DOLLAR YEN SON

	A	B	C	D	E	F	G	H	I	J	K	L	M
1	INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)
2	I,DOLLAR YEN SONof the Municipal Health Office , commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period of JANUARY TO JUNE , 2018
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7									DOLLAR YEN SON
8									Ratee
9									Date __________________________
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11	Received				Date	Approved by							Date
12	RAFAIDA G. HERNANDEZ, MD					ATTY. MARIA THERESA D. CONSTANTINO
13	Municipal Health Officer					Municipal Mayor
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15	Output	Success Indicator (Target & Measure)			Actual Accomplishment			Rating				Remarks
16	Output	Success Indicator (Target & Measure)			Actual Accomplishment			Q1	E2	T3	A4	Remarks
17	1. ADMIN FUNCTION	167 DEATH CERTIFICATE			167 DEATH CERTIFICATE			4	5	4	4.33	actual cases Based
18		99 MEDICO-LEGAL			99 MEDICO-LEGAL			4	4	5	4.33
19		152 PASS SLIP;TO; TRIP TICKETS; APPLICATION FOR LEAVE			152 PASS SLIP;TO; TRIP TICKETS; APPLICATION FOR LEAVE			4	4	5	4.33
20	2. MORTC Program	1203 Facilitates SDU assessment using ASSIST Tool & Drug testing			1203 Facilitates SDU assessment using ASSIST Tool & Drug testing			4	5	5	4.67
21	3. Lingap sa Barangay	9 Assist in the Conduct of Lingap sa barangay			9 Assist in the Conduct of Lingap sa barangay			4	5	5	4.67
22	Final Average Rating										4.47	Very Satisfactory
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24	Comments and Recommendations for Development Purposes
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27	Discussed with		Date	Assessed by			Date		Final Rating by				Date
28				I certify that I discussed my assessment of the performance with the employee
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30	DOLLAR YEN SON			RAFAIDA G. HERNANDEZ, MD					ATTY. MARIA THERESA D. CONSTANTINO
31	Ratee			Municipal Health Officer					Municipal Mayor
32	Legend 1 - Quantity 2 - Efficiency 3 - Timeliness 4 - Average
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