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Annex F. Individual Performance Commitment and Review Form
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DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
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Individual Performance Commitment and Review Form (IPCRF)
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COVERAGE (dd Month year to dd Month year)
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Partial Performance Assessment for Purposes of Renewal of Services
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I commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the rating period __________________________.

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NAME OF EMPLOYEE
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POSITION
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Date:
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PART I. INDIVIDUAL COMMITMENTS AND ACCOMPLISHMENTS
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PERFORMANCE COMMITMENTPERFORMANCE EVALUATION
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KEY RESULT AREA (KRA)Success Indicator
(Measure+Target)		AccomplishmentRATINGREMARKS
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E/QnQTA
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Core Functions
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#DIV/0!
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#DIV/0!
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Strategic Functions
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#DIV/0!
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#DIV/0!
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Support Functions
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#DIV/0!
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#DIV/0!
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#DIV/0!
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FINAL NUMERICAL RATING#DIV/0!
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ADJECTIVAL RATING#DIV/0!
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We hereby certify that the above targets, measures, and performance ratings for the rating period _________________________ were discussed and agreed upon with the Ratee.


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______________________________________________________ _____________
Name Date		______________________________________________________ _____________
Name Date
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Immediate SupervisorApproving Authority
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Legend: E- Efficiency Q- Quality T- Timeliness A- Average Rating Scale: 5-Outstanding 4- Very Satisfactory 3-Satisfactory 2-Unsatisfactory 1-Poor
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PART II. PERFORMANCE FEEDBACK
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STRENGTHS
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AREAS FOR IMPROVEMENTS
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RATER'S COMMENTS, RECOMMENDATIONS, & COMMENDATIONS
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I hereby certify that the above performance ratings, and the identified Performance Feedback were discussed with me by my immediate supervisor.



I hereby certify that the above performance ratings, and the identified Performance Feedback were discussed by the undersigned to the Ratee.
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_____________________________________________________ _____________
Name of Ratee Date		_____________________________________________________ _____________
Name of Immediate Supervisor Date
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