To,
The Principal /
Headmaster/ESHM,
……………………………………
……………………………………
Subject: Regarding to submit my application
for (1st ,2nd ,3rd) ACP case of Mr./Mrs./Miss
……………………… ………………………………………………………………………
Respected Sir/ Madam,
I, (Name with ID No & Designation),
working in (Name of School Present
working), am writing to submit my application
for (1st ,2nd ,3rd) Assured Career Progression (ACP) which
is due from DATED
As per the Haryana Government's ACP scheme, I am eligible for (1st ,2nd ,3rd) ACP after
completing 8,16,24 years of regular
service on dated 31-10-2024. I have completed
the required service period and am eligible for the (1st ,2nd ,3rd) ACP which due
from dated …..
I request you to kindly consider my application and grant me the (1st ,2nd ,3rd) ACP with effect
from DATED. I have attached in your office the required documents, including
my service book and ACP complete filled file, for your reference.
I would be grateful if you could
expedite the process and grant me the (1st
,2nd ,3rd) at the earliest.
Thank you for your consideration.
Sincerely,
Name and ID No ……………..
Designation ………………..
Name of School …………...
Mobile No…………………..
Date: …………………
Attachments:
- ACP Proforma complete
file
- Other relevant
documents
- ……………………………
To
…………………………………………
…………………………………………
Memo No.: ……………………. Dated: ………………………….
Subject: Regarding Grant of ACP level (1st ,2nd ,3rd) to Mr./Mrs./Miss …………………………………………………………………………………….
Please find enclosed herewith the Service-Book, Personal file of Mr./ Mrs. (Name of JBT/TGT/ PGT) along with
application form and relevant documents for placement in the ACP level (1st ,2nd ,3rd) under para ...................... of rule 7 of the HCS (ACP) rules 2016 read with Rule ……………… of ………………………………………….
Enclosed:-
1. Service-Book
2. Personal file.
3. Complete ACP Case File & other relevant document
4. Others
Page 2
Application Form for Grant of ACP, level
under Haryana Civil Services (ACP) Rules 2016
(as per F.D. Hr. Govt. Notification No. 1/20/2016(ACP)-5PR(FD) dated 28.10.2016)
1. Name of the Employee
2. Designation : …………………………
3. Group : …………………………
4. Existing Pay level
5. A.C.P. Level (Demanded)
6. Date of regular appointment as
7. Date of Promotion if any occurred
during entire service with name of post : …………….........
8. Number of Financial up gradations
received during the
entire carrier
9. Duration of Non-Qualifying
Service
10. Date on which completed ………….years
of regular satisfactory service : …………………………
11. Due date of next ACP level : …………………………
12. Admissibility of A.C.P. Level.........................
Signature of the employee
Name : …………………….
Designation : …………………….
Date: …………….. Office : ……………………….
Page 3
Sub. : Proposal for grant of ACP Level ……..under HCS (ACP) Rules, 2016 to (Name) …………………………………………………………………………………………………………………………………………………………………………
The service history of the employee for the period, which has been taken into consideration on the
subject cited above,
is as under : _______________________________________________________________________________________________________
Sr. Name
of Employee : ……………………...
No. ID Number :
…………………….. _____________________________________________________________________________________________________
1. Designation for the post on which he was recruited
on regular basis as direct entrant : ………………….
2. Date of 1st entry in Education
Department
3. Date (s) of promotion (s) after 1st entry into : (i) .......................................
Govt. Service on regular basis : (ii)………………….
4. Designation (s) of promotional post (s) : (i) ................................
along with pay structure : (ii) ...............................
5. Period of Extra ordinary leave (other than on medical certificate) taken during the
period under consideration for the purpose.………………… …………
6. Functional pre-revised Pay structure of the promotional post (s) as on 31.12.2015.
(ii) 2nd up gradation : ...................................................
8. Functional Revised Pay Structure on entry into service :…………………………….
holds, if any, at the time of consideration. : .........................
10. Overall assessment of the last 8 years ACRs.
Sr No |
Period of ACR |
Grading |
Regarding integrity
(whetherGood/Doubtful) |
1 |
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2 |
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3 |
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4 |
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9 |
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Page 4
11. Whether 70% service record is good as per summary of
ACR given above? : YES/No
12. For which ACP
level
the employee is
eligible? : ..............................
