XXXXXXXXXX Limited

Performance Evaluation Form

Department : Administration
Designation : Admn Assistant
Review Period : 01/01/04 to 30/11/04

Employee Name : Date of Joining :

Qualification : Location :
Date of Birth : Employment Status : Probationary/Confirmed

Part A:

Please assess your performance in the following areas in terms of your current role
requirements based on the ratings,
Exceeds Expectations – (4)
Meets Expectations – (3)
Meets Minimal Requirements – (2)
Unable to meet Requirements – (1)
Self Supervisor’s
Rating Factors Appraisal Appraisal Justification
Rating Rating
Personal Traits
V – Versatility
I – Interaction with staff members
B – Building Company image
H – Honesty
A – Accountability
Job Competency
1. Job knowledge
2. Promptness in executing the assigned tasks
3. Maintenance of dispatch records
4. Attending to dispatch- related queries
5. Ensuring the confidentiality of information
6. Maintenance of Address Bank
7. Basic computer knowledge
8. Economy in use of Company resources
General Attitude
1. Punctuality
2. Attendance
3. Personal appearance
4. Emotional stability
5. Self disciplined
6. Commitment to work

Part B:

1) Please list the major responsibilities of your job in order of importance.

2) Please specify the Appreciation(s) (if any) you received from the Management in the review period.

3) Please state the Additional activities you have involved related to your job in the review period.

4) What additional responsibilities you would like to take in the next year?

5) What motivates you,

a) Increment e) Recognition
b) Secure Employment f) Creative and Challenging work
c) Designation g) Role Expansion
d) Promotion h) Training and Development

6) Have you acquired any other qualification in this year, if so please specify.

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Employee Signature
Date:
HR View:
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Signature
Date:

Appraiser Comments:

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Appraiser Signature
Date: