONE

3. orZeku Js.kh es yxkrkj fu;qfDr dh rkjh[k fnukad Js.kh

Date of continuous appointment Date 23.04.2007 Grade SDE Gr.’B’
to the present grade

4.++ orZeku in rFkk ml ij fu;qfDr dh rkjh[k in fnukad

Present post and date of appointment Post SDE Date 23.04.2007
thereof

5. o"kZ es dk;Z ls vuqifLFkfr dh vof/k ¼a NqVzVh 15.05.15 to 30.05.15

izf’k{k.k vkfn ij ½ ;fn mDr vf/kdkjh us izf’k{k.k 28.08.15 to 26.08.15
fy;k gS rks mldk fooj.k nsa A 20.10.15 to 20.10.15
Period of absence from duty (on training 23.11.15 to 24.11.15
 leave etc.) during the year. If he has under 10.09.15 to 11.09.15
gone training, specify. 08.02.16 to 11.02.16
22.02.16 to 27.02.16
21.03.16 to 31.03.16

vf/kdkjh dk uke Mrs SMITA. D. PATEL

Name of Officer (ERP no. 0705767, H.R. no.199510708)

fjiksVZ dh vof/k%
Reporting Period 01-04-2015 to 31-03-2016
Hkkx& 2 ftl vf/kdkjh dk izfrosnu fy[kk tkuk gS]mlds }kjk Hkjs tkus ds fy;s
PART-2 To be filled in by the Officer reported upon
¼Ñi;k izfof"V;kas dks Hkjus ls igys vuqns’kksa dks /;ku ls i< ysa½
(Please read carefully the instructions before filling the entries)
1. (v) fd;s x;s dk;ksZ dk laf{kIr fooj.k
(A) Brief description of duties

PG-PR Reply of complaint-12727 /CMD/CGM, PGRMS, CPGRMS & Email Complaints. Timely submission
the daily report for Exchange failure report/Cable break report/ OFC cut report etc. OP cell is the
nodal officer for monsoon control room. Timely compliance of Parliament Questions. Daily
Monitoring for improvement of operation parameters.   Pursuance with SSAs for achieving the
Landline & BB Targets Assigned. Analysis of fault rate/Repeat Fault rate/same day /Next day fault
clearance and pursuance with SSAs. Timely submission of compliance of Level -1 services
implementation to circle office. MIS - OPERATION RELATED STATEMENT AND REPORT, VPT and
Broadband related statement and subsidity. Conducting of Development and Work committee
meeting. Procedure carried out for AMC of CDOT repairing cards of Mehsana SSA and timely process
of bills received from the Nodal officer. Closure of app 13 exchanges having less than 10 DELs and
between 10 to 20 DELs.

1- (ब) राष्ट्रीय e- गवनँस परीयोजना के अंतगॅत किए गये कायॅो का संक्षिप्त विवरण। [ केवल NeGP के अंतगॅत परीयोजना कायॉन्वयन के
उत्तरदायितो से जड़
ु े कमॅचारी द्वारा भरा जाए।
(B) Brief description of duties assigned under NeGP (National e -Governance Project) [Only to be filled up
by employee entrusted with the responsibilities of project implementation under NeGP]
Nil

2.. dk;Z ds tks y{;@m–ns’;@/;s; vkius Loa; vius fy;s fu/kkZfjr fd;s gks] ;k vkids fy;s fu/kkZfjr fd;s x;s gkas mu ¼ifj.kke@ek=k ;k vU; :i
es½ dk;ksZ dh vkB&nl ens izkFkfedrk ds vk/kkj ij cuka;s vkSj gjsd y{; dh –f"V ls viuh miyfC/k crk;sa A

Please specify targets/objectives/goals (In quantitative or other terms) of work you set for yourself or that were set for you, eight to ten
items of work in the order of priority an your achievement against each target.
y{;@ m–ns’;@/;s; miyfC/k;ka
Targets/Objectives/Goals Achievements
1. PGPR & nodal Deals with the complaint of dockets booked at 12727/CMD/CGM,
 for local PGRMS & CPGRMS & Email complaints and subscriber related
subscriber grievances . Tel No. 02762 222120 is allotted as a nodal number
complaints of LL for public grievances at SSA level.
& BB