13.Whether the service verification has been done completely by the DDO/
Competent Authority : YES/No
14.Whether the employee is fit for promotion
in terms of Rule 8 of HCS (ACP) Rules, 2016. : YES/No
15.Whether any
complaint and enquiry is
pending against the said official
(Yes/No)
16.Whether the employees has for gone promotion at any level. : NO/Yes
recovery Recovered from employee. : NO/Yes
18.Competent authority
for grant of ACPL
Prepared by |
Checked by |
Checked by |
Checked by |
Checked by |
(School Clerk) |
(Principal) with stamp |
BEO/BEEO with
stamp |
(Dealing Asstt./Clerk) O/o
DEO/DEEO |
(Superintendent)
with
stamp |
Section Officer Remarks |
Approved & Counter Signed |
Concerned employee is entitled/not
entitled for ACP
Level ............. as 1st/2nd/3rd ACP w.e.f………………………………under
rule
............................. of HCS
(ACP) Rules, 2016 subject to
fulfillment of other general conditions laid down in …………… rule. Section
Officer O/o DEO/DEEO with stamp |
(DEO/DEEO)
with stamp |
Page 5
SERVICE VERIFICATION CHART
(Qualifying Service
towards increment)
1. Name of Govt. Employee :
2. Designation
3. Date of appointment on regular
basis
4. Present Place of Posting :
5. Date of direct recruitment
as a fresh entrant
Sr. No. |
Detail of Qualifying Service
Period |
Part & Page No. of
Service Book |
Details of Non-Qualifying Service Period |
Part & Page No. of
Service Book |
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From |
To |
From |
To |
Reason |
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9 |
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10 |
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11 |
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18 |
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19 |
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20 |
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DEO/DEEO Section Officer Supdt.
% DEO/DEEO % DEO/DEEO Dealing Asstt./Clerk BEO/BEEO DDO % DEO/DEEO
Page 6
It is certify that
Mr./Ms…………………………………… is working
As ………………….. in ……………..……. on regular basis since ……………..….and no
enquiry/complaints pending against him/her.
Date:
Station : Head of Office
Countersigned
BEO/BEEO
It is certified that Mr./Ms. …………….......... working as ....................
.in …………………………………on regular basis
since …………... and no Judicial/Departmental Proceedings is pending against him/her.
Date:
Station : Head of Office
Countersigned
BEO/BEEO
It is certified
that Mr./Ms………………….……… is working
as ……………………...…. in
…………………….. on regular basis
since
………………… and no his/her work and conduct remained most satisfactory and his integrity is
above board.
Date:
Station : Head of Office
Countersigned
BEO/BEEO
Page 7
(Result of the Examinations of Previous years)
Sr. No. |
NAME OF THE
EXAMINATION |
SUBJECTS |
Number of Students |
Number of Passed
Students |
Pass % |
Board /Depart.
Passed Percentage |
Difference |
1 |
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2 |
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8 |
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9 |
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10 |
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Counter Signed.
BEO/BEEO Signature of
the Headmaster /Principal
Page 8
I hereby undertake that any excess payment that may be found to have been made as a result of incorrect fixation of pay or any excess payment detected in the light of discrepancies noticed subsequently will be refunded by me to the Government either by adjustment against future payments due to me or otherwise.
Station:………………….. Designation :
Office :
Countersigned
UNDERTAKING
I hereby undertake that as a result of any rectification or adjustment in the pay matrix granted to me on the strength of any interim order by any Court of Law or on the basis of any interim order by any Court of Law, any excess amount which may be found to have been made as a result of relevant appropriate decision taken by the Government on the final decision of the Court of law, will be refunded by me to the Government either by adjustment against future payments due to me or otherwise. I further undertake to abide by such relevant appropriate decision of the Government taken on the final decision of such Court of law as the case may be.
Date:……………………… Name :
Station:………………….. Designation :
Office :
Countersigned
Page 9
1. Name
of the Employee with ID number :
……………………….
2. Designation for the post on which he was recruited on regular
basis as
direct entrant : …………………..
3. Date of
1st entry in Education Department on regular
basis
with pay level
of the
post : ……………….
