Company Name

PERFORMANCE ASSESSMENT FORM

Employee Code

___________________

Date of Joining

____________________

Employee Name

___________________

Designation

____________________

Department

___________________

Sub Department

:____________________

Assessment Year

: _ _ _ _ _ _ _ _ to _ _ _ _ _ _ _

SECTION A
Sl No

Key Result Areas

Target
(t)

SECTION B
Measure

TOTAL SCORE

Weightage
(w)

Time
Line

Target
Achieved
(ta)

Final
Score
(ta/t*w)

APPRAISERS REMARKS (To be filled after the Assessment is completed)

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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FINAL RATING: __________________________________________________________

(At the time of KRA setting)

(At the time of Performance Assessment)

Appraiser's Signature:

_____________

Appraiser's Signature:

_____________

Appraisees Signature:

_____________

Appraisees Signature:

_____________

Date

_____________

Date

_____________