OFFICE PERFORMANCE COMMITMENT AND REVIEW (OPCR) FORM 1: FM-QP-AS-HRMD-04-01

DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No. PLEASE COPY THIS
0 10.01.15 Page1 of ___ PORTION

I, (Name) ______________, ___________(Position)_________________ of (Region/Bureau/Service) commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period________________________.

Signature of Head of Office/Ratee

Date:

APPROVED BY: (NAME) POSITION: DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL ALLOTTED RATING (6) REMARKS
SUCCESS INDICATORS DIVISION/INDIVIDUAL ACTUAL
OUTPUT BUDGET (7)
(Targets + Measures) ACCOUNTABLE ACCOMPLISHMENTS/ Q1 E2 T3 Ave4
(1) (3) (4) EXPENSES (5)
(2)

Strategic Priorities

Core Function
MFO 1:
MFO 2:

Support Function

TOTAL RATING
FINAL AVERAGE RATING
ADJECTIVAL RATING:
Assessed by PMT Secretariat Reviewed by PMT Chairman Final Rating by:
Start of rating period End of rating period Start of rating period End of rating period

Position: Position: Position:

Date: Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 DIVISION PERFORMANCE COMMITMENT AND REVIEW (DPCR) FORM 2: FM-QP-AS-HRMD-04-02
DILG-AS-HRMD VN:1012016 Rev. No. Eff. Date Page No.
0 10.01.15 Page1 of _____

I, ROMIE M. POTOT, LGOO VI of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017.

Signature of Division Chief/Ratee

Date:

APPROVED BY: POSITION: DATE: SIGNATURE:

ATTY. ANTHONY C. NUYDA, CESO III REGIONAL DIRECTOR

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL OUTPUT SUCCESS INDICATORS ALLOTTED ACTUAL RATING (6) REMARKS (7)
BUDGET DIVISION/INDIVIDUAL ACCOUNTABLE
(1) (Targets + Measures) (4) ACCOMPLISHMENTS/EXPENS Q1 E2 T3 Ave4
(2) (3) ES (5)

ACCOUNTABLE,
TRANSPARENT,
PARTICIPATIVE, AND
EFFECTIVE LOCAL
GOVERNANCE

Environment

RAY

Altavas (3), Buruanga (3), Libacao (2), Libacao

(6), Malinao (11), New Washington (2)

Libertad (1), Valderrama (3), Tibiao (2), Sebaste

(2)

Balasan (18), Banate (14), Barotac Viejo (5),

Batad (26), Carles (10), Concepcion (15),
Dumangas (1), Janiuay (5), Lemery (14), Passi
LGOO III Sean Botavara City (6), San Dionisio (8), Sara (5)
Engr III William Pillora
173 RAY 2 completed by end of March 2017 Engr III Edward Pagayona
Engr III Ronelo Gabayoyo Cuartero (3) Dumalag (2) Mambusao (2) Panay
(1) Pontevedra (2) Roxas City (1)
 Altavas (4), Libacao (5), Malinao (8)

Valderrama (9)
LGOO III Sean Botavara
Engr III William Pillora
138 RAY 2 completed by end of June 2017 Engr III Edward Pagayona Dumarao (18), Panay (10), Panit-an (4),
Engr III Ronelo Gabayoyo Jamindan (1), Pres. Roxas (6), Mambusao (7),
Tapaz (16)

Ajuy (29), San Dionisio (21)

Support Function LGOO III Sean Botavara

Engr III William Pillora
4 RAY 2A completed by end of March 2017 Engr III Edward Pagayona Pilar, Sigma, San Enrique(2)
Engr III Ronelo Gabayoyo

LGOO III Sean Botavara Altavas(1), Buruanga(1), Madalag(2), Passi

Engr III William Pillora
8 RAY 2A completed by end of June 2017 Engr III Edward Pagayona City(1), Balasan(1), Barotac Viejo(1),
Engr III Ronelo Gabayoyo Concepcion(1)

162 RAY subproject monitoring/final inspection report submitted Engr III William Pillora
Engr III Edward Pagayona
with 2 minor revisions by the end of June 2017 Engr III Ronelo Gabayoyo

162 subproject physical completion documents reviewed and Engr III William Pillora
Engr III Edward Pagayona
approved with 2 minor errors by June 2017 Engr III Ronelo Gabayoyo

162 subproject financial completion documents reviewed and FA II Eleanor Sta. Ana
approved with 2 minor errors by June 2017

LGOO III Sean Botavara

10 LGUs provided with TA within 5 days after receipt/query with Engr III William Pillora
Engr III Eduard
2 negative feedbacks by end of June 2017 Engr III Ronelo Gabayoyo
FA Eleanor Sta. Ana

2 Bimonthly status report submitted with 2 minor errors within ISA I Franklin Terunez
ISA I Benjamin Ko
the on 15th and 30th day of the month
5 RAY completed subproject documented with 2 minor revisions LGOO II Aizel Padilla / LGOO II Marlon Ladia
by end of June 2017
AdA Jenefer Bitalac
10 RAY documents/emails/letters received/endorsed with no AdA Jovel Carreon
negative feedback by end of June 2017 ISA I Franklin Terunez
ISA I Benjamin Ko

TOTAL RATING
FINAL AVERAGE RATING
ADJECTIVAL RATING:
Rater: Approved Rating by:
Position: (Director III /ARD, Provincial/City Director) Position: (Director/RD)
Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 legend:
william
edward
ronelo

william=46 ronelo=63 edward=64

william=44 ronelo=47 edward=47

william=2 ronelo=1 edward=1

william=4 ronelo=2 edward=2

william=54 ronelo=54 edward=54

william=54 ronelo=54 edward=54

william=4 ronelo=3 edward=3

 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM 3: FM-QP-AS-HRMD-04-03
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

I, EDWARD N. PAGAYONA, Engineer III of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017

Signature of Employee/Ratee

Date:

APPROVED BY: (NAME) POSITION: DATE: SIGNATURE:

ROMIE POTOT PDMU CHIEF

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL ACTUAL ACCOMPLISHMENTS/EXPENSES RATING (6) REMARKS (7)
SUCCESS INDICATORS
OUTPUT (3)
(Targets + Measures) Q1 E2 T3 Ave4
(1)
(2)
Altavas (4), Buruanga (3), Libacao (7), Malinao (19),
New Washington (2)
Sebaste (1), Tibiao (2), Valderrama (11)
Cuartero (3), Dumalag (2), Dumarao (18), Panay
(11), Panitan (4), Pilar (2), Pontevedra (2), Pres.
Roxas (6), Roxas City (1), Mambusao (9), Tapaz (16)
Ajuy (7), Balasan (18), Banate (12), Barotac Viejo
311 RAY 2 completed by end of March 2017 271 RAY 2 completed by end of June 2017 2 2 2.00000 (5), Batad (23), Carles (10), Concepcion (13),
Dumangas (1), Janiuay (5), Lemery (14), Passi City
(6), San Dionisio (29), Sara (5)

Altavas (2), Madalag (2)

Pilar (1)
12 RAY 2A completed by end of March 2017 10 RAY 2A completed by end of June 2017 2 2 2.00000
Balasan (1), Barotac Viejo (1), Passi City (1), San
Enrique (2)

162 RAY subproject monitoring/final inspection report submitted with 2 292 RAY subproject monitoring/final inspection report submitted 5 5 5 5.00000
minor revisions by the end of June 2017 with no minor revisions by the end of April 2017

162 subproject physical completion documents reviewed and approved 292 subproject physical completion documents reviewed and 5 5 5 5.00000
with 2 minor errors by June 2017 approved with 0 minor errors by April 2017

10 LGUs provided with TA within 5 days after receipt/query with 2 20 LGUs provided with TA within 3 days after receipt/query with 5 5 4 4.66667
negative feedbacks by end of June 2017 no negative feedbacks by end of June 2017

TOTAL RATING 18.66667

FINAL AVERAGE RATING 3.73333
ADJECTIVAL RATING: S

Rater comments on the Ratee for development purpose or rewards/promotion:

The above rating has been discussed with:

Name and Signature Ratee: EDWARD N. PAGAYONA Name and Signature of Rater: ROMIE M. POTOT Final Rating By: ATTY. ANTHONY C. NUYDA CESO III
Position: ENGINEER III Position: PDMU CHIEF Position: Director IV/ Regional Director
Date: Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM 3: FM-QP-AS-HRMD-04-03
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

I, EDWARD N. PAGAYONA, Engineer III of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017

Signature of Employee/Ratee

Date:

APPROVED BY: (NAME) POSITION: DATE: SIGNATURE:

ROMIE POTOT PDMU CHIEF

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL ACTUAL ACCOMPLISHMENTS/EXPENSES RATING (6) REMARKS (7)
SUCCESS INDICATORS
OUTPUT (3)
(Targets + Measures) Q1 E2 T3 Ave4
(1)
(2)

64 RAY 2 completed by the end of March 2017 43 RAY 2 completed by the end of March 2017 2 2 2.00 Carles (9), Concepcion (7), Dumangas (1), Janiuay
(3), Lemery (14), Passi City (3), San Dionisio (6)

47 RAY 2 completed by the end of June 2017 25 RAY 2 completed by the end of June 2017 2 2 2.00 Dumarao (18), Ajuy (7)

1 RAY 2A completed by end of March 2017 1 RAY 2A completed by end of March 2017 5 5 5.00 Pilar (1)

2 RAY 2A completed by end of June 2017 1 RAY 2A completed by end of June 2017 2 2 2.00 Barotac Viejo(1)

3 LGU's provided with TA within 5 days after receipt/query with 2 negative 5 LGU's provided with TA within 5 days after receipt/query with no
5 5 4 4.67
feedbacks by end of June 2017 negative feedbacks by end of June 2017

54 RAY subproject monitoring/final inspection report submitted with 2 152 RAY subproject monitoring/final inspection report submitted
5 5 5 5.00
minor revisions by the end of June 2017 with no revisions by the end of June 2017

54 subproject physical completion documents reviewed and approved 63 subproject physical completion documents reviewed and
4 4 4 4.00
with 2 minor errors by June 2017 approved with no errors by June 2017

Prepared 6 Back To Office Reports (BTOR) 5 working days after the travel Prepared 9 Back To Office Reports (BTOR) 3 working days after the
completed with 2 minor revisions by the end of June2017 travel completed with no revisions by the end of June2017 5 5 4 4.67

TOTAL RATING 29.33

FINAL AVERAGE RATING 3.67
ADJECTIVAL RATING: S

Rater comments on the Ratee for development purpose or rewards/promotion:

The above rating has been discussed with:

Name and Signature Ratee: EDWARD N. PAGAYONA Name and Signature of Rater: ROMIE M. POTOT Final Rating By: MARIA CALPIZA J. SARDUA, CESO V
Position: ENGINEER III Position: PDMU CHIEF Position: OIC-Assistant Regional Director
Date: Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: JANUARY 1-31, 2017

EFFECTIVENESS /
QUALITY TIMELINESS
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (5), Concepcion (1), Janiuay (2),

34 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 Lemery (10), Passi City (3), San Dionisio (4),
Dumarao (9)

1 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 Pilar, Capiz

January 9, 2017 , January 9, 2017 ,

January 16, 2017 , January 16, 2017 ,
PDMU Meeting DILG Locally Funded Projects
January 23, 2017 , January 23, 2017 ,
January 30, 2017 January 30, 2017

Prepared Travel Plan, Travel Order and Request for Vehicle January 16, 20117 January 17, 2017 Banate, Batad, Balasan, Carles, Concepcion

Final Inspection and Monitoring of RAY Batch 2 Completed January 24, 2017 January 27, 2017 Banate, Batad, Balasan, Carles, Concepcion
Projects

5 LGU's provided with TA within the day of receipt/query

January 24, 2017 January 27, 2017 Banate, Batad, Balasan, Carles, Concepcion
with no negative feedbacks

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 January 3, 2017 January 31, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database January 3, 2017 January 31, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying January 3, 2017 January 31, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V

Division Employee/Ratee Date Division Chief OIC-Asst. Regional Director

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: FEBRUARY 1-28, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (7), Concepcion (1), Janiuay (2),

46 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 Lemery (14), Passi City (3), San Dionisio (6),
Dumarao (13)

1 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 Pilar, Capiz

PDMU Meeting February 6, 2017 February 27, 2017 DILG Locally Funded Projects

Prepared Travel Plan, Travel Order and Request for Vehicle February 1, 2017 , February 2, 2017 , Lemery, Barotac Viejo,San Dionisio, San
February 23, 2017 February 24, 2017 Rafael, Ajuy

Final Inspection and Monitoring of RAY Batch 2 Completed February 9, 2017 , February 10, 2017 , Lemery, Barotac Viejo & San Dionisio, Iloilo
Projects February 28, 2017 February 28, 2017

3 LGU's provided with TA within the day of receipt/query February 9, 2017 , February 10, 2017 , Lemery, Barotac Viejo & San Dionisio, Iloilo
with no negative feedbacks February 28, 2017 February 28, 2017

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 February 1, 2017 February 28, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database February 1, 2017 February 28, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying February 1, 2017 February 28, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V

Division Employee/Ratee Date Division Chief OIC-Asst. Regional Director

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: MARCH 1-31, 2017

EFFECTIVENESS /
QUALITY TIMELINESS
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (9), Concepcion (7), Dumangas (1),

59 RAY Batch 2 completed March 31, 2017 January 1, 2017 June 30, 2017 2 2 Janiuay (3), Lemery (14), Passi City (3), San
Dionisio (6), Dumarao (16)

2 RAY Batch 2A completed March 31, 2017 January 1, 2017 June 30, 2017 3 3 Pilar, Capiz & Barotac Viejo, Iloilo

PDMU Meeting March 6, 2017 March 13, 2017 DILG Locally Funded Projects

March 1, 2017 & March 2, 2017 & Tapaz, Capiz, Dumarao, Capiz & Passi City,
Prepared Travel Plan, Travel Order and Request for Vehicle
March 16, 2017 March 17, 2017 Iloilo

Final Inspection and Monitoring of RAY Batch 2 Completed March 1, 2017 , March 1, 2017 Tapaz, Capiz , San Dionisio, San Rafael,
March 9, 2017 March 9, 2017 & Ajuy, Iloilo & Dumarao, Capiz Passi City,
Projects Iloilo
March 22, 2017 March 24, 2017

6 LGU's provided with TA within the day of receipt/query March 1, 2017 , March 1, 2017 Tapaz, Capiz , San Dionisio, San Rafael,
March 9, 2017 March 9, 2017 & Ajuy, Iloilo & Dumarao, Capiz Passi City,
with no negative feedbacks Iloilo
March 22, 2017 March 24, 2017

March 6, 2017 , March 7, 2017 , Tapaz, Capiz , San Dionisio, San Rafael,
Prepared Back To Office Report (BTOR) 3 working daysafter
March 13, 2017 , March 15, 2017 , Ajuy, Iloilo & Dumarao, Capiz Passi City,
travel completed withno revisions Iloilo
March 27, 2017 March 29, 2017

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 March 1, 2017 March 31, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database March 1, 2017 March 31, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying March 1, 2017 March 31, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V

Division Employee/Ratee Date Division Chief OIC-Asst. Regional Director

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: MARCH 16-31, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (9), Concepcion (7), Dumangas (1),

59 RAY Batch 2 completed March 31, 2017 January 1, 2017 June 30, 2017 2 2 Janiuay (3), Lemery (14), Passi City (3), San
Dionisio (6), Dumarao (16)

2 RAY Batch 2A completed March 31, 2017 January 1, 2017 June 30, 2017 3 3 Pilar, Capiz & Barotac Viejo, Iloilo

Prepared Travel Plan, Travel Order and Request for Vehicle March 16, 2017 March 17, 2017 Dumarao, Capiz & Passi City, Iloilo