2. Submission of The timely subsmission of daily report for Exchange failure report,
Daily reports to cable break down, OFC cut report to circle office.
circle office

3. Monsoon Control OP cell is nominated as a nodal officer for grievances during

monsoon.
4. Parliament Reply Timely submission of reply to parliament questions raised.
5. Monitioring of Daily Monitoring for improvement of operation parameters.  
operation Pursuance with SSAs for achieving the Landline & BB Targets
parameters Assigned. Analysis of fault rate/Repeat Fault rate/same day /Next
day fault clearance and pursuance with SSAs.

6. MIS related data Timely submission the statement -weekly/monthly/Quarterly/Half

yearly/Annualy and ON LINE Statement Main MIS / MOC.

7. INSPECTION Timely submission the Inspection report and required information

REPORT.
Conducting of Development and Work committee meeting.
8. Conducting
Meetings Many other miscellaneous works such as processing the requirement of
9. Miscellaneous diesel, forwarding of Eng-27 received for maintaince workin SSA and
work timely process of C-DOT bills received from the Nodal officer. Etc…
As per the guidelines received from circle office the work for closure of
10. Closure of 13 exchanges having less than 10 DELs and 10 to 20 DELs is carried out
exchanges in Mehsana SSA.

3
3 ¼v½ Ñi;k en 2 es crk;s x;s y{;ks@ m–ns’;ks@/;s;ksa dh izkfIr es jgh dfe;kas dk la{ksi es mYys[k djs A ;fn y{;ksa dh
izkfIr es dksbZ ck/kka;s jgh gks rks os crk;as A
(A)Please state briefly, the shortfalls with reference to targets/objectives/goals referred to in item 2. Please
specify constraints, if any, in achieving the targets.

No such shortfalls found.

¼c½ Ñi;k mu enksa dk Hkh mYys[k djs ftues dkQh vf/kd miyfC/k;ka jgh gS vkSj vius ;ksxnku dk Hkh mYys[k
djsaA
(B)Please also indicate items in which there have been significantly higher achievements and your
contribution thereto.

Due to heavy rain in North Gujarat w.e.f 25/07/15 (Saturday evening) which continued till 29/07/15(Wednesday
morning). Also, a cyclonic wave hit on 27/07/15 which resulted in blockage of many roads due to water logging &
uprooting of many trees. This affected telecom services very badly in entire Mehsana SSA. The worst effected area of
Mehsana SSA were Mehsana, Patan and Gandhinagar revenue districts. Moreover, there was a breakdown in electricity
supply(GEB) and also no scope of acquiring fuel from petrol pumps due to road blockage by uprooting of trees and
water logging.

The overview of network in Mehsana SSA which remained Out of Service is as mentioned below :

Type of switch Total Affected

MBM 13 6
RSU 71 48
ANRAX 96 64
DSLAMs 237 150
OCLANs 13 3
BTS 2G/3G 280/90 210/60
WLL BTS 27 14

6 MBM exchanges namely Chanasma, Harij, Kadi, Chhatral, Mansa & Kheralu were out of service due to failure of
GEB supply. All these 6 MBMs were restored on 28/07/2015 and services at all SDCA HQs were made available by
making the DG sets operation through arrangement of fuel.

Many poles & transformes were badly affected by cyclonic rain and also GEB supply was not there. Through constant
persuation with GEB authorities, GEB supply was restored and many RSUs, ANRAX, 2G/3G BTS and WLL BTS were
made operation.

OFC routes connecting 33 stations were also attented on priority basis with the help of local maintainance team.

Most of the GSM BTS were failed due to Hardware damaged, which got restored by arranging required Hardware from
CMTS wing Ahmedabad.

