Appendix - 2 (54 Points Form)
Human Resource Development Programme, North Region, Mumbai.
- 1. Name : _____________________________________________ Photo:
- 2. Rank ________________________________ Buckle No.:
- 3. Temporary Address / Phone No.:
- 4. Permanent Address :
- 5. Date of Birth :
- 6. Date of Commencement of Service:
- 7. Date of Retirement :
- 8. Posting till date :
- 9. Educational Qualification :
- 10. Languages known :
- 11. Religion & Caste / Sub-Caste :
- 12. Identification mark :
- 13. Height ___________ mtrs. - Weight ____________ Kgs
- 14. Sickness / Illness - Diabetes / Asthama / Blood Pressure / Cancer / Heart Disease / etc.
- 15. Bad Habits - Chewing Beetle Leaf / Pan / Tobacco / Ghutka. Smoking - Cigarette / Ganja / Opium. Consumption - Addiction of Liquor / Brown Sugar
- 16. Blood Group with Rh factor
- 17. Blood pressure- High / Low / Normal
- 18. Health- Very Good / Good / Bad
- 19. Fitness Allowance- Availed / Not Availed
- 20. Married life- Contented / Not contented
- 21. Number of family members residing at native place- Father, Brother, unmarried
Sister:
- 22a. Financial status- Very good/average/indebted
- 22b. Amount of loan installment, repaid per month
- 22c. Vices- Gambling / Race / Game of luck / Betting / etc :
- 23. Insurance particulars :
- 24a. Rewards :
- 24b. Minor Punishment :
- 24c. Major Punishment :
- 24d. Whether suspended? If so the reason thereof :
- 25. Inclination towards Police Service- Yes / No :
- 26. Training courses undergone :
- 27a. Special proficiency : Typing / Stenography / Driving / Electrician - Known languages: Gurumukhi / Bangla / Urdu.
- 27b. Computer literacy- Yes/No :
- 27c. Knows swimming- Yes/No :
- 27d. Ability in shooting- Very Good/Average :
- 27e. Competence in games :
- 27f. Hobby - Writing / Reading / Singing / Listing to Music / Gymnasium / Sports / Drawing / Photography / Trekking / Hiking / Gardening / Bird Watching / etc.
- 27g. Competence in playing musical instrument:
- 28. Environment sensitive- Office/surrounding cleanliness Inclined/not inclined :
- 29. Keeps relationship with criminals for self interest- Yes/No :
- 30. Inclination to learn anything new- Yes/No :
- 31a. Verbal communication skill- Open hearted/rude/speaks less :
- 31b. Response to mistakes committed: Remorse/Regret/Rectifies mistakes/carelessness.
- 31c. Habit of complaining without any reason- Yes/No :
- 31d. Nature of conduct- Polite/Proud/Conceited :
- 32a. Likes social work- Yes/No :
- 32b. Attitude, Behaviour towards socially-economically backward sections of society- Positive/Negative :
- 32c. Attitude, Behaviour towards minorities- Positive/Negative :
- 33. Relations : Cooperative, Courteous, Helpful, Indifferent, Non-friendship
- 33a. With Subordinates :
- 33b. With colleagues :
- 33c. With member of public :
- 33d. With members of other department :
- 34. Courage - Extremely Courageous/ Courageous /Average/Coward :
- 35. Diplomacy- Excellent/Very Good/Good/Average/poor :
- 36. Presence of mind- Very Good/Good/Average/poor :
- 37a. Attitude while working- Flexible/Rigid (Uncompromising)
- 37b. Outlook towards work or any incident- Positive/Negative :
- 38a. Integrity- Excellent/Very Good/Good/Average/poor :
- 38b. Character- Excellent/Very Good/Good/Average/poor :
- 38c. Sense of Justice or fairness- Excellent/Very Good/Good/Average/Poor :
- 39. Enthusiasm for Police Work- Extremely enthusiastic/Enthusiastic/Satisfactory/Average/Poor :
- 40. Religious Beliefs :
- 4oa. Communal/Secular :
- 40b. Idol Worshiper/Iconoclast :
- 41. Observes official secrecy- Yes/No/Sometimes :
- 42. Decision making ability- Excellent/Good/Satisfactory/Poor :
- 43. Does he have ability to organise and manage work- Yes/No :
- 44. His favourite type of work is- Executive duty/Investigation of crime/Traffic/Passport/ Security Aid/Escort/Line Orderly/Plain cloth/ Office duty/Guard/Bodygaurd/Picket/Driving/ Training/ Armory work/Gardening/ building work/Electrician/ Motor mechanic/ Computer :
- 45. Ability- Excellent/Very Good/Good/Average/poor :
- 45a. Physical Ability :
- 45b. Mental Ability :
- 45c. Emotional Ability :
- 45d. Spiritual Ability :
- 46a. Capability (Excellent/Very Good/Good/Average/poor):
- 1. Skill and courage in handling law and order situation :
- 2. Public relations :
- 3. Communication skill :
- 4. Public speaking :
- 5. Information about criminals :
- 6. Interrogation :
- 7. Ability to chase/keep a tab on criminals :
- 8. Passion and concern to detect crimes :
- 9. Knowledge about procedure in investigation :
- 10. Knowledge of the law :
- 11. Intelligence gathering :
- 12. Writing work/Drafting and documentation :
- 13. Ability to extract work from subordinates :
- 14. Receptivity level / ability to understand :
- 47. What training does he/she need to undergo ? :
- 48. In case of remaining absent frequently reasons there of (choose out of the attached list) :
- 49. Policemen's opinion about self (choose out of the attached list) :
- 49a. Personal problems (choose out of the attached list) :
- 49b. What is require to be able to perform at full potential? :
- 50. Opinion of elder brother (API/PSI, Mohalla Committee President).
- 50a Personal problems (choose out of the attached list) :
- 50b. What is require to be able to perform at full potential? : Signature
- 51. Opinion of Beat P.I.
- 51a. Personal problems (choose out of the attached list) :
- 51b. What is required to be able to perform at full potential? : Signature
- 52. Opinion of Sr.P.I.
- 52a. Personal problems (choose out of the attached list) :
- 52b. What is required to be able to perform at full potential? : Signature
- 53. Opinion of ACP regarding measures essential for making complete use of all types of potential of policemen for achieving optimum performance? Signature
- 54. Opinion of DCP regarding measures essential for making complete use of all types of potential of policemen for achieving optimum performance? Signature