DPRM RSD Form-03-B1 (Revised 2017)

INTERVIEW EVALUATION FORM

Applicant Nr. __________________________

Name: ______________________________________________________________________________________
(RANK) (LAST) (FIRST) (MIDDLE NAME) (QUALIFIER)

HIGHEST EDUCATIONAL DATE OF LAST

ATTAINMENT PROMOTION
HIGHEST MANDATORY DATE OF CSC ATTESTED
TRAINING PERMANET APPOINMENT
PRESENT DESIGNATION EXPERIENCE/TIG
& DATE DESIGNATED (PERM + TEMP)
APPROPRIATE
ELIGIBILITY PENDING CASE AT:

RESULT OF EVALUATION
AREA COVERED PERCENTAGE EQUIVALENT
RATING POINTS
Work Ethics and Moral Reasoning 20% 5

Communication Skills 20% 5

Leadership Qualities 20% 5

Job Knowledge (CMC No. 06-16 re: Enhanced Intelligence Gathering and CMC No. 19-16 re: KKK Project ) 20% 5

IQ and Current Events 20% 5

TOTAL 100% 25

Evaluated by:

________________________________
Promotion Board/Committee Member
(Signature over Printed Name)

NOTE: This FORM should be stapled to the updated PAIS PDS.

One Form per Board/Committee Member.