Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, ________________________, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period _____________________________.

________________________________
Ratee's Signature
Date: ________________________________
Designation: __________________________
Effective Date of Designation: ____________
R
Bureau Order No: ______________________
5 - Outstanding
APPROVED BY: a 4 - Very Satisfactory
Rater's Signature t
i 3 - Satisfactory
Name: n 2 - Unsatisfactory
Position: g 1- Poor
Date:

SUCCESS INDICATOR
RATING
OUTPUTs (TARGETS + MEASURES) Actual Accomplishments REMARKS
(NOTE: Please add rows for success indicators if necessary) Q E T Average
GENERAL ADMINISTRATION AND SUPERVISION
A.I.a General Management and Supervision
1.
2.
3.
4.
A.II.a Administration of Personnel Benefits
(For Directorate for Comptrollership Use Only)
1.
2.
3.
4.
TOTAL RATING
FINAL AVERAGE RATING
(use additional sheet/s, if necessary)

Rater's Comments and Recommendation for Development Purposes or Rewards/Promotion

The above targets has been discussed and agreed by my immediate Supervisor/Team Leader The above rating has been discussed with me by my immediate Supervisor / Team Leader
Start of Rating Period End of Rating Period Start of Rating Period End of Rating Period
Signature: Signature: Signature: Signature:
Name of Ratee: Name of Ratee: Name of Rater: Name of Rater:
Position: Position: Position: Position:
Date: Date: Date: Date:

Assessed by PMT Secretariat: Reviewed by PMT Chairman: Final Rating by Head of Office:
Start of Rating Period End of Rating Period Start of Rating Period End of Rating Period
Name: Name: Name: Name: Name:
Position: Position: Position: Position: Position:

Date: Date: Date: Date: Date:

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