Proforma for Periodic Review of Officers
ESIC circular 56(j)-Detail Proforma-March-27 · 30 Jul 2026
Official title
56(j)-Detail Proforma-March-27
Official record
Open source pageSummary
Check the official recordWhat changed
The Employees' State Insurance Corporation has issued a proforma for the periodic review of officers under Fundamental Rule 56(j), 56(l), and Rule 42 of the CCS (Pension) Rules, 2021. The document requires the submission of detailed service records, including personal identification, date of birth, length of service, and age as of 31 March 2027. Additionally, the proforma mandates the disclosure of disciplinary history, including verifiable complaints, sexual harassment records, charge sheets, and penalties. It also requires reporting on vigilance clearance, integrity, health status, leave history for the last five years, promotion history, and proximity to retirement. This data is to be compiled for officers subject to review under the specified service rules.
What you must do
- Complete the proforma providing service, disciplinary, and health-related information for the specified officer.
Who is affected
Document text
| Sl. No. | Name of the officer Sh./Smt./ Kum. | Emp. ID | Designation | Place of Posting | Date of Birth (Strictly in DD/MM/ YY) | Age as on 31.03.2027 | Date of Joining in Govt. Services/ESIC (also indicate service prior to ESIC, if any) | Length of Service as on 31.03.2027 | Age at which officer joined service (including service prior to ESIC, if any) | Details of Verifiable Complaints including Sexual Harashments, if any. | Details of Chart Sheet and Penalties, if any, imposed on officer during the entire service | Status of Vigilance Clearance | Integrity | State of Health | Leave Availed during last 5 Years | Whether promoted in the last 5 years | Whether Retiring/Super annuating within One Year | Whether to be reviewed under FR- 56(j), 56(I), or Rule 42 of CCS (Pension) Rules, 2021 or Both | Remarks, if any |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 |
EL- HPL- COMM- EOL-
DD(F) DD(ADMN) PROFORMA
Source details
- Source
- Employees' State Insurance Corporation
- Type
- circular
- Published by source
- 30 Jul 2026
- Document number
- 56(j)-Detail Proforma-March-27
- Issuing division
- ESIC
- Coverage area
- labour