Company Name

EMPLOYEE PERFORMANCE REVIEW FORM

REVIEW PERIOD: from__________________________ to_________________________________

NAME:________________________________________EMPLOYEE CODE: _________________

DEPARTMENT: DESIGNATION:_____________________

DATE OF JOINING: DATE OF BIRTH: ___________________

JOINING CTC (P.A.): ___________________________PRESENT CTC (P.A.):________________

TOTAL EXPERIENCE (INSIDE + OUTSIDE): _________________________________________

QUALIFICATION: _________________________________________________________________

LAST INCREMENT DATE:______________________NO. OF INCREMENTS: ______________

ASSESSMENT RATING:
APRASEE RATING: ______________________ APRAISER RATING:
_____________________
REVIEWER RATING: ____________________ AGGREGATE
RATING:___________________
PROPOSED INCREMENT : ________________ PROPOSED DESIGNATION: ______________

(Name & Signature of APPRAISER & REVIEW COMMITTEE MEMBERS with Date)
EMPLOYEE PERFORMANCE REVIEW OBJECTIVES:
1) To provide an opportunity for promoting an atmosphere of TRUST & OPENNESS.
2) To develop employees in their present job with potential to take on higher responsibilities.
3) To serve as means of increasing organisational effectiveness.
4) To develop positive communication between individual and superior in order to plan, review and improve the
performance in the current position.

Instruction: Form to be filled by APPRAISEE, then by APPRAISER

and to be reviewed by CMO Head & HR.
SECTION 1 : APPRAISAL OF CRITICAL ATTRIBUTES:
(includes attributes specifically related to one's present / future role requirements and one's personal,
interpersonal and communicational skills) Rating Score 1 to 5
CRITICAL ATTRIBUTES APPRAISEE APPRAISER REVIEWER AGGREGATE
(A) (B) (C) (D)**

I. KNOWLEDGE

1) Job Knowledge, Skills, Competencies &

Application

2) Analysis of Problems & Providing Suggestion

for Work Improvement

3) Follow up of proper procedures

II. QUALITY OF WORK

4) Accuracy, Precision, Thoroughness &

Neatness

5) Reliability & Dependability

6) Decision Making

III. APPROACH TO WORK

7) Initiative

8) Innovativeness

9) Planning

10) Flexibility & Adaptability

11) Following instructions

12) Regular Attendance

13) Discipline

IV. QUANTITY OF WORK APPRAISEE APPRAISER REVIEWER AGGREGATE

(A) (B) (C) (D) **
14) Priority Setting
 CRITICAL ATTRIBUTES APPRAISEE APPRAISER REVIEWER AGGREGATE
(A) (B) (C) (D)**
I. KNOWLEDGE

15) Amount of work completed

16) Adherence to work schedule

V. INTER PERSONAL SKILLS

17) Interaction with others (superiors, co-

workers & other staff)

18) Team work (Team participant, contribution

and commitment to team success)

VI. COMMUNICATION

19) Ability to convey thoughts & feelings with

clarity.

20) Verbal and written

VII. LEADERSHIP SKILLS

(Influencing, Persuading, Motivating)

VIII. ORGANISATION CULTURE

21) Integrity and Loyalty

22) Believes in Organisational ethics and values

23) Follows Organisational Policies and

Procedures

AVERAGE RATING (OUT OF 5)

PERCENTAGE RATING

% RATING TOTAL % INCREMENT ON

Signature with Date
RATING CTC
80% < 93-115 > 20%
**
100% Calculation
of SCORE 'D' 60% < 70-92 12%-20% : [(A x 20%) +
(B x 40%) + 80% (C x 40%)]
40%< 47-69 10%-12%
60%
<40% < 46 NO INCREMENT
SECTION 2 : PERFORMANCE REVIEW AGAINST KRA / RESPONSIBILITIES

(To be filled by APPRAISEE) (To be filled by APPRAISER)

KEY RESULT AREA / RESULTS ACHIEVED Outstan V. Good Adequ Inadeq
ding Good ate uate
RESPONSIBILITIES

SECTION 3 :
A) AREAS OF STRENGTH AND IMPROVEMENT (To be filled by Appraiser)

No AREAS OF STRENGTH AREAS OF IMPROVEMENT

5
Any other significant points/ issues you would like to mention (To be filled by Appraiser)

B) Any other significant points / issues you would like to mention (To be filled by Appraisee)

C) Any Suggestions / Comments (To be filled by Reviewer)