4. Details of promotion (s) /
Financial Upgradation (s)
after 1st entry into Govt. Service
on regular basis.
|
1st Promotion
(if any) |
2nd Promotion (if any) |
3rd Promotion (if any) |
Date |
|
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Designation |
|
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|
Pre-revised Functional Pay structure of Post |
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Revised Functional Pay level of Post |
|
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|
Financial Upgradation |
1st (if any) |
2nd (if any) |
3rd (if any) |
Date |
|
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|
Type (HSS/Selection Grade/Promotion/ACP) |
|
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Pre-revised Pay structure on Financial Upgradation |
|
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Revised Pay level of Financial
Upgradation |
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|
5. Modified pay structure after 01.01.2016 of the post the govt. employee hold, if any, at the time of consideration :…................................
6. Overall assessment of last 10 years ACRs
Sr. No. |
Period of ACR |
Grading |
Regarding integrity (whether good/doubtful) |
1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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7. Whether 70%
service record is good as
per summary of ACRs
given above : YES/No
8. Whether the service verification has been done completely by the DDO/Competent Authority: YES/No
9. Whether the employee is fit for promotion in terms
of Rule 8 of
HCS (ACP) Rule 2016 : YES/No
10. Date of Completion of
8/16/24 years of regular
satisfactory service
11. For which ACP
level the Employee is eligible
12. Due Date
of grant of ACP Level
1. Certified
that there is no complaint/enquiry pending against the
official concerned.
2. Concerned
employee is entitled/not
entitled for ACPL-……...
as 1st/2nd/3rd ACPL w.e.f.
……………. under rule ................
.........
of HCS (ACP) Rules, 2016 subject
to fulfillment of other general conditions laid
down in ……………. rule.
Chairman
DEO/DEEO (Section Officer) (Supdt./Dy. Supdt.) (BEO/Principal)
Page 1
Performa for SANCTION of ACP (for DEO/DEEO
use only)
1. Name
of the Employee with ID number :
………………………..
2. Designation for the post on which he was recruited on regular
basis as
direct entrant: ……………
3. Date of
1st entry in Education Department on regular
basis
with pay level
of the
post: …………….
4. Details of promotion (s) /
Financial Upgradation (s)
after 1st entry into Govt. Service
on regular basis.
|
1st Promotion
(if any) |
2nd Promotion (if any) |
3rd Promotion (if any) |
Date |
|
|
|
Designation |
|
|
|
Pre-revised Functional Pay structure of Post |
|
|
|
Revised Functional Pay level of Post |
|
|
|
Financial Upgradation |
1st (if any) |
2nd (if any) |
3rd (if any) |
Date |
|
|
|
Type (HSS/Selection Grade/Promotion/ACP) |
|
|
|
Pre-revised Pay structure on Financial Upgradation |
|
|
|
Revised Pay level of Financial
Upgradation |
|
|
|
5. Modified pay structure after 01.01.2016 of the post the govt. employee hold, if any, at the time of consideration :…..
6. Overall assessment of last 10 years ACRs
Sr. No. |
Period of ACR |
Grading |
Regarding integrity (whether good/doubtful) |
1 |
|
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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7. Whether 70%
service record is good as
per summary of ACRs
given above : YES/No
8. Whether the service verification has been done completely by the DDO/Competent Authority: YES/No
9. Whether the employee is fit for promotion in terms
of Rule 8 of
HCS (ACP) Rule 2016 : YES/No
10. Date of Completion of
8/16/24 years of regular
satisfactory service
11. For which ACP
level the Employee is eligible
12. Due Date of grant of ACP Level : …………………
1. Certified
that there is no complaint/enquiry pending against the
official concerned.
2. Concerned
employee is entitled/not
entitled for ACPL-……..
as 1st/2nd/3rd ACPL w.e.f.
…………….. under rule ................
.........
of HCS (ACP) Rules, 2016 subject
to fulfillment of other general conditions laid
down in ……………. rule.
Chairman
DEO/DEEO (Section Officer) (Supdt./Dy. Supdt.) (BEO/Principal)
Page 11
Performa for SANCTION of ACP (for DEO/DEEO
use only)
1. Name
of the Employee with ID number :
…………………..
2. Designation for the post on which he was recruited on regular
basis as
direct entrant: ……………………..
3. Date of
1st entry in Education Department on regular
basis
with pay level
of the
post:
……………………..
4. Details of promotion (s) /
Financial Upgradation (s)
after 1st entry into Govt. Service
on regular basis.
|
1st Promotion
(if any) |
2nd Promotion (if any) |
3rd Promotion (if any) |
Date |
|
|
|
Designation |
|
|
|
Pre-revised Functional Pay structure of Post |
|
|
|
Revised Functional Pay level of Post |
|
|
|
Financial Upgradation |
1st (if any) |
2nd (if any) |
3rd (if any) |
Date |
|
|
|
Type (HSS/Selection Grade/Promotion/ACP) |
|
|
|
Pre-revised Pay structure on Financial Upgradation |
|
|
|
Revised Pay level of Financial
Upgradation |
|
|
|
5. Modified pay structure after 01.01.2016 of the post the govt. employee hold, if any, at the time of consideration :…..
6. Overall assessment of last 10 years ACRs
Sr. No. |
Period of ACR |
Grading |
Regarding integrity (whether good/doubtful) |
1 |
|
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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7. Whether 70%
service record is good as
per summary of ACRs
given above : YES/No
8. Whether the service verification has been done completely by the DDO/Competent Authority: YES/No
9. Whether the employee is fit for promotion in terms
of Rule 8 of
HCS (ACP) Rule 2016 : YES/No
10. Date of Completion of
8/16/24 years of regular
satisfactory service
11. For which ACP
level the Employee is eligible
12. Due Date
of grant of ACP Level
1. Certified
that there is no complaint/enquiry pending against the
official concerned.
2. Concerned
employee is entitled/not
entitled for ACPL-……..
as 1st/2nd/3rd ACPL w.e.f.
…………….. under rule ................
.........
of HCS (ACP) Rules, 2016 subject
to fulfillment of other general conditions laid
down in ……………. rule.
Chairman
DEO/DEEO (Section Officer) (Supdt./Dy. Supdt.) (BEO/Principal)
Page 12
Proforma for the grant of ACP I/II/II in terms of Haryana Govt. Finance Department
(Notification No. 1/20/2016(ACP)-5PR(FD) dated 28.10.2016 HCS (ACP) Rules, 2016.)
1. Name & Designation of the Post : …………………………….
2. Present Place
of Posting
3. Details of First Entry Govt. Service
(a) Post on which recruited
(b) Date of regular appointment : ……………………………..
(c) Functional Pay
Structure of the post as on 31.12.2015
4. No. of Financial Upgradations availed already in entire service (I) Promotion
(a) Designation of post on which promoted :…………………………………………………………..
(b) Pay scale of promotion post
(c)Date of promotion
(ii) Subsequent/Direct Appointment
(a)
Post on which appointed
(b) Pay Level of post
(c) Date of such appointment : ………………………………….
(iii)
Post on which 1st/2nd ACP
granted &w.e.f. granted ( ….. ACP)
(iv) Selection grade granted w.e.f. : ………………………………….
5. Date
of completion of 8/16/24
years
regular satisfactory service (…………..)
(a) Stagnated
on the post for more
then……. years: …………………..
(b) Whether
he/she has got already three financial
upgradations during 8/16/24
years services : NO/Yes
6. Date
of claim of ACPL-................
Date |
Pay in
Pay Matrix |
I/II/III ACP |
No. of years completed |
ACPL |
|
|
|
|
|
7. Pay is
to be fixed on grant of ACPL
.....
|
1. Certified that
there is no complaint or enquiry is pending against the employee.
2. He/she is fit for
promotion.
3. He/she has not foregone any promotion in entire service.
4. The integrity of the official is satisfactory during his/her entire service.
5. He/she has not been ignored from promotion by the department during his/her entire service.
6. He/she has completed ........... years regular
satisfactory service on................... and fulfills all conditions prescribed in the HSC
(ACP) Rules 2016 for being awarded 1/2nd/344
ACP w.e.f.. ................ in ACPL-…...
