Public Administration Circular No :08/98

My No: AR/15/1/1

Ministry of Public Administration,

Home Affairs & Plantation Industries,
Torrington Square,
Colombo 7.

16 March, 1998

To : All Secretaries and

Heads of Departments.

Performance Appraisal of Staff Officers

In terns of paragraph 05 of Public Administration Circular No. 07/98 Dated 13

March 1998, the form to be used (Form A) in respect of all Staff Officers in the Public
Service is hereby prescribed and attached to this Circular.

Please take immediate action to have Section A and B of the Form completed by
all Staff Officers in accordance with paragraph 02 (a) of Public Administration Circular No. 07/98

Dixon Nilaweera
Acting Secretary,
Ministry of Public Administration,
Home Affairs & Plantation Industries,
 FORM A

P E R F O R M A N C E A P P R A I S AL F O R M

A. Personal Details

1. Name :

2. Date of Birth :

3. Department/Institution/Ministry :

4. Title of Post :

5. Date of Appointment to the above post :

6. To whom do you report :

B. Performance Plan

1. Agreed Period of Appraisal :.......199 to .....199 (one year)

2. Main Areas of Responsibility :

a. ............................

b. .............................

c. .............................

d ..............................

e ..............................
3. Key Tasks to be Completed/Performed during the year :

a. .........................

b. ...........................

c. ...........................

d ...........................

e. ...........................

4. Specific Performance Indicators for the Tasks Listed Above :

a. ...........................

b. ...........................

c. ...........................

d. ...........................

e. ..........................
5. Facilities and Resources that are Necessary to Ensure
Performance :

a. ...........................

b. ...........................

c. ...........................

d. ...........................

e. ...........................

1 ................................... ............................... ...............................

Name of Appraisee Signature Date

2. . ................................... ............................... ...............................

Name of Appraiser Signature Date
and Title of Post

........................... .............................................
Date Name of Moderator and
Title of Post
 C-Mid-Term Appraisal
Date of Review:

1. Comment by Appraiser on performance so far:

2. Strategies for improvement (if appraisee is lagging behind)

3. Amendments to Performance Plan (if any):

4. Reasons for Amendments :

5. Comment By Appraisee on his/her performance :

6. Comment by Moderator :

................................. .............................. .......................

Signature of Signature of Signature of
Appraiser Appraiser Moderator

D. Final Appraisal (provisional)

1. Comment By Appraisee on Performance

Task a. .....................

Task b. .....................

Task c. .....................

2. Comment by Appraiser on Performance and Reasons for such Comment

Task a. .....................

Task b .....................

Task c. .....................

3. Provisional Assessment

Having considered the comments of the appraisee in regard to his/her

performance and having verbally explained my comments on performance and the
reasons therefor, I assess that the performance of the appraisee is
unsatisfactory/satisfactory/above average/excellent.

................................. .............................. .......................

Signature of Signature of Signature of
Appraiser Appraiser Moderator
 E. Final Appraisal Assessment

I have examined -

a) the mid-term appraisal outcome

b) the final appraisal outcome

c) the provisional assessment, and

d) having discusses the above with the Appraisee, in the presence of the
Appraiser.

I confirm the interim assessment.

I revise the interim assessment as follows ;-

Reasons for revision (if any)

................................. ..................................
Date Signature of Moderator