Automed Systems Private Limited

Annual Review form (April 10 – March 11)

Name
:

Positio
n:

Department
:

Length of
service:

Time in present
position:

Reporting
to:

Appraisal date &

time:

1) State your understanding of your main duties and

responsibilities
2) List out the objectives you set out to achieve in the past
year:

Revenue objective:

Objective set:

Objective achieved:

Non-revenue objective:

Objective set:

Objective achieved:
3) Has the past year been good/bad/satisfactory? Comment.

4) What do you consider to be your most important

achievement in the past year?

5) If you had to change one thing in Automed, what would

that be, and why?

6) What action could be taken by you and your boss to

improve your performance?
 7) What sort of training or assistance will enhance your
performance and help you achieve your objectives for the
year?

8) What are your objectives for the next year?

Signed and dated by appraisee: and by

appraiser:

Grade/recommendation/summary as applicable: (by appraiser)

Distribution of copies/confidentiality/accessibility details: