DOH - SPMS Form 1

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, _____________________________________, Dentist II of the Provincial DOH Office -Isabela of Cagayan Valley - Center for Health Development, commit to deliver and agree to be rated
on the attainment of the following targets in accordance with the indicated measures for the period July-December 31, 2019.

. Name: __________________________ Date: July 01, 2019

Approved by: Date:

__________________________________
Development Management Officer IV
OFFICE OBJECTIVE:
SECTION/ UNIT OBJECTIVE:
Success Indicators and Semi - Annual Rating
OUTPUT Accomplishment REMARKS
Targets Q E T A
STRATEGIC FUNCTIONS
1 Assisted LGUs in the establishment/ 100% of LGUs assisted.
operationalization of two-way referral and
follow-up systems with other stakeholders.

AVERAGE RATING
CORE FUNCTIONS
1 Implemented basic oral health services. 100% of service target clients seen
provided with basic oral health services.

2 Conducted community dental surveys and 50% of the community with baseline date
diagnosis on oral health. gathered.
3 Preparedannual area-based oral health 100% of assigned LGUs with area-based
plan. oral health plan.
4 Assisted in the implementation and 100% of assigned LGUs assisted in the
supervision of oral care activities in the implementation/ supervision of community
community initiated by LGU. initiated oral care activities.
5 Conducted education campaign. 100% of activites conducted with 1-2
complaints.
6 Maintained facilities and dental equipment Monthly maintenance of facilities'
in good working conditon cleanliness and monitoring dental
equipment's working condition using
standard checklist.

7 Assisted in the mangement of logistics. 100% of assigned LGUs assisted in the

inventory of logistics.
 8 Integrated oral health program activities 100% of oral health program activities
with the overall framework of the RHU in integrated with all health programs.
the delivery of health services
9 Assisted in data gathering and response 100% of assigned LGUs assisted in data
during health emergencies and disasters. gathering and response during health
emergencies and disasters with 1-2 errors.
10 Acted as resource speaker/ facilitator for 100% of HR-related activities responded/
trainings and other HR-related activities facilitated with satisfactory feedback.

SUPPORT FUNCTIONS
1 Attended PDOHO staff meeting.
2 Attended RHU staff meeting.
3 Attended inter-agency meetings/ trainings/ 100% of inter-agency meeting/ trainings/
orientations/ workshops.
4 Submitted DTR and accomplishment
report.
AVERAGE RATING
100% of RHU staff meetings attended/
participated per invitation.
100% of RHU staff meetings attended/
participated per invitation.
workshops/ orientations attended/
participated.
DTR, accomplishment report, and claims
submitted within 1st 3 working days of the
succeeding month with minimal errors/
revisions.

5 Submitted itinerary of travel for the
succeeding month.
6 Submitted Individual Performance
Commitment and Review (IPCR)
7 Submitted Leave of absences
Itinerary of travels submitted third week of
the preceding month with minimal
errors/revisions.
IPCR submitted within the prescibed
timeline.
100% of Leave of Absences completely
filled out and filed within prescribe
timeline.

AVERAGE RATING
RATING
Percentage Average Rating Final Rating per
Function Remarks
Distribution per Function Function
Strategic Functions 10% 0.00 0.00
Core Functions 80% 0.00 0.00
Support Functions 10% 0.00 0.00
Final Average Rating: 0.00
Adjectival Rating:
Prepared by: Date: Validated and Approved by: Date:

____________________________ LETICIA T. CABRERA, MD, MPA

Dentist II Development Management Officer V
Assessed by: Date: Final Rating by: Date:
 ELSIE A. PINTUCAN, MD, MPA
Development Management Officer IV
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average
 DOH - SPMS Form 1
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, _____________________________________, MEDICAL OFFICER IV of the Provincial DOH Office -Isabela of Cagayan Valley - Center for Health Development, commit to deliver and agree to be rated on the attainment of
the following targets in accordance with the indicated measures for the period July-December 31, 2019.