COUNTERSIGNED Signature of Head of Office (DDO)
Page 13
Govt. Finance Department Notification No. 1/20/2016(ACP)-5PR(FD) dated 28.10.2016
2. Present Place
of Posting
3. Date of First entry
into Govt. Service
4. Post on
which recruited direct
fresh entrant
5. Whether
availed any financial upgradation
(ACP/Promotion) : …………………………
Present/existing Basic Pay
Pay Matrix |
Amount |
Date |
|
|
|
|
|
|
7. Order No.
& Date of grant of
8. Date of ACP I/II/III in
ACPL ..............
9. Date from which ACPL ……. . granted
10. ACPL
granted 10. Pay fixed in ACP
Matrix/Level : ACP- …….
Date |
Pay level |
Basic Pay |
|
|
|
|
Existing Basic Pay |
|
|
|
pay w.e.f
ACPL granted |
|
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|
Fixation in ACPL…….. |
|
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(option if any) |
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Pay on DNI |
Verified by Section Officer Signature of Head of Office DDO
Page 14
Statement of fixation of pay under Haryana Civil Services
(Assured Career Progression) Rules, 2016
Sr. No. |
Particular |
|
1 |
Name of
the
Government employee. |
|
2 |
Designation of the post in which
pay
is to be fixed
as
on January 1st, 2016. |
|
3 |
Status (Substantive/Officiating). |
|
4 |
Pre-revised ACP Pay Band and Grade Pay applicable for the
post
in which the employee
was actually drawing his
pay should be
specified. |
|
5 |
Existing emoluments as on January 1st, 2016 or as
on the date of option |
|
|
(a) Pay in
Pay Band |
|
|
(b) Grade
Pay |
- |
|
(c) Dearness Allowance applicable as
on
01.01.2016. |
|
|
(d) Total
existing emoluments [(a) to
(c)]. |
|
6 |
Basic Pay as on 01.01.2016 (Pay in the ACP pay band plus
Grade
Pay) in the pre-revised structure as
on
31.12.2015. |
|
7 |
Applicable ACP level in the Pay Matrix corresponding to the ACP Pay Band and Grade Pay shown at Sr.No. 4 above. |
|
8 |
Amount arrived at by multiplying basic
pay
as at Sr. No. 6
by 2.57. |
|
9 |
Applicable Cell
in the ACP level either equal to or just above
the Amount at Sr.
No. 8
above. |
|
10 |
10.1 Revised Basic
Pay (as per Sr. No. 9). |
- |
11 |
Stepped up pay with reference
to
the revised pay of
the junior, if applicable, [Rule ................... and ................ of HCS (RP)
Rules, 2016). |
- |
12 |
Name and
pay
of the junior also
to tbe indicated
distinctly. Revised
pay
with reference to the Substantive Pay in
cases where the pay fixed
in the officiating post is lower than the pay fixed in the substantive post,
if applicable [Rule
.................................)]. |
- |
13 |
Personal Pay, if
any
[Rule ..................... and .......................] |
- |
14 |
Non-Practicing Allowance as Admissible at present
in the
existing pre-revised pay structure (in terms of
para................. of this Notification). |
- |
15 |
Date of next increment (Rules
.............. &............... and pay after grant
of increment. |
|
Date of Increment |
Pay after Increment
in applicable level of
Pay Matrix |
|
ACPL-……. |
16. Any other relevant information.
Office : Signature & Designation of Head of Office
Page 15
Copy of DSE
Hr. No. 15/30/-2019 HRM - 1
(4) dt. 12.04.2019
Sub:
Proposal for grant of 1st/2nd/3rd or Next ACP under HCS (ACP)
Rules, 2008/2016 to
………………………………………… presently working with …….
ACP as (designation) …………………………………………………………………………………………………………….