Final Inspection and Monitoring of RAY Batch 2 Completed March 22, 2017 March 24, 2017 Dumarao, Capiz & Passi City, Iloilo
Projects

2 LGU's provided with TA within the day of receipt/query March 22, 2017 March 24, 2017 Dumarao, Capiz & Passi City, Iloilo
with no negative feedbacks

Prepared Back To Office Report (BTOR) 3 working daysafter March 27, 2017 March 29, 2017 Dumarao, Capiz & Passi City, Iloilo
travel completed withno revisions

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 March 16, 2017 March 31, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database March 16, 2017 March 31, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying March 16, 2017 March 31, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT

Division Employee/Ratee Date Division Chief Director, AD/ARD, PD/CD

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: APRIL 1-30, 2017

EFFECTIVENESS / TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (9), Concepcion (12), Dumangas (1),

65 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 Janiuay (3), Lemery (14), Passi City (4), San
Dionisio (6), Dumarao (16)

2 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 Pilar, Capiz & Barotac Viejo, Iloilo

Prepared and Issue Letter based on findings reflected in

April 3, 2017 April 4, 2017 Dumarao, Capiz & Passi City, Iloilo
BTOR

Prepared Travel Plan, Travel Order and Request for Vehicle April 5, 2017 April 7, 2017 Concepcion, Batad, Carles, San Enrique

Final Inspection and Monitoring of RAY Batch 2 & 2A April 18, 2017 April 21, 2017 Concepcion, Batad, Carles, San Enrique
Completed Projects

4 LGU's provided with TA within the day of receipt/query April 18, 2017 April 21, 2017 Concepcion, Batad, Carles, San Enrique
with no negative feedbacks

Prepared Back To Office Report (BTOR) 3 working daysafter April 24, 2017 April 26, 2017 Concepcion, Batad, Carles, San Enrique
travel completed withno revisions

Prepared and Issue Letter based on findings reflected in

April 27, 2017 April 28, 2017 Concepcion, Batad, Carles, San Enrique
BTOR

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 April 3, 2017 April 28, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database April 3, 2017 April 28, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying April 3, 2017 April 28, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V

Division Employee/Ratee Date Division Chief OIC-Asst. Regional Director

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: APRIL 16-30, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (9), Concepcion (12), Dumangas (1),

65 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 Janiuay (3), Lemery (14), Passi City (4), San
Dionisio (6), Dumarao (16)

2 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 Pilar, Capiz & Barotac Viejo, Iloilo

Final Inspection and Monitoring of RAY Batch 2 & 2A April 18, 2017 April 21, 2017 Concepcion, Batad, Carles, San Enrique
Completed Projects

4 LGU's provided with TA within the day of receipt/query April 18, 2017 April 21, 2017 Concepcion, Batad, Carles, San Enrique
with no negative feedbacks

Prepared Back To Office Report (BTOR) 3 working daysafter April 24, 2017 April 26, 2017 Concepcion, Batad, Carles, San Enrique
travel completed withno revisions

Prepared and Issue Letter based on findings reflected in April 27, 2017 April 28, 2017 Concepcion, Batad, Carles, San Enrique
BTOR

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 April 17, 2017 April 28, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database April 17, 2017 April 28, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying April 17, 2017 April 28, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT

Division Employee/Ratee Date Division Chief Director, AD/ARD, PD/CD

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: MAY 1-31 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (9), Concepcion (13), Dumangas (1),

73 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 Janiuay (3), Lemery (14), Passi City (6), San
Dionisio (8), Dumarao (16), Ajuy (3)

2 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 Pilar, Capiz & Barotac Viejo, Iloilo

May 2,2017 & May 10, 2017 & Janiuay, Iloilo & Province of Capiz
Prepared Travel Plan, Travel Order and Request for Vehicle (Pontevedra, Jamindan, Tapaz, Dumarao),
May 22,2017 May 23, 2017 Banate, Iloilo

Final Inspection and Monitoring of RAY Batch 2 Completed May 4,2017 & May 4,2017 & Janiuay, Iloilo & Province of Capiz
Projects May 16, 2017 May 19, 2017 (Pontevedra, Jamindan, Tapaz, Cuartero)

6 LGU's provided with TA within the day of receipt/query May 4,2017, May 4,2017, Janiuay, Iloilo & Province of Capiz
May 16, 2017 & May 16-19, 2017 (Pontevedra, Jamindan, Tapaz, Dumarao),
with no negative feedbacks Banate, Iloilo
May 31, 2017 & May 31, 2017

Prepared Back To Office Report (BTOR) 3 working daysafter May 8, 2017 & May 9, 2017 & Janiuay, Iloilo & Province of Capiz
travel completed withno revisions May 22, 2017 May 24, 2017 (Jamindan, Pontevedra, Tapaz, Cuartero)

Prepared and Issue Letter based on findings reflected in May 15, 2017 & May 15, 2017 & Janiuay, Iloilo & Province of Capiz
BTOR May 29, 2017 May 30, 2017 (Jamindan, Pontevedra, Tapaz, Cuartero)

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 May 2,2017 May 30, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database May 2,2017 May 30, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying May 2,2017 May 30, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V

Division Employee/Ratee Date Division Chief OIC-Asst. Regional Director

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: MAY 16-31, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY (4)
WORK/ACTIVITY (2) EFFICIENCY REMARKS
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (9), Concepcion (13), Dumangas (1),

73 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 Janiuay (3), Lemery (14), Passi City (6), San
Dionisio (8), Dumarao (16), Ajuy (3)

2 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 Pilar, Capiz & Barotac Viejo, Iloilo

Prepared Travel Plan, Travel Order and Request for Vehicle May 22,2017 May 23, 2017 Banate, Iloilo

Final Inspection and Monitoring of RAY Batch 2 Completed Province of Capiz (Jamindan, Pontevedra,
May 16,2017 May 19,2017
Projects Tapaz, Cuartero)

5 LGU's provided with TA within the day of receipt/query Province of Capiz (Jamindan, Pontevedra,
May 16,2017 May 31,2017
with no negative feedbacks Tapaz, Cuartero), Banate, Iloilo

Prepared Back To Office Report (BTOR) 3 working daysafter Province of Capiz (Jamindan, Pontevedra,
May 8, 2017 May 9, 2017
travel completed withno revisions Tapaz, Cuartero)

Prepared and Issue Letter based on findings reflected in Province of Capiz (Jamindan, Pontevedra,
May 22,2017 May 24,2017
BTOR Tapaz, Cuartero)

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 May 22,2017 May 30,2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database May 22,2017 May 30,2017 RAY Batch 2 Subprojects

Office works, printing and photocopying May 22,2017 May 30,2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT

Division Employee/Ratee Date Division Chief Director, AD/ARD, PD/CD

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: JUNE 1-30, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY (4)
WORK/ACTIVITY (2) EFFICIENCY REMARKS
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (10), Concepcion (13), Dumangas (1),

82 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 2 2 Janiuay (5), Lemery (14), Passi City (6), San
Dionisio (8), Dumarao (18), Ajuy (7)

2 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 2 2 Pilar, Capiz & Barotac Viejo, Iloilo

PDMU Meeting June 19, 2017 June 19, 2017 Targets on Q1 & Q2

Receive Certification on RAY Batch 3 Subprojects on every

June 16, 2017 June 23, 2017 RAY Batch 3 Subprojects
provinces in Region VI

Prepared and Receive Certification on RAY Batch 3

June 5, 2017 June 15, 2017 RAY Batch 3 Subprojects
Subprojects on every provinces in Region VI

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 June 1, 2017 June 30, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database June 1, 2017 June 30, 2017 RAY Batch 2 Subprojects

Office works, printing and photocopying June 1, 2017 June 30, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V

Division Employee/Ratee Date Division Chief OIC-Asst. Regional Director

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: JUNE 16-30, 2017

EFFECTIVENESS / TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (10), Concepcion (13), Dumangas (1),

82 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 2 2 Janiuay (5), Lemery (14), Passi City (6), San
Dionisio (8), Dumarao (18), Ajuy (7)

2 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 2 2 Pilar, Capiz & Barotac Viejo, Iloilo

PDMU Meeting June 19, 2017 June 19, 2017 Targets on Q1 & Q2

Receive Certification on RAY Batch 3 Subprojects on every

June 16, 2017 June 23, 2017 RAY Batch 3 Subprojects
provinces in Region VI

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 June 16, 2017 June 30, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database June 22, 2017 June 29, 2017 RAY Batch 2 Subprojects

Finalized Targets on SPCR for Q1 & Q2 for the month of June 30, 2017 June 30, 2017 RAY Batch 2 & 2A Subprojects
January 2017 to June 2017

Office works, printing and photocopying June 16, 2017 June 30, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT

Division Employee/Ratee Date Division Chief Director, AD/ARD, PD/CD

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: JULY 1-15, 2017

EFFECTIVENESS / TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

90 RAY Batch 2 completed

3 RAY Batch 2A completed

PDMU Meeting July 4, 2017 July 4, 2017 ADM Subprojects & Orientation

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 July 3, 2017 July 14, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database July 3, 2017 July 14, 2017 RAY Batch 2 Subprojects

Finalized Targets on SPCR for Q1 & Q2 for the month of July 3, 2017 July 14, 2017 RAY Batch 2 & 2A Subprojects
January 2017 to June 2017

Office works, printing and photocopying July 3, 2017 July 14, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT

Division Employee/Ratee Date Division Chief Director, AD/ARD, PD/CD

Received by: Date:

 SPMS MONTHLY DPCR MONITORING FORM FORM 4: FM-QP-AS-HRMD-04-04
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

OFFICE: DILG REGION VI DIVISION: PDMU (OFFICE OF THE REGIONAL DIRECTOR) COVERED PERIOD: JUNE 16-30, 2017

EFFECTIVENESS / TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors

Carles (10), Concepcion (13), Dumangas (1),

102 RAY Batch 2 completed June 30, 2017 January 1, 2017 June 30, 2017 Janiuay (5), Lemery (14), Passi City (6), San
Dionisio (8), Sara (5)

2 RAY Batch 2A completed June 30, 2017 January 1, 2017 June 30, 2017 Pilar, Capiz & Barotac Viejo, Iloilo

PDMU Meeting June 19, 2017 June 19, 2017 Targets on Q1 & Q2

Receive Certification on RAY Batch 3 Subprojects on every

June 16, 2017 June 23, 2017 RAY Batch 3 Subprojects
provinces in Region VI

Filed Liquidation Reports, Certificate of Completion,

Certificate of Acceptance and Turn-over for RAY Batch 2 June 16, 2017 June 30, 2017 RAY Batch 2 Subprojects
Subprojects

Update the status of RAY Batch 2 Subprojects on database June 22, 2017 June 29, 2017 RAY Batch 2 Subprojects

Finalized Targets on SPCR for Q1 & Q2 for the month of June 30, 2017 June 30, 2017 RAY Batch 2 & 2A Subprojects
January 2017 to June 2017

Office works, printing and photocopying June 16, 2017 June 30, 2017 Various documents

Prepared and submitted by: Verified by: Confirmed by:

EDWARD N. PAGAYONA ROMIE M. POTOT

Division Employee/Ratee Date Division Chief Director, AD/ARD, PD/CD

Received by: Date:

 PERFORMANCE MONITORING AND COACHING JOURNAL FORM 5: FM-QP-AS-HRMD-04-05
DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No.
0 10.01.15 Page ___ of ____

Name of Office/Division/Cluster/Field Office: DILG AKLAN 1st

QUARTERLY
Director/Division Chief/Head: MA. LYNETTE P. URQUIOLA 2nd
Number of Personel in the Office/Division: 11 3rd
4th

