EMPLOYEE ASSESSMENT FORM FOR CONFIRMATION

DATE ___________________

EMPLOYEE NAME: EMP. CODE:

LOCATION: DESIGNATION:
DEPARTMENT: QUALIFICATION:
TOTAL EXPERIENCE: DATE OF JOINING:
DUE DATE OF CONFIRMATION:
WAS PROBATION PERIOD EXTENDED: YES [ ] NO [ ]
DETAILS OF LAST EXTN. : PERIOD FROM_______________________TO____________________
PART - I
1. Brief description of the nature of employees duties:

PART II
1. Performance Appraisal: (Please tick) Excellent Very Good Average Below
Good Average
I Target achievements [ ] [ ] [ ] [ ] [ ]
II Job Knowledge [ ] [ ] [ ] [ ] [ ]
III Quality of Work [ ] [ ] [ ] [ ] [ ]
IV Ability to communicate Both oral & written [ ] [ ] [ ] [ ] [ ]
V Adaptability and Commitment [ ] [ ] [ ] [ ] [ ]
VI Dependability and discipline [ ] [ ] [ ] [ ] [ ]
VII Initiative and Drive [ ] [ ] [ ] [ ] [ ]
VIII Interpersonal Relation / Team Working [ ] [ ] [ ] [ ] [ ]
IX Relation with superiors [ ] [ ] [ ] [ ] [ ]
2. Overall Assessment of his/her performance [ ] [ ] [ ] [ ] [ ]
3. Recommendation (please tick)
a) The employee is to be confirmed Yes[ ] No[ ]
b) Probation to be extended by 3 months due to Yes[ ] No[ ]
average performance.

4. Brief comments/ Remarks: ___________________________________________________________________________________
___________________________________________________________________________________________________________
5. Comments by HR: ________________________________________________________________________________________

_______________ ___________________ _________________ _______________
Supervisor DEPT HEAD HR DEPARTMENT DIRECTOR