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Individual Performance Commitment and Review Form

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B.

INDIVIDUAL PERFORMANCE COMMITMENT AND


REVIEW FORM

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCR)

I, _________________, of the _______________________________ Division of


__________________________, commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period ________________
to _______________, 20__.

Ratee
Date:

Reviewed by Date Approved by Date

Immediate Supervisor Head of Office

Success Indicator Rating Remarks


Actual
P/P/As (Target +
Accomplishments Q1 E2 T3 A4
Measure)
Five (5) Five (5) meetings conducted on June ____ with
LGOO Induction
meetings conducted with assessors assessors from _________
Ten (10) letters to the Regions
Part III
prepared

Final Average Rating


Comments and Recommendation 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

Employee Supervisor Head of Office


Legend: 1-Quantity 2 Efficiency 3 Timeliness 4 Average

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