<COMPANY NAME>

Human Resources Department

EMPLOYEE EVALUATION FORM

Personal Information
Name of the Employee

Date of Joining

Department & Designation

Grade Excellent Good Average Poor

Score 4 points 3 points 2 points 1 point each
each each each
Total % 90 & Above 89 - 70 69 – 58 57 & Below

Parameter Ratings
Rating (Pls indicate with a mark)
Superiors Evaluation
Factors/Skills/Traits
Excelle
Good Average Poor
nt
Job Knowledge
Meets Targets/Deadlines
Ability to Plan the work
Initiative to do/follow-up the
assigned work
Willingness to Shoulder
additional responsibility
Commitment to do a perfect job
Habits & Manners
Presentation / Dress
Punctuality
Confidentially of information /
Official Secret / Documents
Trustworthiness / Reliability
Team spirit / Team work
Relationship with Colleagues
Record keeping / Filling
Computer Skills
Total (A) (B) (C) (D)
GRAND TOTAL (A+B+C) %=
(A+B+C+D)/60*
100

Signature of the evaluator :

1) Briefly mention any exemplary work done by the employee

2) Briefly mention any wrong performance by the employee that has

resulted in serious consequences / loss to the company.

3) Mention two specific strengths

4) Mention two specific weaknesses:

Productivity study data

Year 2006
Mont Ja Fe Ma Ap Ma Ju Jul Au Se Oc No De Tot
h n b r r y n g p t v c al
Ach
Targ
et

Other Major Achievements :

Suggested Increment Amount :

Suggested Designation :

5) Recommendations / Remarks
Evaluated by name ___________________________

Designation ___________________________

Signature ___________________________

6) Remarks by General Manager

Signature __________________________

For HR Dept. Use only

Last Increment Date :

Last Increment Amount :

Current Designation :

Total Score:
_____________________________Grade:___________________________

Increment sanctioned : Rs._________________ Promoted as :

_____________________

Transfer (if any)

__________________________________________________________

With Effect From : _________________________________

BASIC + DA H.R.A CONVEYANCE TOTAL

Any Other Allowance:

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___

AUTHORIZATION
CMD Dept head HR Manager

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