. Name: __________________________ Date: July 01, 2019

Approved by: Date:

__________________________________
Development Management Officer IV
OFFICE OBJECTIVE:
SECTION/ UNIT OBJECTIVE:
Rating
OUTPUT Success Indicators and Semi - Annual Targets Accomplishment REMARKS
Q E T A
STRATEGIC FUNCTIONS
1 Assisted LGUs in the operationalization of Health Service LGUs assisted.
Providers Network.
AVERAGE RATING
CORE FUNCTIONS
1 Provided primary health care services. 100% of clients seen provided with basic health services.
2 Prepared/ assisted in the development Annual Operational Plan 2021 AOP developed before the end of 3rd Quarter.
(AOP) 2021.
3 Conducted health education campaign. 100% of health education campaign conducted with
feedback report submitted 7 days after.

4 Maintined the operationalization of health facility in accordance
to regulatory standards
5 Conducted meeting with RHU staff.
SUPPORT FUNCTIONS
1 Acted as resource speaker/ facilitator for trainings and other HR-
related activities
2 Attended inter-agency meetings/ trainings/ orientations/
workshops.
3 Submitted DTR / Accomplishment.
Health facility's license/ accredition renewed 15 days before
the year ends.
100% of RHU staff meetings conducted monthly.
AVERAGE RATING
100% of HR-related activities responded/ facilitated with
satisfactory feedback.
100% of inter-agency meeting/ trainings/ workshops/
orientations attended/ participated.
DTR, accomplishment report, and claims submitted within
1st 10 working days of the succeeding month with minimal
errors/ revisions.

AVERAGE RATING
RATING
 Average Rating
Function Percentage Distribution Final Rating per Function Remarks
per Function
Strategic Functions 10%
Core Functions 80%
Support Functions 10%
Final Average Rating:
Adjectival Rating:
Prepared by: Date: Validated and Approved by: Date:

____________________________ _________________________________
Nurse II Development Management Officer V
Assessed by: Date: Final Rating by: Date:
________________________________
Development Management Officer IV
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average
 DOH - SPMS Form 1
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) - Medtech

I, _____________________________________, Medical Technologist II of the Provincial DOH Office -Isabela of Cagayan Valley - Center for Health Development, commit to deliver and agree to be rated on the
attainment of the following targets in accordance with the indicated measures for the period July-December 31, 2019.

. Name: __________________________ Date: July 01, 2019

Approved by: Date:

__________________________________
Development Management Officer IV
OFFICE OBJECTIVE:

SECTION/ UNIT OBJECTIVE:

Rating
OUTPUT Success Indicators and Semi - Annual Targets Accomplishment REMARKS
Q E T A
STRATEGIC FUNCTIONS
1 Assisted / maintained the licensure of RHU's clinical RHU 's Clinical Laboratory licencing
laboratory. requirements preared and submitted on or
before December 15 of thecurrent year.

2 Provided Technical Assistance in preparation of 100% of requirements (checklist) prepared and

requirements for the initial application of the RHU submitted to RLED.
Clinical Laboratory.

AVERAGE RATING

CORE FUNCTIONS
1 Performed laboratory examinations.
2 Released laboratory results.
100% of routine laboratory requests with
available reagents performed upon request
100% of accurate laboratory results released
within 6 hrs upon request

100% of DSSM results released within 2 days

upon receipt.
100% of laboratory results recorded with zero
error prior to releasing of results.

3 Conducted preventive and corrective maintenance of 100% of the following laboratory equipment
laboratory equipment. properly maintained and recorded in the
preventive and corrective maintenance (PCM)
logbook:

Microscope and centrifuge - daily

4 Conducted inventory of supplies and reagents
5 Practiced / promoted infection prevention and
control.
Hematology and chemistry analyzer - monthly
100% of supplies and reagents readily available
at all times.
Infection prevention and control policy
including waste mangement implemented,
monitored and documented.
 6 Prepared, analyzed and submitted reports. 100% of required reports prepared, analyzed and
submitted to MHO/PHO with at least 1-2
revisions on the first 10 days of the following
month

7 Assisted in the conduct of community-initiated health 100% of community-initiated health promotion

promotion campaign. campaign supported/ participated

8 Assisted in data gathering and response during health 100% of health emergencies / disasters
emergencies and disaster participated without complaints.