MECHANISM/S (2)
Others
ACTIVITY (1) REMARKS (3)
Meeting (a) MEMO (b) (Pls. Specify)
One-on-One Group ( c)
MONITORING

COACHING

Please indicate the date in the appropriate box when the monitoring was conducted.
Conducted by: (DC/CLGOO/CTL/PM) Date: Noted by: Date:

MA. LYNETTE P. URQUIOLA JOHN ACE A. AZARCON

Position/Designation: LGOO VI/Program Manager (Provincial Director)

Note: Whenever necessary, the USEC/ASEC/Head of Office may conduct monitoring and coaching to his/her immediate subordinate.
 COACHING REPORT FORM FORM 6: FM-QP-AS-HRMD-04-06
DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No.
0 10.01.15 Page____ of ___

1. Date 2. Name of Coach

3. Name & Signature of individual coachee (Attach Attendace sheet if Team Coaching)
MA. LYNETTE P. URQUIOLA
LGOO VI/PM

4. Coaching

5. Reality of the Problem Situation/Issue:

7. Committed Action

8. Who will do?

9. Resource Needed (time, approval,

authorities,fund, etc.

10. Date that Coachee/s commits to:

11. Agreed next meeting is on:
12. Key points of what was shared:

13. Process Observatio of the coach (Observable behavior of the Coachee/Team/Group being coached, General Disposition, Change in Attitude since the last Coaching, level of coping with the Demands of Work)
 PROFESSIONAL DEVELOPMENT PLAN FORM 7: FM-QP-AS-HRMD-04-07
DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of _1__

TRACKING METHOD/COMPLETION DATE

DEVELOPMENT ACTIVITY SUPPORT NEEDED (3)
(1) (2) Planned Accomplished Accomplished
Mid-year Year End

NONE FOR THE PERIOD

MA. LYNETTE P. URQUIOLA JOHN ACE A. AZARCON ATTY. ANTHONY C. NUYDA, CESO III
Supervisor's Name & Regional Director
Date Date Date
Employee's Name & Signature Signature Signature
 INDIVIDUAL DEVELOPMENT PLAN (IDP) FORM 8: FM-QP-AS-HRMD-04-08
DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No. PLEASE COPY
0 10.01.15 Page 1 of ___ THIS PORTION

1. Name & Signature 6. Nature of Work for the las two-years

2. Current Position 7. Divition
3. Salary Grade 8. Office
4. Years in the Position 9. No further development is desired or required for this year/s (Please check appropriate box)

Year 1 Year 2 Both years Needs development

5. Years in rhe DILG

Competancy Assessment and Development Priorities: Baseed on the competency assessment conducted and/or the review of performance results, please
identiiify at least three (3) development needs.
KNOWLEDGE/SKILLS/ATTITUDE (KSA) PERFORMANCE GOAL THIS SUPPORTS OBJECTIVES
FOR DEVELOPMENT (2) (3)
(1)

Support Needed (1) :

 SUMMARY LIST OF INDIVIDUAL PERFORMANCE RATINGS FORM 9: FM-QP-AS-HRMD-04-09
DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No.
0 10.01.15 Page ____ of ___

BUREAU/SERVICE/REGIONAL OFFICE: PERFORMANCE ASSESSMENT:

DIVITSION A RATING
(1) (2)
Numerical Adjectival
(a) (b)

AVERAGE RATING: (division employeess plus DC)

DIVISION B RATING
Numerical Adjectival

AVERAGE RATING:

DIVISION C RATING
Numerical Adjectival

AVERAGE RATING:
SUMMARY: Division A
Division B
(include provincical/city field offices
AVERAGE RATING:
 CRITICAL INCIDENT JOURNAL FORM FORM 10: FM-QP-AS-HRMD-04-010
DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No.
0 10.01.15 Page 1 of 1

1. Name: 3. Division & Office:

2. Position 4. Name of Immediate Supervisor: MA. LYNETTE P. URQUIOLA

Incident RESULT
TASK ACTION
No. SITUATION (2) (3) (4) (impact to organization or the individual) REMARKS (6)
(1) (5)

NONE FOR THE RATING PERIOD