1. HR MBO(A) -01 Management By Objectives & Performance Evaluation Form - FY ……….. Appraisal Period : from January 1, ……….. to December 31, ………… Original - To be returned to HR Department Copy - For staff to keep Employee Copy Operation/Department/Division/Section : Position : Objectives Setting Appraised by Final Appraiser Superior’s Name First Rater Second Rater Employee ID Name Line Operation/Department Objectives Company Goals Part A : MBO Achievement Rating (in percent) Key Objectives 1st Setting Objectives (Indicate expected result and target) Plan (Indicate activities to be carried out in order to achieve the set objective within specific time) Total Weight Self Evaluation Write your remarks or comments and submit to your superior for discussion Superior’s Evaluation Comments by Superior Points Objective (1) Plan (2) Objective % Plan % Objective (3) Plan (4) Objective (1) x (3) Plan (2) x(4) Part B : Competencies Sub total Part C : Overall Rating Factors Total 100 pts Self Evaluation Superior’s Evaluation Part A Points Part B Points Sub total Adjustment Total Points a Total Points Reason 1) Challenging Spirit4 pts. …………………… Endorsed bySuperior a b a+b c a+b+c Your Signature …………………………………………………………………….. 2) Best Action 4 pts. Remark: You are allowed to adjust your points within +/- 10 points only in cases such as having environmental changes and outside factors of your operation. 3) Teamwork 4 pts. …………………… Endorsed byStaff General Evaluation 4) Communication4 pts. Performance Grading Grade assigned Notes 5) Customer Satisfaction 4 pts. 120-116 115-106 105-96 95-86 85-75 < 75 Date : / / Total S A B+ B B- C FR-333-095-43/08-07-51(R.1)