AVERAGE RATING
SUPPORT FUNCTIONS
1 Attend RHU staff meeting/PIR/LHB. 100% RHU staff and DOH HRH meeting
attended as scheduled (with issues resolved)

2 Attend inter-agency meetings/ trainings/ 100% of inter-agency meeting/ trainings/

orientations/ workshops.
3 Submitted DTR and accomplishment report.
workshops/ orientations attended/
participated.
DTR, accomplishment report, and claims
submitted within 1st 3 working days of the
succeeding month with minimal errors/
revisions.

4 Submitted Individual Performance IPCR submitted within the prescibed

Commitment and Review (IPCR) timeline.
5 Submitted Leave of absences 100% of Leave of Absences completely
filled out and filed within prescribe
timeline.
AVERAGE RATING
RATING
Percentage Average Rating Final Rating per
Function Remarks
Distribution per Function Function
Strategic Functions 10% 0.00 0.00
Core Functions 80% 0.00 0.00
Support Functions 10% 0.00 0.00
Final Average Rating: 0.00
Adjectival Rating:
Prepared by: Date: Validated and Approved by: Date:

____________________________ _________________________________
Medical Technologists II Development Management Officer V
Assessed by: Date: Final Rating by: Date:
________________________________
Development Management Officer IV
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average
 MEANS OF
VERIFICATION

Issuance of COC

Receipt of Application

all lab request perfomed

lab results released

DSSM result released

w/in 2 days

lab results recorded

preventive and
corrective maintenance
done

presence of Infection
Control policy,
documentaion
Attendance/minutes of
the meeting

Report gathered. TO
from LGU, AR

Attendance/minutes of
the meeting
 DOH - SPMS Form 1
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, FREMMA V. TAMANG, Pharmacist II of the Provincial DOH Office -Isabela of Cagayan Valley - Center for Health Development, commit to deliver and agree to be rated on the attainment of the following
targets in accordance with the indicated measures for the period July-December 31, 2019.

. Name: __________________________ Date: July 01, 2019

Approved by: Date:

__________________________________
Development Management Officer V
OFFICE OBJECTIVE:

SECTION/ UNIT OBJECTIVE:

Rating
OUTPUT Success Indicators and Semi - Annual Targets Accomplishment REMARKS
Q E T A
STRATEGIC FUNCTIONS

AVERAGE RATING
CORE FUNCTIONS
1 Monitored Supply Chain Management (SCM) 100% (7/7) LGUs of monitored quarterly
of LGUs. with report submitted within 7 days after TO, IT, AR
the conduct.

2 Conducted inventory DOH-procured medicines. 85% (6/7) of LGUs conducted inventory

monthly with report submitted within 10
days of the succeeding month.
3 Disseminated Phil National Formulary / Anti 100 % of related policies / updates
microbial resistance updates. disseminated within one month upon AR, Attendance
receipt/ downloading.
4 Provided technical assistatnt to SCM officer. 100% of LGUs' SCM officer provided
technical assistance with 0-1 complaint. AR, Attendance

5 Participated in response during health 100% of health emergencies / disasters

emergencies / disasters participated without complaints.
AVERAGE RATING
SUPPORT FUNCTIONS
1 Attended PDOHO staff meeting. 100% of RHU staff meetings attended/
participated per invitation.
2 Attended inter-agency meetings/ trainings/ 100% of inter-agency meeting/ trainings/
orientations/ workshops. workshops/ orientations attended/
participated.
3 Submitted DTR and accomplishment report. DTR, accomplishment report, and claims
submitted within 1st 3 working days of the receipt of DTRs/
succeeding month with minimal errors/ Ars/leave forms
revisions.
4 Submitted itinerary of travel for the succeeding Itinerary of travels submitted third week of
month. the preceding month with minimal receipt of IT
errors/revisions.
5 Submitted Individual Performance IPCR submitted within the prescibed
Commitment and Review (IPCR). timeline.
6 Submitted Leave of absences. 100% of Leave of Absences completely
filled out and filed within prescribe
timeline.
AVERAGE RATING
RATING
Percentage Average Rating Final Rating per
Function Remarks
Distribution per Function Function
Strategic Functions
Core Functions 80% 0.00 0.00
Support Functions 20% 0.00 0.00
Final Average Rating: 0.00
Adjectival Rating:
Prepared by: Date: Validated and Approved by: Date:

____________________________ LETICIA T. CABRERA, MD, MPA

Pharmacist II
Assessed by: Date: Final Rating by: Date:
________________________________
Development Management Officer V
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average
__
__
__
__ INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
__
__
__ I, ____________________________________________, Nurse II of the Provincial DOH Office -Cagayan of Cagayan Valley - Center for Health Developmen
__
following targets in accordance with the indicated measures for the period July-December 31, 2019.
__
__
__
__ . Name:
__
__
Approved
__ by: _________________________________________
__ ___________________________________________ _
City/Municipal Health Officer Developemnt Management Officer IV

OUTPUT SUCCESS INDICATOR ACCOMPLISHMENT

STRATEGIC FUNCTIONS
1 Assisted in the implementation of referral system based on HCPN 100% of BHS implementing proper referral system.
policy. ____% (10/10) with 2-way referral

AVERAG
CORE FUNCTIONS
1 Conducted regular visits to households. 100% households visited monthly with monitoring
reports submitted first week of the following _____% ( 1/1 ) HH visited with reports
month.

2 Provided appropriate intervention on identified health concerns of 100% of identified individuals

families/households. /families/households provided with appropriate ____% ( ) HH visited and given servic
health intervention/s within 7 days after visit. days

3 Prepared health status report of households/families visited. 100% accurate health status report of families/
households profiled submitted every 7th day of the ___% ( ) HH/families with health status
ensuing month. submitted _____ day

4 Assisted in the implementation of health services. 100% of pregnant women seen given ante-natal
care. ___% ( ) PW seen given with ANC (1s

100% of pregnant women seen with complete (1-1-

2) ante-natal care. ___% ( )PW with complete ANC

100% post-partum women given care within 24

hrs and within 7 days. ____% ( ) PPW given care within 24 hrs

100% of WRA seen with unmet need given health

education and referred to health facility. ____% ( ) WRA seen with unmet needs

100% of children seen are fully immunized before ____%( ) children seen are fully immun
13th month old. 13th month
100% of targeted presumptive TB cases identified ____% ( # ) of presumptive TB cases ide
and referred. referred
58% of targeted population screened using
PHILPEN protocol. ____%( ) screened using PHILPEN proto

100% of identified NCD cases referred to RHU

within 2 days. _____% ( ) referred within 2 days

5 Assisted in the monitoring and evaluation of health program 100% of barangays assisted in monitoring on health
implementation. program implementation with report submitted ____% ( # Brgy) assisted with monitorin
within 3 working days of the following month.

100% barangay PIR facilitated as scheduled, with
report submitted 7 working days after the activity.
6 Acted as resource speaker/ facilitator for trainings and other HR- 100% of health workers (BHW/BNS) provided
related activities. with education and training/updates as scheduled.
7 Facilitated barangay submission of required health data. 100% of barangay reports submitted within
prescribed timeline.
____% ( ) facilitated brgy PIR with repo
within 7 days
_____% ( ) BHW/BHS provided with he
education and training/updates as schedul
___% of brgy submitted reports on prescr
timeline

8 Assisted in the conduct of disease surveillance. 100% of barangays assisted in the conduct of ___% ( ) barangays assisted in the cond
disease surveillance as reported. disease surveillance
9 Assisted in the monitoring of adverse events following 100% of AEFIs monitored as reported
immunization. ____% ( ) of AEFIs monitored with re

10 Participated in data gathering and response during health 100% of barangay health emergency reports _____% ( ) with health emergency re
emergencies and disasters. submitted upon declaration of code /occurrence of declaration of occurrence of event
event:
a) 100% of barangay rapid health assessment _____% ( ) with RHA report ssubmitted
reports submitted within 24 hours after with no hrs after with no error
error.
b) 100% of barangay Health Emergency Alert
Reporting Sytem submitted 2pm and 10pm daily _____% ( ) HEARS submitted 2PM and
with no error. daily with no error

c) 100% of health facilities with submitted report

on Surveillance in Post Extreme Emergencies and ____% ( ) HF with submiited report on S
Disasters daily once activated with no error. daily