4. Ñi;k mYys[k djsa fd D;k iwoZorhZ dSyS.Mj o"kZ dh vpy laifRr okf"kZd fooj.kh fu/kkZfjr rkjh[k vFkkZrz
dSyS.Mj o"kZ ls mRrjorhZ o"kZ dks 31 tuojh rd ntZ djk nh x;h Fkh A ;fn ugh rks fooj.k ntZ djkus dh rkjh[k nh
tk;s A

Please state whether the annual return on immovable property for the preceding calendar year was filled within
the prescribed date i.e. 31 st January of the year following the calendar year. if not, the date of filing the return
should be given.

Yes, submitted in time.

fnukad% lwpuk nsus okys vf/kdkjh ds gLrk{kj
Date: Signature of officer reported upon
4

vf/kdkjh dk uke
Name of Officer
fjiksVZ dh vof/k%
Reporting Period 01-04-2015 to 31-03-2016
Hkkx- 3
PART-3
l[a;kRed oxhZdj.k dk fu/kkZj.k rFkk iqufuZfj{k.k izkf/kdkjh fd;k tkuk gS tks 1-10 ds iSekus ij gksuk pkfg;s] tgkW 1 lcls de Js.kh dk
rFkk 10 mPpre Js.kh dk mYys[k djrk gS A
Numerical grading is to be awarded by reporting and reviewing authority which should be on a scale of 1-10, where 1 refers to the lowest
grade and 10 to the highest.
¼Ñi;k izfof"V;kas dks Hkjus ls igys fn’kkfunsZ’kksa dks /;ku ls i< ysa½
(Please read carefully the guidelines before filling the entries)

¼v½ dk;Z fu"iknu dk ewY;kadu (bl Hkkx dk Hkkj 40% gksxk)

(A) Assessment of work output (weightage to this Section would be 40%)
izfrosnu iqufoZykasdu izkf/kdkjh iqufoZyksdu
izkf/kdkjh (lnaHkZ Hkkx- 5 dk iSjk 2) izkf/kdkjh ds
Reviewing Authority (Refer vk/k{kj Initialof
Reporting Para 2 of Para-5) Reviewing
Authority Authority

i)iwoZfu;ksftr dk;Z dh ifjiw.kZrk/ fo"k; ds vk/kkj ij

vkcafVr fd;k x;k dk;ZZ
Accomplishment of planned work/work allotted as
per subjects allotted
ii)dk;Z fu"iknu dh dksfV
Quality of output
iii)fo’ys"k.kkRed ;ksX;rk
Analytical ability
iv)vioknkRed dk;Z dh ifjiw.kZrk fd;s x;s vizR;kf’kr
dk;Z
Accomplishment of exceptional work/ unforeseen
tasks performed
v)fuxZr dk;Z ij dqy feykdj Js.khdj.k
overall grading on ‘Work Output’
¼c½ O;fDrxr fo’ks"krkvks dk ewY;kadu (bl Hkkx dk Hkkj 30% gksxk)
(B) Assessment of personal attributes (weightage to this Section would be 30%)

izfrosnu iqufoZykasdu izkf/kdkjh iqufoZyksdu izkf/kdkjh ds

izkf/kdkjh Reviewing (lnaHkZ Hkkx- 5 dk vk/k{kj
iSjk 2) Authority (Refer Para 2
Reporting of Para-5) Initial of Reviewing Authority
Authority

i)dk;Z dh vfHkozfRr
Attitude to work
ii)ftEesnkjh dk cks/k
Sense of responsibility
iii)vuq’kklu dk vuqj{k.k
Maintenance of Discipline
iv)laizs"k.k {kerk;s
Communication skills
v)uasrzRo xq.k
Leadership qualities
vi)ny dh Hkkouk es dk;Z djus dh {kerk
Capacity to work in team spirit
vii)le; lkfj.kh dk vuqlj.k djus dh {kerk
Capacity to adhere to time-schedule
viii)ijLij O;fDrxr laca/k
Inter –personal relations
ix)lexz Nfo ,oa O;fDrxr
Overall bearing and personality
O;fDrxr fo’ks"krkvks ij dqy feykdj Js.khdj.k
Overall Grading on ‘Personal Attributes’
5

