Name of the Organisation Period of Appraisal: From To:
Name of the Employee Empl.Code No. Department/Section:
I. First Level Appraisal (Self Appraisal) (To be completed by employee concerned) Rating: Excellent 05 - 4.5 Good 4.5 – 3.5 Poor 3.0 - 0 1. Role Model: How far you are a Role Model to your Sub-ordinates? (Speak the Truth) Punctuality Total/Partial (Reasons thereof) Personal Cleanliness “ House-keeping “ Sharing Knowledge/Teaching/Training “ Participative Approach “ Un-biased Relationship “ Confidence in your sub-ordinates “ Time Management “ Stress Control “
2. Management Support: (Pl tick) Total/Partial (Reasons thereof)
What Supports that you got to perform well? Man-power/Systems/Enjoy-working/Delegation/Confidence/Motivation/ Leadership/Communication/Training
Can you quantify in %ge/any numerical value on Your Value Addition to the Organisation/Department Goals? If so supply the numerical value. (must match with evidences)
What prevented you that you could not perform well or at times? (To what extent)
3. Suggestions: For Self: Training Needs (Identified by self) Department’s Procedures/Systems/
From Management: (Be specific and give evidential support) Man-power/Systems/Automation/Mechanisation/Training/ Knowledge Aids/Welfare/Assertiveness for next higher position/ Change in Job Description/Designation/Role Clarify/Addl. Responsibility & Authority
Signature:
Dated:
II Second Level of 360 Degree Appraisal (To be apprised by Sub-ordinates):
Excellent 05 - 4.5 Have fullest Satisfaction and understanding Good 4.5 – 3.5 Better but needs improvement (Be specific) Poor 3.0 - 0