This document appears to be a rubric or assessment form used to evaluate writing samples or scripts. It includes spaces to note the script number, name of the person being assessed, and ratings for content, organization, structure, language, grammar and mechanics. The assessor and center in charge would sign and date the completed form along with initials once the assessment is finished.

1. Name of Assessor Date of assessing
Signature of the assessorwithdate Initialsof centre incharge
S.no Script
No.
NAME CONTENT ORGANISATION
STRUCTURE
Language GRAMMAR
& Mechanics
BAND