vf/kdkjh dk uke
Name of Officer
fjiksVZ dh vof/k%
Reporting Period 01-04-2015 to 31-03-2016
¼l½ izdk;kZRed l{kerk dk ewY;kadu (bl Hkkx dk Hkkj 30% gksxk)
(C) Assessment of functional competency (weightage to this Section would be 30%)

izfrosnu iqufoZykasdu iqufoZyksdu izkf/kdkjh ds

izkf/kdkjh izkf/kdkjh vk/k{kj
Reporting (lnaHkZ Hkkx- 5 dk Initialof Reviewing
Authority iSjk 2) Authority
Reviewing Authority
(Refer Para 2 of Para-5)
i)fu;e fofue; dk;Z ,oa ;ksX;rk ds {ks= es
izfd;k;sa ,oa muds lgh iz;ksx dh tkudkjh
Knowledgeof Rules/Regulations/Procedures in the
area of function and ability to apply them correctly
ii)uhfrc} ;kstuk cukus dh {kerk
Strategic planning ability
iii) fu.kZ; ysus dh {kerk
Decision making ability
iv) समन्वय क्षमता
Coordination ability
v)v/khuLFk dks izsfjr ,oa fodflr djus dh {kerk
Ability to motivate and develop subordinates
vi)igy ‘’kfDr
Initiative
izdk;kZRed l{kerk ij dqy feykdj Js.khdj.k
Overall Grading on ‘Functional Competency’

Hkkx- 4 lkekU;
PART-4 GENERAL
1.turk ds lkFk Hkkxhnkjh (tgkW Hkh iz;ksT; )
Relations with the public (wherever applicable)
(turk dh vko’;drkvks dk mRrjnkf;Ro ,oa vf/kdkjh rd vfHkxe ij Ñi;k fVIi.kh nsa A )
(Please comment on the officer’s accessibility to the public and responsiveness to their needs)

2. izf’k{k.k
Training
(Ñi;k vf/kdkjh dh izHkkfork ,oa dk;Z {kerkvks es vkSj vf/kd lq/kkj vkSj ozf} djus dh nzf"V ls mlds izf’k{k.k ds fy;s flQkfj’ksa djs A)
(Please give recommendations for training with a view to further improving the effectiveness and capabilities of the Officer)

3. LokLFk; dh fLFkfr
State of health

4. lR;fu"Bk
Integrity
(Ñi;k vf/kdkjh dh lR;fu"Bk ij fVIi.kh nsa)
(Please comment on the integrity of the officer)

5. अधिकारी द्वारा राष्ट्रीय e- गवनँस परीयोजना के अंतगॅत किए गये कायॅो पर टिप्पणी (( जहां लागू हो )
Comment on the Performance of officer under NeGP (National e governance project), written if

applicable.
6.. izfrosnu vf/kdkjh }kjk vf/kdkjh dh leLr fo’ks"krkvks dh rLohj (yxHkx 100 ‘’kCnks esa) ftles lkeF;Z {ks=] vlk/kkj.k
miyfC/k;kW] egRoiw.kZ
vlQyrkvks(lnaHkZ Hkkx- 2 dk 3 (v) ,oa 3 (c) ) ,oa nqcZy oxksZ ds izfr vfHkofRr ’kkfey gks A
Pen picture by Reporting Officer (In about 100 words) on the overall qualities of the officer including area of strengths
and lesser strength, extraordinary achievements, significant failures (ref; 3(A) & 3(B) of Part-2) and attitude towards
weaker sections.

7. izfrosnu ds Hkkx 3 ds [kaM v rFkk l es fn;s x;s Hkkjka’k ds vk/kkj ij dqy feykdj la[;kRed oxhZdj.k A
Overall numerical grading on the basis of weightage given in Section A, B and C in Part-3 of the Report.
 izfrosnu vf/kdkjh ds gLrk{kj
Signature of the Reporting Officer
LFkku Ukke lkQ v{kjks es
Place : ……………….. Name in Block Letters………..

inuke
Designation…………

fnukad izfrosnu dh vof/k es

Date : ……………….. During the period of Report……
.
7

vf/kdkjh dk uke
Name of Officer
fjiksVZ dh vof/k%
Reporting Period 01-04-2015 to 31-03-2016
Hkkx-5
PART- 5
1.iqufoZyksdu vf/kdkjh dh vfHk;qfDr
REMARKS OF THE REVIEWING OFFICER:
iqufoZyksdu vf/kdkjh ds vUrZxr lsokdky
Length of service under the Reviewing officer

2. D;k vki Hkkx 3 o Hkkx 4 fuxZr dk;Z rFkk fofHkUu xq+.kksa ds lac/k esa izfrosnu vf/kdkjh }kjk fd;s x;s
ewY;kadu ls lger gS+? D;k vki vf/kdkjh dh vlk/kkj.k viyfC/k;ksa @egRoiq.kZ vlQyrkvksa ds lca/k esa fd;s x;s
eqY;kadu ls lger gSa?(lanHkZ: Hkkx -3 (v)(iv) rFkk Hkkx -4 (5) (;fn vki izfrfnu vf/kdkjh }kjk fn;s xq.kksa ds
fdlh la[;kRed eqY;kadu ls lger ugh gS rks Ñi;k viuk ewY;kadu bl [k.M ds fn;s x;s LrEHk esa nsa rFkk fo/kekurk
dks vk/k{kj djsa )A

Do you agree with the assessment made by the reporting officer with respect to the work output and the various
attributes in Part-3 & Part-4? Do you agree with the assessment of reporting officer in respect of extraordinary
achievements/significant failures of the officer reported upon/ (Ref. Part-3(A)(iv) and Part-4-(5)
(In case you do not agree with any of the numerical assessments of attributes please your assessment in the
column provided for you in that section and initial your entries).

gk Ukgha
yes No

3. vlger gksaus dh fLFkfr esa Ñi;k blds dkj.k crk;sa D;k dksbZ ,slh ckr gS ftls vki dqN cnyuk ;k tksMuk pkgrs
gSa A In case of
disagreement please specify the reasons. Is there anything you wish modify or add?
 8

4. iqufoZyksdu vf/kdkjh }kjk dye rLohj A Ñi;k lekykspu djsaqa A (yxHkx 100 ’kCnksa esa) ftlesa vf/kdkjh dh
leLr fo’ks"krkvks dh lkeF;Z {ks= ,oa de lkeF;Z {ks= ,oa mldh nqcZy oxksZa ds izfr vfHkofRr ’kkfey gksA
Pen Picture by Reviewing Officer. Please comment (in about 100 words) on the overall qualities of the officer
including area of strengths and lesser strength and his altitude towards weaker sections.

5. izfrosnu ds Hkkx-3 ds [kaM v [kaM c rFkk Lk esa fn, x, Hkkjka’k ds vk/kkj ij dqy feykdj
la[;kRed oxhZdj.kA
Overall numerical grading on the basis of weight age given in Section-A, Section-B and
Section-C in Part-3 of the Report.

iqufoZyksdu vf/kdkjh ds gLrk{kj

Signature of the Reviewing Officer

LFkku uke lkQ v{kjksa esa

Place: ………… Name in Block Letter: …………………………….
Iknuke
Designation: ………………………………………

fnukad izfrosnu dh vof/k es

Date: …………….. During the period of Report: …………………….

CERTIFICATE
(To be filled up by the Incharge entrusted with the responsibility of maintenance of
 Circle copy of APAR in the Field unit/Circle/Distt.)

This is to certify that this APAR (earlier ACR) for the Period____________ has been disclosed to the
officer reported upon and all actions in compliance to the DOP &T O.M. No. 21011/1/2005-Estt.(A)
(Pt.III) dated 14th M ay, 2009 in connection with the Annual Performance Appraisal Report of the
officer have been completed.

Signature of the Incharge intrusted with the

Responsibility of maintenance of APAR in the
Field unit/Circle/Distt.

Name of the officer_________

Designation______________
Office_________________