SUPPORT FUNCTIONS
1 Participated/ attended RHU, barangay and other local health 100% RHU, barangay and other local health
meetings. meetings attended.
2 Submitted DTR and accomplishment report. 100% of administrative reports
(DTRs/MARs/ARs) submitted within first 3 days of
the ensuing month.
3 Submitted itinerary of travel for the succeeding month. 100% Itinerary of Travel of the succeeding month
submitted within 3rd week of the month.
4 Submitted IPCR. IPCR submitted within the prescribed time.
5 Submitted leave of absences 100% of leave of absences completely filled out
and filed within prescribed timeline.
AVERAG
_____% ( ) attended RHU, barangay an
local meetings
____% administrative reports submitted
first 3 days of the succeeding month
_____% Itinerary of Travel submitted wit
week of the succeeding month
IPCR submitted within the prescribed tim
_____% of leave of absences somletely fi
filed within the prescribed timeline.

RATING
Average Rating
Function Percentage Distribution Final Rating per Function
per Function
Strategic Functions 10% 0.00 0.00
Core Functions 70% 0.00 0.00
Support Functions 20% 0.00 0.00
Final Average Rating: 0.00

Adjectival Rating:
Prepared by: Date: Validated and Approved by:

____________________________________________ ELSIE A. PIN

Nurse II Development M
Assessed by: Date: Final Rating by:
________________________________________________
City/Municipal Health Officer

Development Management Officer IV

Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average

 DOH - SPMS Form 1
W (IPCR)

alth Development, commit to deliver and agree to be rated on the attainment of the

__________________________ Date:

Date:

RATING
PLISHMENT REMARKS
Q E T A Means of Verifcation

h 2-way referral system SDN logbook/referral forms

AVERAGE RATING

ited with reports submitted Profiling forms/ monitoring forms

and given services within 7

ITR, referral forms, SDN logbook
days

with health status report

HH/individual profiling/health status

en with ANC (1st or 2nd tri) accomplishment report and masterlist

plete ANC

are within 24 hrs and 7 days accomplishment report and masterlist

ith unmet needs accomplishment report and masterlist

are fully immunized before

accomplishment report and masterlist

tive TB cases identified and

accomplishment report and masterlist

g PHILPEN protocol accomplishment report and masterlist

thin 2 days accomplishment report and masterlist

ed with monitoring report brgy LGU scorecard/monitoring tool

gy PIR with report submitted

PIR action plan/minutes of the meeting
in 7 days
provided with health
actvity report, minutes of the meeting
pdates as scheduled

reports on prescribed
FHSIS report

sisted in the conduct of

case investigation report
monitored with report case investigation report

alth emergency report upon

e of event
report ssubmitted within 24
accomplished RHA form

mitted 2PM and 10PM

accomplished HEARS reports

miited report on SPEED

SMS or paper-based report

AVERAGE RATING

RHU, barangay and other

Agenda, Attendance, Minutes of the meeting/resolution

eports submitted within the

receipt of DTRs/ Ars/ MARs
ding month
vel submitted within 3rd
receipt of IT
month
he prescribed time receipt of leave forms

nces somletely filled-out and

ed timeline.

AVERAGE RATING

Remarks

d by: Date:

ELSIE A. PINTUCAN, MD, MPA

Development Management Officer V
Date:
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, ______________________________________________________, Midwife II of the Provincial DOH Office - Cagayan of Cagayan Valley -

agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period July-December 31, 2019.

. Name:

Approved by:

_________________________________
Name of Supervisor

OUTPUT SUCCESS INDICATOR ACCOMPLISHMENT

STRATEGIC FUNCTIONS
1 Assisted in the implementation of referral system 100% of BHS implementing proper referral system.
based on HCPN policy.

AVERAGE R

CORE FUNCTIONS
1 Conducted home visit to households (for monitoring of 100% identified households visited monthly with
pregnant and post-partum mothers). monitoring reports submitted first week of the following
month.
2 Provided appropriate intervention on identified health 100% of identified individuals /families/households
concerns of families/households. provided with appropriate health intervention/s within 7
days after visit.

