PES Institute of Technology and Management

Sl.
No.

Please rate on a scale from 1 to 5

where 1 is least and 5 is highest
for the first three and Actions
required as noted for the rest of
the parameters

Check List

How do you rate your main duties and

responsibilities performed / being performed
Focus: Academics Teaching & Learning only
How do you rate your overall performance in
the responsibilities in development of
students
Focus: Co-curricular, Extra-curricular, Sports
etc
How do you rate your performance in the
allotted additional responsibility or
committee/s
Pl. specify the additional responsibility /
committees (if any)
1.
2.
3.
Additional responsibilities entrusted by HOD/Principal/Management (if any, pl. specify)
and submit a progress report on the same on the work done so for. {Use separate
sheet/s of paper, if required}
1.
2.
3.
Achievements in the institute or major works performed so for in the institute (if any,
pl. specify) {Use separate sheet/s of paper, if required}

Achievements of employee w.r.t. placements in the department:

Achievements so for in previous A Ys:
Plans for the A Y: 2014-15

Your contribution in guiding of students for their final project reports:

Contribution so for in previous A Ys:
Plans for the AY: 2014-15

Class notes, PPTs / Teaching materials (if

any) given to the students

Get it certified by your HODs on

17/11/2014;
(HODs to keep the records)

Professional development activities

(Previous Year)

Submit to your HODs on 17/11/2014

(HODs to keep the records)

10

Professional development plan for next

one, two, three years

Submit to your HODs on 17/11/2014

(HODs to keep the records)

11

Reports on committees, where you are

one of the members (work done so for in
the committee)

Submit to your HODs on 17/11/2014

(HODs to keep the records)

12

Updated CV for records

Submit to HR on 17/11/2014
(HR to keep the records)

Name & Signature of HOD

Signature of Principal

Name & Signature of

Employee

Checklist and Reports by the employees