DPWH SPMS Form No.

INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW (IPCR) FORM

I, _____Name_____, _____Administrative Officer V _____, of _Human Resource Management Section , commit to deliver and agree to be rated on the
attainment of the following targets in accordance with the indicated measures for the period __________ to _________.

Approved by:
Signature: Position: Signature of Ratee

Name: Office: Date Prepared:

Success Indicators Rating

Output Actual Accomplishments Average Remarks
(Targets + Measures) Q E T
TO BE FILLED BEGINNING OF THE SEMESTRAL RATING PERIOD TO BE FILLED DURING EVALUATION
 Total Rating
Final Average Rating

Rater comments and recommendation for development purposes or rewards/promotion. (Note: Use additional sheet/s if necessary)

The above rating has been discussed with:

Name and Signature Name and Signature Name and Signature

of Ratee: of Initial Rater: of Final Rater:
Position: Position: Position:
Date: Date: Date: