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Date of Issue:25 August 2010
ANNUAL PERFORMANCE APPRAISAL FORM

Note to the Appraisee

About the Appraisal Process:

The Performance Appraisal Program is designed to-

 Encourage regular, constructive discussion between you and your supervisor
regarding your performance and progress at meeting goals and expectations
 Improve your job understanding
 Promote more effective job performance
 Establish future goals and responsibilities based on the objectives of the
department/unit

A note from the Appraiser

We will be meeting on ________ at __________ to discuss your performance over the

period applicable and to discuss the goals and objectives for the forthcoming year.
Your input is a very important part of this meeting. You can prepare for the meeting,
and help me to address your concerns, by reading over a few questions that follow and
writing down your responses. As you read each question, think about your
performance; your progress; and your plans for the future. Please return the
completed form to me by ____________. (Attach additional pages if necessary).

Signature of appraisee: __________________

Signature of appraiser: __________________ Date: ______________

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Performance Appraisal

(From
Employee Name: ___________________
Employee Code: ____________________
DOJ: _____________________________
Designation: _______________________
Date of Appraisal: __________________
To )
Reporting to: ______________________
Business Unit: _____________________
Appraised by: ______________________
Reviewed by: ______________________

Note:
Please fill in your KRAs along with the rating you think is applicable to you for that particular
KRA in the self rating column. The final rating will be filled up by your Appraiser post
discussion with you.

Rating Standards:

Rating Code Explanation

Work Performance is inadequate and inferior to the

N Below Expectations standards of performance for the position. Performance at
this level cannot be allowed to continue.

Meets Expectations and Work Performance does not consistently meet the standards
E(-) requires Improvement in of performance for the position. More effort is needed to
some critical areas improve performance.

Meets Expectations in all Work Performance consistently meets the standards of

E
areas performance for the position.

Meets Expectations in all

Work Performance consistently meets and sometimes is
areas and Exceeds
E(+) superior to the standards required for the job.
Expectations in some critical
areas

Exceeds Expectations in all Work Performance is consistently superior to standards

X
areas required for the job.

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PART - A Revision No:
Date of Issue:25 August 2010
ORGANIZATIONWIDE KRA’S
Self Final
Sl. No.
KRA Rating Rating
Interpersonal Relations – is the ability to demonstrate
1 understanding and sensitivity towards others by treating people
with civility and respect. It includes establishing rapport,
behaving in ways that earn and maintain respect.
Problem Solving Ability – refers to the ability to generate
creative approaches to addressing problems and opportunities.
2 This includes identifying and weighing options, making good
decisions after reviewing all relevant information and anticipating
and planning for potential problems.
Communication Skills - ability to express oneself clearly and
effectively when speaking and/or writing to individuals or groups.
3 Also, keeps managers and /or coworkers informed of work
progress. Clear communication also mean sharing information in a
timely manner using the most appropriate method.
3

Leadership Skills – is the ability to take action to improve a

situation without waiting for explicit instructions. This
4 competency includes understanding how one’s own job activities
relates to the organization’s goals, involving people in recognizing
and responding to opportunities in order to reach a goal and
seeking new and improved approaches to completing assignments.
Accountability – refers to taking personal responsibility for all
work activities and personal actions, including following through
5 on commitments, implementing decisions that have been agreed
upon, maintaining confidentiality with sensitive information,
recognizing that cause and effect of actions and events, and
acknowledging all mistakes or failures without blaming others.
Quality - Demonstrates competence in required job skills, work is
6 thorough and consistent; adheres to organization’s guidelines as
mentioned in ISO and P-CMM.
Ability to work under Pressure – refers to competency in taking
7 on additional responsibilities, delivering in spite of pressure and
meeting targets and deadlines, managing both people and
processes
Self Confidence – is the ability a person has to believe in one’s
own abilities. This includes expressing confidence in one’s ability
8 to succeed even when facing challenging circumstances,
presenting oneself to others in a confident and assured manner,
being clear and assertive when stating one’s own position while,
at the same time, being able to accept feedback constructively.
Time Management - is the ability to manage one’s own time in
order to produce high quality results in an efficient manner. It
9 includes the ability to use resources wisely, and to make good
decisions that bring out the best in an organization in work,
culture and spirit.
Attendance - is adherence to company policies both in practice
10 and in spirit. Also involves a certain amount of discipline in
reporting for work on time and enabling self and others in meeting
targets.

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Part B - Adherence to Values Revision No:
Date of Issue:25 August 2010

Self Appraiser
Values
Rating Rating
I – Integrity in everything we do
C– Customer Delight through Continuous Improvement
R– Respect towards People & Processes
E – Enthusiasm to perform
A– Accountability in work
T– Transparency in all our processes
E – Empowerment

Elucidate any one value with an example of your committed work

Any comments by Appraisee

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Revision No:
Overall Rating Date of Issue:25 August 2010

Overall Rating
Rating Self Final
(Please tick the applicable rating)

Below Expectations N

Meets Expectations and requires Improvement in some critical areas E(-)

Meets Expectations in all areas E

Meets Expectations in all areas and Exceeds Expectations in some critical areas E(+)

Exceeds Expectations in all areas X

Comments by Appraiser (Please use extra pages if required)

Comments by Reviewer (Please use extra pages if required)

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Training Programs identified at the end of the appraisal: Appraiser & Reviewer

Serial Particulars of the Training Programs

No. Technical Training Soft-skill Training

Signature

Appraisee: _____________________

Appraiser: _____________________

Reviewer: _____________________

Date: ________________

FOR USE BY PEOPLE PRACTICES TEAM

Overall Assessment

Promotion Potential

Promotion/Re-designation

File No:

Date: Signature of Approving Authority

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