The
service history of the employee for the period, which has been taken into
consideration on the subject cited above, is as under:
1. |
Name of
the Employee |
|
||||||
2. |
Designation
for the post on which he was recruited on regular basis as direct entrant |
|
||||||
3. |
Date of
1st entry into Govt. service on regular basis |
|
||||||
4. |
Functional
Pay Structure/Level for the
post on which the employee was
recruited as fresh direct entrant as on 01.01.2006/01.01.2016 |
|
||||||
5. |
Is
there any break in service such as
unauthorized period? If so, details thereof? |
Period |
TOTAL Days |
Pg. no. of Service Book |
||||
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|
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||||||
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|
||||||
6. |
Period
of Extra ordinary leave Period (other than on medical certificate) taken
during the period under consideration for the purpose |
Period |
TOTAL DAYS |
Pg. no. of Service Book |
||||
|
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|
||||||
|
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7. |
Date
(s) of promotion(s) after 1st entry into Govt. Service on regular basis, if
any |
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8. |
Designation(s)
post(s) on promotional |
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9. |
Functional
pre-revised Pay Scale(s) of the promotional post(s) as on
01.01.2006/01.01.2016 (If promoted before 01.01.2006/01.01.2016). |
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10. |
Functional
Revised Pay Structure(s) of the promotional post(s) as per HCS (RP) Rules,
2008/2016 |
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11. |
Date of
1st ACP already granted, if any, in
the pre-revised scale of pay |
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12. |
Functional
Revised Pay Structure of 1st ACP as per HCS (ACP) Rules, 2008/2016 |
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13. |
Date of
2nd ACP already granted, if any, in
the pre-revised scale of pay |
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14. |
Functional
Revised Pay Structure of 2nd ACP as per HCS (ACP) Rules, 2008/2016 |
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15. |
Date of
Modification/Revision of Pay
Structure after 01.01.2006/01.01.2016 to the post the Govt. employee holds,
if any, at the time of consideration |
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16. |
Modified/Revised
Pay Structure
after 01.01.2006/01.01.2016 to the post the Govt. employee holds, if any, at
the time of consideration |
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17. |
Resume/Overall
assessment of the last 10
years ACRS |
Sr No. |
Period of ACR |
Grading |
Regarding integrity (whether Good/ Doubtful) |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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18. |
SUMMARY
OF ACRS |
Particulars |
Total No. of ACRS |
Remarks, if any |
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Outstanding |
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Very Good |
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Average |
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Below average |
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Missing period/ not available |
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Short Period |
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19. |
Whether
70% service record is good as per summary of ACR given above? |
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20. |
Whether
the service verification has been done completely by the DDO/ Competent
Authority? |
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21. |
Whether
any disciplinary proceedings
are pending against the employee? If yes, detail thereof. |
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22. |
Whether
the employee is fit for promotion in terms of rule 8 of HCS (ACP) Rules,
2008/2016? |
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23. |
For
which ACP the employee is eligible i.e. for 1st/2nd/3rd or Next ACP in terms
of Rule 7 & 13 of HCS (ACP) Rules, 2008/2016. |
|
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24. |
Date,
Month & Year from which 1st/2nd/3rd ACP, as eligible above, is due as per
below calculations:- 1. Date
of first entry into Govt. service:
01-11-2008 2. Add: (a)
10/20/30 years, as the case may
be 16 Years (b)
Period of EOL as per detail given
above. (c)
Irregular/Punishment period, if any.
Nil (d)
Total Period (a+b+c) 3. Date
of completion of 10/20/30 years regular satisfactory service for the purpose.
[1+2(d)] 30-11-2024 |
|
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25. |
DATE, MONTH
& YEAR FROM WHICH NEXT ACP
GRADE PAY, AS ELIGIBLE ABOVE, IS
DUE AS PER BELOW CALCULATIONS: - 1. DATE OF
LAST PROMOTION/FINANCIAL UP-GRADATION
: 1ST ACP 01-11-2016 2. ADD: A) 10/20/30
YEARS, AS THE CASE MAY BE, AFTER PROMOTION/FINANCIAL UP-GRADATION : 10 YEARS B) PERIOD OF
EOL AS PER DETAIL GIVEN ABOVE.
: NIL C)
IRREGULAR/PUNISHMENT PERIOD, IF ANY. :
NIL D) TOTAL
PERIOD (A+B+C) : 3. DATE OF
COMPLETION OF 10/20/30 YEARS REGULAR SATISFACTORY SERVICE FOR THE PURPOSE.
[1+2(D)] : |
|
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26. |
Competent
authority for grant of 1st/2nd/3rd
or Next ACP as per HCS (ACP) Rules, 2008/2016. |
|
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Conclusion
and proposal/recommendation of the HR- II Branch.
Assistant
Supdt
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