OBJECTIVES AND REVIEW FORM

Employee Name: M.DIVAGAR Employee ID: 1

Project/Department: AVAHAN / COMMUNICATION Supervisor: Mr. A. SHAKTHINATHAN

Summary of Performance for: Mid Year * or ✔ Appraisal Period: From: Jan 2009 To:
End Year ** Dec 2009

Enter your Objectives into the space provided below. Complete the chart below by entering one goal per line under the appropriate section. During Mid-term reviews, complete the Mid-Term
Results column, documenting the actions taken to date to meet the goals listed in the Individual Objectives column. At End-Term, complete the End Term Results with the actions taken to
complete the objectives set in the beginning of the term. Also, enter your Development Plans for the next year that will support you in meeting your Objectives.
Individual Objectives Mid Year Results End Year Results Development Plans
Individual Goals
To achieve the target on 1-1, 1-G, and Mega Achieved 60% reaches on their LQAS will be conducted once in a month. IPC is
Events to achieve IPC contacts on daily basis respective hotspots for last LQAS responsible to ensure 60% reach on their
Average 350 contacts on CCU addressed to
through quality sessions that have no survey. respective Hotspots.
Target Groups every day. Increased group
deviations from the delivery of message. Average 375 contacts addressed to Refresher trainings and mock sessions will be
interactions with them./ collected PSLs and
Measurement Indicator Target Groups everyday. Increased organized required times.
sold color coded kits as per target. group interactions with them. To strengthen IPC sessions supports will be
DAR Achieved 2 Mega Events or special provided during field visits.
LQAS result events per month in our hotspots.
To improve documentation skills in the
reports such as monthly report and submit To strengthen documentation support will be
small write ups on various events and Reports are seen in daily activity Reports are seen in daily activity provided by the supervisor.
campaigns. reports. reports. And many more reports
Measurement Indicator submitted to the supervisor like that
Submitted report monthly qualitative reports, special
CO report event, and mega event reports.
To increase the co ordination with NGOs/CBOs
related to project deliverables. Established rapport with local NGOs Established rapport and professional The list of NGOs/CBOs in the Salem district will
PDI, PCI, Salem District Positive relationship maintained with local be given by the supervisor to participate and co
network and many other CBOs NGOs and CBOs like that TAI, PCI, PDI, ordinate program me related activities.
Measurement Indicator professional relationship maintained NDLOA, Shevapet Lorry owners
DAR with outreach workers. association Salem district positive
network and CBOs and many other
organized groups..
Accomplishment to additional tasks that will
assign by the organization on time to time Accomplished assigned tasks For conducting active performance on
and taking initiatives which can be another project like NACO STI/RTI,
advantageous to reach and quality of IPC that given by the organization. NACO CSM projects for last year.
contacts. Sold condoms as per target as 6 months in Salem and Namakkal and
Coimbatore districts for NACO STI/RTI
additional tasks during last Protect to conducted PPP doctor’s
Measurement Indicator three months. recruitment and training on non
DAR allopath doctors.
Conducted 2 special medical camp
CO repot conducted per month.
And color color coded kit Sales.
Approximately 300 outlets created in
NACO CSM project at Chennai districts.
 OBJECTIVES AND REVIEW FORM

PSI Values
People Encourages all staff to adhere to the
mission of the management,
Respects the views and opinions of
the staffs, work hard to achieve the
target individually.
Partnership Established rapport with local NGOs
professional relationship maintained
with Govt. bodies and positive
network.
Results Achieved monthly targets
consistently submit DAR/FER on
time, small assignments which have
been recommended by COs is
submitted.
Professionalism Maintained punctuality, discipline
and professional interpersonal
relationship with all the colleagues.
Chak De PSI/I Resolves difference of opinions
among the staff, participates
actively in the review meeting.
Summary of Performance - Mid Year
[Enter text here]
Summary of Performance – End Year
[Enter text here]
Summary of Development Plans – End Year (should include the 2 key development focus areas)
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SIGNATURES (THIS AREA TO BE COMPLETED MANUALLY)

Employee Signature Print Name M. DIVAGAR Date

Supervisor Signature Print Name A. SHAKTHINATHAN Date

Functional Head’s Signature (Only Required for End Print Name Date
Year Appraisal)
* Mid Year Review requires the signature of the employee and their supervisor indicating both parties agree to the objectives stated within this
document.
** End Year Review requires the signature of the employee and their supervisor indicating both parties agree the employee had an opportunity to
review the content of this document and discuss its content with their supervisor, even if the employee does not necessarily agree with the
contents.
***PSI measures performance based on results against objectives and the manner in which results are achieved.