Check List for confirmation

School ID :- __________ Name of School :- __________________________________

Name of Employees:- _______________________________ Emp. ID.:- _____________
Designation :- _______________ DOB:- ___________________
Employee Mob. No. :- ______________________ HOS Mob. No:- __________________
School Diary no. s.n DETAILS OF THE ENCLOSURES Page No of file
with dated:_

1 Application Proforma for confirmation

2 Fresh Vigilance Report of Distt. Level

3 Fresh Work and conduct report (Annexure-1)

4 Fresh Integrity certificate (Annexure-2)

5 CERTIFICATE REGARDING COURT CASE/PROCEEDINGS (Annexure-3)

6 ‘NO PENALITY’ certificate (Annexure-4)

7 Service verification Chart (Annexure-5)

8 Fresh Vigilance Report of School Level (Annexure-6)

9 EOL Certificate (Annexure-7)

10 Dies – Non No Break in Service and Regularization Certificate(Annexure-8)

11 Certificate regarding Seniority (Annexure-9)

12 Completion Certificate (Annexure-10)

13 Copy of first page of service book

14 Copy of initial appointment order in DoE

15 Copy of joining order at the time of initial appointment
16 Photocopy of caste certificate (if required)
17 Probation period clearance certificate from HOS Annexure-12
18 Photocopy of Police Verification report / Entry in service book
19 Photocopy of Medical examination report / enter in service book
20 ACR review report initial three years in Dte. Of Edu (Annexure-11)
21 Attested copies of ACR initial three years in Dte. Of Edu

Minutes of DPC for confirmation (2 blank copies)

Each and every page should be signed by HOS

Signature of HOS with Seal
Please Paste this page on file cover (outside)
 APPLICATION PROFORMA FOR CONFIRMATION OF TEACHERS
1. Present Details
(i). Name of the Official ( in Capital Letter) : POOJA KHATRI
(ii). Employee Id : 20191894
(iii). Designation :LECTURER ENGLISH
(iv). Date of Birth :21/09/1992
(v). Category (General/SC.ST/OBC) : OBC-DELHI

(vi) Education Qualification at the time of joining : B.EL.ED,MA ENGLISH,M.ED and completed B.Ed
within three years of joining.
(vii). Present School : GGSSS MUBARIKPUR DABAS
(viii). School ID : 1412133
2. Details of initial Appointment in Directorate of Education:
(i) Mode of appointment in Directorate of Education, GNCTD: DSSSB
( SSC/DSSSB/Compassionate/Redeployed/ Absorption/Promotion)

Dept. Post Date of Prescribed period Date of completion Page no.

MCD/DOE/Other joining of probation of probation of File
Initial Joining Post
and Date of Joining DOE LECTUR 13/11/2019
E
ENGLISH
(as per Joining report)
(ii) Present post held : LECTURER ENGLISH

(iii) Post in which he/she is eligible to be confirmed : LECTURER ENGLISH

(iv) Date from which to be confirmed : ________________________________

Period of Dies Non & Break in Service, if any (attach the Certificate and order): NA
Date from which in continuous Govt. service : 13/11/2019
Was he/ she with in the prescribed age Limit / Qualified at the time of entry in service: YES
Whether the requirement are in order, if not, whether exemption / relaxation has been obtained : _____
Whether the application is on regular basis or adhoc basis : Regular
8. Medically examined and declared fit or not For Govt. service : FIT
Educational qualification verified and as accordance with prescribed standard/ department guidelines: YES
Whether character & antecedents verified by police : YES
Whether sworn allegiance to the constitution of India : YES
Vigilance clearance (school level &district level) : __________________
( Signature of Employee)

Certified that the particulars furnished by the school office are verified to be correct as per record and no
departmental proceedings / Vigilance case pending against the official concerned.

Verified by In-charge (Service book) Signature & seal of head of school

 Annexure-1

Name of the School: _____________________________________________

School Code : ______________

WORK AND CONDUCT

working in the school since

Certified that Sh./Smt./MS POOJA KHATRI

13/11/2019…as LECTURER ENGLISH…… (Designation) I.D. No. 20191894 D.O.B 21/09/1992… and his/her

Work & Conduct is Satisfactory.

Head of School

Date :
 Annexure-2

Name of the School: _____________________________________________

School Code : ______________

INTEGRITY CERTIFICATE

The records of service in r/o Sh./Smt./Ms. POOJA KHATRI……

(Designation) LECTURER ENGLISH. I.D. No. 20191894

D.O.B…21/09/1992…. Who is to be considered for confirmation have been carefully

scrutinized and it is certified that there is no doubt about his/her integrity

Head of School

Date :
 Annexure-3

Name of the School: _____________________________________________

School Code : ______________

CERTIFICATE REGARDING COURT CASE/PROCEEDINGS

As per his/her service records available in the school, it is certified that no court case

is pending / court order issued against __MS POOJA KHATRI, Employee I.D.:20191894, who

is working in this school as __LECTURER ENGLISH__ (Designation).

Head of School

Date :
 Annexure-4

Name of the School: _____________________________________________

School Code : ______________

NO PENALTY CERTIFICATE

Certified that there is No Penalty in Operation as on date in r/o Sh./Smt./Ms.…POOJA

KHATRI…............working in the school since

13/11/2019 as LECTURER ENGLISH (Designation) I.D.

No. - 20191894, D.O.B…21/09/1992… under Rule 14 or 16 of CCS
(CCA) Rules 1965. It is also certified that no minor/major penalty has been imposed on
him/her in the last ten years.

