Uganda Registration Services Bureau

UGANDA REGISTRATION SERVICES BUREAU
STAFF APPRAISAL FORM
STAFF PERSONAL FILE NO: _______________________________
SECTION A- PERSONAL DETAILS
EMPLOYEE NAME: BRENDA KEIJAGYE

JOB TITLE: PROJECT SUPERVISOR - TREP
DEPARTMENT/SECTION: BUSINESS REGISTRATION
APPRAISAL PERIOD: From : July 2018 To: June 2019
DATE OF ASSUMPTION OF DUTY: 8th June 2016
NAME OF APPRAISER: Mr. MUGABE ROBERT
JOB TITLE OF APPRAISER: MANAGER, BUSINESS REGISTRATION
SECTION B; KEY DUTIES /RESPONSIBILITIES AND TASKS DURING THE PERIOD (technical Competences)
No Key assignments for the period Duties performed Appraisee Appraiser Agreed Comments
Rating (out Rating (out rating (out
of 10) of 10) of 10)
1 Representing URSB at the TREP Secretariat -I have represented URSB in 9
workgroup meetings at The
Secretariat which require
URSB presence at my level.
-I have made sure that all
stations have had timely
1
response to whatever queries,
suggestions, etc that have
needed the attention of the
secretariat
2 Supervision -I have made sure that officers 9 -Lack of facilitation
in the area of my jurisdiction to carry out the
are playing their roles and necessary duties
carrying out their assigned
duties as per the mandate.
-I have made sure that the
officers are reporting and on
time.
2 Registration of Business Names and -I have been able to register 9 -Unreliable internet,
companies. Business Names, companies network and
and all related documents. stationery
3 Sensitisation -Through daily interaction 10 -Lack of information

with clients, I have been able materials.
to give necessary information. -Lack of transport
facilitation
4 Name reservation -I have been able to carry out 9
Business and Company name
reservations.
5 Reporting -I have been able to compile, 10

and submit all my weekly and
monthly reports on time
2
Overall Performance
SECTION C: VALUES (To be filled in by appraisee and appraiser)
Performance factors Appraisee’s Appraiser’s Agreed

Rating Rating rating
(out of 10) (out of 10) (out of
10)
Communication Skills: Employee communicates professionally with others in print and shares thoughts and 10
ideas appropriately. Listens to others and asks questions for clarity. Controls emotions under pressure.
Teamwork: Employee works effectively with others. Is a team player and helps encourage and orient new team 9
members. Is able to balance personal effort with project team effort.
Customer Care: Employee listens to customers and responds to their needs. Makes it easy to do business with 10
the Bureau and is committed to excellence in customer satisfaction.
Transparency: Employee conducts him/herself with openness. Seeks feedback from all directions to achieve 9
open communication and foster collaboration. Offers constructive feedback to others that is timely, specific,
and descriptive.
Integrity: Employee has honesty, truthfulness and sincerity, while remaining fair and ethical in even the most 10
difficult situations
Attendance and Punctuality: Employee shows up for work at assigned time and provides ample notice when 10
unable to come to work schedules time off in advance. Ensures work responsibilities are covered when absent.
Arrives at meetings and appointments on time
Accountability: Employee is willing to take responsibility for his or her actions 10
Personal Grooming: Employee practices proper personal hygiene; is neat, clean and dresses appropriately for 10
work.
Overall Performance
3
SECTION D: COMMENT ON ADDITIONAL RESPONSIBILITY (Where applicable)
No ADDITIONAL JOB ASSIGNMENTS Appraisee Appraiser’s Agreed
rating rating rating
( out of 5) ( out of 5) (out of 5)
1
2
3
4
5
Overall Performance
SECTION E; IMPACTING FACTORS

1(a). Outline factors that positively affected your performance during this period.
Continued support from Management and Team work
1(b). Outline factors that negatively affected your performance during this period.
 Unstable BRS
2. General suggestions on what Management should change or attend to.
 Improve BRS efficiency
 Timely provision of logistics like lunch allowance
3. Describe how effectively you have been utilised by the Bureau.
 I have been able to represent URSB at The TREP Secretariat
 I have been able to carry out registrations
4. How would you like management to assist you improve your performance?
 Create more trainings
 Continued support from Management
5. List the skills and training you need in order to improve performance
4
 Report writing
 Monitoring and Evaluation programmes
Appraiser’s comments – Recommendations (Give brief reasons)

________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
_________________________________________________________________________
How do you rate the Appraiser’s assessment? (To be completed by the Appraisee after going through the appraisal report with the Appraiser).
A – Fair B – Not fair
If the answer is (B), please give your reasons:
___________________________________________________________________________________________________________________
SECTION F: ACTIVITIES AGREED FOR THE PERIOD AHEAD

No ACTIVITIES TO BE COMPLETED DURING THE PERIOD AHEAD
1
2
3
4
5
6
7
5
SECTION G: PERFORMANCE AGREEMENT: I have read, understood and agreed to all the details of this performance assessment form.
APPRAISEE: APPRAISER:
Name: __________________________________________ Name_____________________________________________
Signature: _______________________________________ Signature: ________________________________________
Date: ____________________________________________ Date: _____________________________________________
SECTION H: COMMENTS AND RECOMMENDATIONS BY THE MANAGER

I have read the appraisal report for_________________________________ (appraisee’s name)
Comments/Recommendations
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
Name: ___________________________________ Signature: ________________________________Date: __________________________
SECTION I: COMMENTS AND RECOMMENDATIONS BY THE DIRECTOR.

I have read the appraisal report for_________________________________ (appraisee’s name)
Comments/Recommendations
___________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________
Name: ___________________________________Signature: ________________________________Date: _____________________________
SECTION J: NOTED BY
6
________________________________ _______________________
Registrar General/ DATE
Board Chairman (As applicable)
Performance appraisal is not a once for all exercise. It is an on going process and a development technique.

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UGANDA REGISTRATION SERVICES BUREAU

STAFF APPRAISAL FORM

STAFF PERSONAL FILE NO: _______________________________

SECTION A- PERSONAL DETAILS

EMPLOYEE NAME: BRENDA KEIJAGYE

3 Sensitisation -Through daily interaction 10 -Lack of information

5 Reporting -I have been able to compile, 10

SECTION C: VALUES (To be filled in by appraisee and appraiser)

Performance factors Appraisee’s Appraiser’s Agreed

SECTION E; IMPACTING FACTORS

Appraiser’s comments – Recommendations (Give brief reasons)

If the answer is (B), please give your reasons:

SECTION F: ACTIVITIES AGREED FOR THE PERIOD AHEAD

SECTION H: COMMENTS AND RECOMMENDATIONS BY THE MANAGER

Name: _________ Signature: Date:

SECTION I: COMMENTS AND RECOMMENDATIONS BY THE DIRECTOR.

Name: _______Signature: Date: _

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