SPMS Form No.

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT
Intramuros, Manila
Certificate No.: AJA15-0048

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, _________________, ________ of the DOLE-CAR 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
2021 to June 2021.

________________________
Ratee

Date: _____________

Reviewed by Date Approved by Date

George G. Lubin, Jr. Nathaniel V. Lacambra, CESO III

Immediate Supervisor Head Office

Rating
Output/PAP Success Indicator Actual Remarks
(Target + Measure) Accomplishments Q1 E2 T3 A4

Core Function:

OUTCOME 2:
PROTECTION OF
WORKERS’
RIGHTS AND
MAINTENANCE OF
INDUSTRIAL
PEACE ENSURED
EMPLOYMENT PRESERVATION AND REGULATION

Labor Law
Compliance
___ establishments in ___ establishments
Labor Inspection
priority sectors in priority sectors 5 4 5 4.67
Program
inspected inspected
Non-Core Function:
Attended to walk-in
Attended to walk-in
Walk-in clients and answered
clients and answered
clients/queries queries via phone
queries via phone call
call
Unprogrammed/Intervening/Additional Accomplishments
Attended workshops, Attended workshops,
Workshop/Seminars/
seminars, and meetings seminars, and
Meetings
as directed meetings as directed
Participated in
Participated in various
DOLE-CAR Activities various DOLE-CAR
DOLE-CAR activities
activities
Final Average
Rating
Comments and Recommendations for Development Purposes
 Discussed with Date Assessed by Date Final Rating by Date
I certify that I discussed my
assessment of the performance with
the employee.

Gled More B. Nathaniel V.

Gonzales George G. Lubin, Jr. Lacambra, CESO
III
Employee Supervisor Head Office

Legend: 1- Efficiency/Quantity 2- Effectiveness/Quality 3- Timeliness 4- Average