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(SELF – APPRAISAL / APPRAISAL FORM)

(SUPERVISORY / MANAGERIAL EMPLOYEES)

PROBATION /ANNUAL
From………….To………….

Name: Deptt: DOJ:


Designation: Grade: Qualfication:
DEPT.
PERS.

Previous Exp: Exp.In AVL: Exp.Total:


Basic: Gross PM: Gross PA:

SL. FACTORS RATING VALUE Wght TOTAL


NO. SCALE (RV) (W) (RVxW)

4 3 2 1 0 SELF HOD
INDIVIDUAL

APP. APP.

01 Quality of output 2

02 Quantity of output 2
TO BE FILLED BY THE RESPCTIVE APPRAISER /

03 Cost / Time 2

04 Job knowledge & Skill 2

05 Planning & Organizing 2


Commitment& Sense of 2
06
Responsibility
07 Initiative/Responsiveness 2

08 Communication 2

09 Team spirit 2
Management of Human 2
10
Resources
11 Lateral Co-ordination 2

12 Discipline 2

13 Leadership 1

TOTAL

OVERALL PERFORMANCE RATING PLEASE PUT (√ ) AGAINST ONE OF THE FOLLOWING.

( ) EXCELLENT (81 – 100 ) ( ) V.GOOD ( 61 – 80 )

( ) GOOD ( 51 – 60 ) ( ) AVERAGE ( 36 – 50 )

( ) BELOW AVERAGE ( 0 – 35 )

SELF-APPRAISED BY: APPRAISED BY:

NAME SIGNATURE DATE NAME SIGNATURE DATE


APPRAISAL FORM
(SUPERVISORY/MANAGERIAL EMPLOYEES)

A. PLEASE LIST DOWN MAJOR TASK (S) / JOB (S) ASSIGNED/UNDERTAKEN

S.NO. Major task (S) / Job (S)

B. PLEASE SPECIFY TARGETS LAID OUT / ACHIEVED

S.NO. Target laid out Achieved (%age)

C. PLEASE LIST OUT RECOVERIES DUE/ OUTSTANDING PAYMENT IN YOUR FIELD/SPHERE OF


WORK (SPECIALLY FOR SALES / AND RELATED PERSONNEL)

S.NO. Party Outstanding Due since


Payment
1. Career/Succession potential

a. Comments on principal strengths.


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b. Comments on principal weakness.

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c. Suggestion for improvements / development


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2.Specific training & development needs (with justification)

__________________________________________________________________________________________
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3.Does the appraisee possess potential for shouldering higher job responsibilities / add additional responsibilities
(specific)
__________________________________________________________________________________________
__________________________________________________________________________________________
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4. Has this evaluation been discussed with the employee Yes / No

5. Suggestions for the improvement of the organization (appraisee only)


__________________________________________________________________________________________
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6. Any other comments.

__________________________________________________________________________________________
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__________________________________________________________________________________________

Self Appraised by: Appraised by:

Name. Signature. Date. Name. Signature Date

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