Head of School

Date :
 Annexure-5
Name of the School: GGSSS MUBARIKPUR DABAS (1412133)

School Code : ______________ Employee Id :20191894

SERVICE VERIFICATION CHART

Service verified as per record in R/O Sh/ Smt. POOJA KHATRI. Designation:
LECTURER ENGLISH ,DOB :21/09/1992 Working in the school. Details are as under:

S.N.. NAME OF SCHOOL Service Verification Period PAGE NO

OF S/B
From To

Head of school DDO

Date:
 Annexure-6

Name of the School: GGSSS Mubarikpur Dabas Delhi

School Code : 1412133______

VIGILANCE CERTIFICATE (at School Level)

"It is certified that Sh. /Ms. /Smt./Ms._______POOJA KHATRI____

Designation___LECTURER ENGLISH___ ID No. 20191894_____

DOB___21/09/1992___, who is to be considered for confirmation, as per record

he/she is free from Vigilance Angle and no departmental/criminal proceedings is pending

or contemplated against him/her.

Head of School

Date :
 Annexure-7

Name of the School: GGSSS MUBARIKPUR DABAS

School Code : _1412133___

E.O.L. CERTIFICATE

This is to certify that Sh. /Ms. /Smt./Ms._POOJA KHATRI _ID No. 20191894,
DOB:21/09/1992 is working as LECTURER ENGLISH

He/ She has not availed any EOL on Private Affairs / Medical grounds till date as per

record.

HEAD OF SCHOOL

Date :

If Yes details of EOL may be given:

 Annexure-8
Name of the School: GGSSS MUBARIKPUR DABAS____

School Code : 1412133 Employee Id : 20191894.

CERTIFICATE REGARDING DIES-NON/SUSPENSION/ BREAK-IN-SERVICE

As per his/her service records available in the school, it is certified that there was no

break in service in respect of POOJA KHATRI __, Employee I.D.:20191894, who is working in

this school as LECTURER ENGLISH (Designation)

and his/her service has never been treated as Dies-Non. He/ She have never been put

under suspension.

HEAD OF SCHOOL

Date :
 Annexure-9

Name of the School: GGSSS MUBARIKPUR DABAS

School Code : :1412133

Certificate Regarding Seniority

Certified that the Seniority No…………………. Block Year……………………….. in r/o

Sh/Smt POOJA KHATRI ……..Designation…LECTURER ENGLISH I.D.
No 20191894 D.O.B……21/09/1992…… has been verified from the Seniority
available on the Website of the Directorate of Education.

PRINCIPAL /HEAD OF SCHOOL

Date:
 Annexure-11

Name of the School: GGSSS MUBARIKPUR DABAS___

School Code : 1412133

ACR REVIEW REPORT

ACR Review report in r/o of Sh./Smt POOJA KHATRI………..Employee

ID…20191894…. Designation LECTURER ENGLISH……….working in the school are

as under:-

S.NO YEAR ACR’S GRADING COPY ATTACHED REMARKS

Signature of HOS with stamp & date

 Annexure-10

Name of the School: GGSSS MUBARIKPUR DABAS__

School Code :

COMPLITION CERTIFICATE

It is Certified that confirmation file in r/o Sh./Smt. POOJA KHATRI, Working in

the school as LECTURER ENGLISH He/She is eligible for confirmation
…………………………………………………. Due on ……………………………

His file for Confirmation is complete in all respect.

Signature of HOS with stamp & date

 Annexure-12
Name of the School: GGSSS MUBARIKPUR DABAS

School Code :1412133_

CONFIDENTIAL REPORT FOR CLEARANCE OF PROBATION PERIOD

(PART –I)
1. Name of the employees :POOJA KHATRI
2. Designation :LECTURER ENGLISH

3. Academic & Professional :B.EL.ED,MA ENGLISH,M.ED,B.ED

Qualification
4. Scale of pay :

Date of joining in the Department :. 13/11/2019

Date of joining in the present post :. 13/11/2019

(A) Duration of Probation Period : 2 YEAR

Period of Probation Expiring (Initial):

If extended, date of expiry of

Probation : IstExt. IInd Ext. IIIrd Ext.

Period for which the present report

Pertains :From To

Place of posting during Probation

Period : Place From To
Report of Shri
Part-II
For the use of Reporting Officer
1. Brief Description of job performed :
2. Job Knowledge :

3. Job Performance :

Contribution towards Organization of work :

(ii) Quality of work :

(iii) Contribution towards work of the Unit/Office :

(iv) Relation with fellow employees :

(v) Adaptability for new job :

In case the reporting officer is not satisfied with the work

and conduct of the employee reported upon
during the initial period of probation,
Please specify: :

Whether the deficiencies reportedin the Probation

report were
communicated to him well in advance, if
communicated in writing,
Please specify: :

Whether the employee was given adequate

counseling and guidance
to overcome his deficiencies. :

(TO BE COMPLETED IN CASE THE REPORT

PERTAINS TO EXTENDED PERIOD OF
PROBATION) :
Please highlight his significant contribution/improvement or
deterioration observed in his working during the period under
report. Please also confirm whether the employee was given
adequate counseling guidance to overcome his deficiencies.
Date Signature of Reporting Officer
Designation
 Probation Report of Shri

Part-III

Remarks of the next Higher Officer

1. General Assessment :

Whether he be treated to have completed to period of

Probation
Satisfactorily?:

Signature

Date

Designation

Order of the Appointing Authority/Counter Signing Authority:

Signature