3 Prepared health status report of households/families 100% accurate health status report of families/
visited. households profiled submitted every 7th day of the
ensuing month.

2 Assisted the health facility in the identification of 100% of targeted WRA with unmet need given health
clients with unmet Modern Family Planning needs. education and referred to health facility.
3 Assisted in Family Planning Program services. 100% of current users provided with MFP services on
scheduled follow up visit.
4 Provided direct Maternal and Child care services. 100% of scheduled birthing center duty attended.

100% of pregnant women seen given ante-natal care.

100% of pregnant women seen with complete (1-1-2)

ante-natal care.

100% post-partum women given care within 24 hrs and

5 Assisted in the monitoring and evaluation of health
program implementation.
within 7 days.
100% of children seen are fully immunized before 13th
month.
100% of barangays assisted in monitoring of health
program implementation with report submitted within 3
working days of the following month.

100% barangay PIR facilitated as scheduled, with report

6 Acted as resource speaker/ facilitator for trainings and
other HR-related activities.
7 Facilitated barangay submission of required health
data
submitted 7 working days after the activity.
100% of health workers (BHW/BNS) provided with
education and training/updates as scheduled.
100% of barangay reports submitted within prescribed
timeline.
 8 Assisted in the conduct of disease surveillance 100% of barangays assisted in the conduct of disease
surveillance as reported.
9 Assisted in the monitoring of adverse events following 100% of AEFIs monitored as reported
immunization.

10 Participated in data gathering and response during 100% of barangay health emergency reports submitted
health emergencies and disasters. upon declaration of code /occurrence of event:

a. 100% of barangay rapid health assessment reports

submitted within 24 hours after with no error.
b. 100% of barangay Health Emergency Alert Reporting
Sytem submitted 2pm and 10pm daily with no error.

c. 100% of health facilities with submitted report on

Surveillance in Post Extreme Emergencies and Disasters
daily once activated with no error.

AVERAGE R
SUPPORT FUNCTIONS
1 Participated/ attended RHU, barangay and other local 100% RHU, barangay and other local health meetings
health meetings. attended.
2 Submitted DTR and accomplishment report. 100% of administrative reports (DTRs/MARs/ARs)
submitted within first 3 days of the ensuing month.
3 Submit itinerary of travel for the succeeding month. 100% Itinerary of Travel of the succeeding month
submitted within 3rd week of the month.
4 Submitted IPCR. IPCR submitted within the prescribed time.
5 Submitted leave of absences. 100% of leave of absences completely filled out and filed
within prescribed timeline.

RATING
Average Rating
Function Percentage Distribution Final Rating per Function
per Function
Strategic Functions 30% 0.00 0.00
Core Functions 50% 0.00 0.00
Support Functions 20% 0.00 0.00
Final Average Rating: 0.00
Adjectival Rating:
Prepared by: Date: Validated and Approved by:
_________________________________ __________________
RHMPP Development Mana
Assessed by: Date: Final Rating by:
__________________________________
Development Management Officer IV
Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average
 DOH - SPMS Form 1
W (IPCR)

of Cagayan Valley - Center for Health Development, commit to deliver and

er 31, 2019.

________________________ Date:

Date:

RATING
PLISHMENT REMARKS
Q E T A

AVERAGE RATING
MEANS OF VERIFICATION

HH profiling/monitoring forms

ITR, referral forms, SDN logbook

HH/individual profiling/health status

FP unmet masterlist

ITR, FP form I. TCL, Referral form. SDN

logbook
RHU logbook of attendance

accomplishment report and masterlist

accomplishment report and masterlist

accomplishment report and masterlist

brgy LGU scorecard/monitoring tool

PIR action plan/minutes of the meeting

actvity report, minutes of the meeting

FHSIS report
 case investigation report

case investigation report

accomplished RHA form

accomplished HEARS reports

SMS or paper-based report

AVERAGE RATING

Agenda, Attendance, Minutes of the

meeting/resolution

receipt of DTRs/ Ars/ MARs

receipt of IT

receipt of leave forms

AVERAGE RATING

Remarks

d by: Date:
_________________________________
Development Management Officer V
Date: