Annual Appraisal Form FY 2010 - 11 Please note that during Financial Year 2011-2012 20% of the total marks

s are allotted to the Organizational Values and therefore it is essential to write an example on each Value as how you have demonstrated the value while achieving your set goals.
[APPRAISAL PERIOD: 1/4/2010 TO 31/3/2011]

Name of the Employee: Designation: Department: HOD Name:

__________________________ __________________________ __________________________ __________________________

Immediate Superior / Reviewer Name: __________________________ Desg. of Imm. Superior / Reviewer: People reporting to Employee (if any) Sr.No. 1 2 3 4 5 6 7 8 9 10 Name Designation __________________________

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Annual Appraisal Form FY 2010 - 11

Special Tasks/assignments / Key Tasks, under taken (Developmental in contribution) (If any) [Attach sheet if necessary]

1) 2) 3) 4) 5)

A) Factors in your opinions which were conducive /helpful for your performance (To be written by Employee)

1) 2) 3) 4) 5)

B) Factors in your opinions which were constraints for your performance. (To be written by Employee)

1) 2) 3) 4) 5)
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Annual Appraisal Form FY 2010 - 11 C) Any areas you suggest which you can handle as additional responsibility considering your strength. (To be written by Employee) 1) 2) 3) 4) 5)
D) Any Training undergone during the year

(To be written by Employee)

Name of Trainer: ___________________________________________________ Subjects covered: __________________________________________________ __________________________________________________ __________________________________________________ Duration of Training: _______________ (Days / Hours)

E) Trainings Required (In case you are been given a budget of Rs. 10,000 / - per annum for your development on Personal and Professional level how would you will you plan the expenses) (To be written by Employee)

F) General Remarks by Employee:

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Annual Appraisal Form FY 2010 - 11

G) Remarks by Immediate supervisors: 1. Remarks by Category of efforts / results: a. Write the things which an Employee has done well

b. Write the things which an Employee has tried to do well

c. Write the things which an employee has not tried hard enough

d. Write the things which an employee has failed to do / has done badly

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Annual Appraisal Form FY 2010 - 11

2. Remarks by Work Profile ( for coming 6 months ): a. Write the things which an employee must Concentrate more

b. Write the things which an employee should improve upon

c. Write the things which an employee should learn

Signature by Immediate Supervisor:

H) General Remarks of HOD

Signature by Employee:
Employee: I have read this evaluation and it has been explained to me. My signature below does not necessarily indicate agreement with the evaluation, and I have had the opportunity to express my opinion and to discuss my performance with my Supervisor.

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Annual Appraisal Form FY 2010 - 11

I Performance Review and Ratings: Rating Scale: Excellent = Does the job with creative thinking and improves Organizational efficiency Good - Does the job as per set system without supervision Average - Does the job as per set system but requires guidance and supervision Poor - Does keep most of the job incomplete, or does not meet quality standards

Behavioral Assessment of Employee:

Sr. No. Deliverable / Activity
Dependability: amount of supervision required for employee to get job done Attendance / Punctuality: complies with company standards in absence; shows up on time. Cooperation: willingness to accept supervision, ability to get along with co-workers; team player. Adaptability: ability to learn quickly; ability and willingness to adjust to changes in job assignments, personnel, or surroundings. Quantity of Work: ability to meet or exceed expected goals; use of time and willingness to "keep at it." Quality of work: ability to meet expected standards; "getting it right the first time," avoiding errors. Company Property: ability to use and care for company property. Appearance: as relates to job.

Rating by Immediate Superior / Reviewer (If Any)

Rating By HOD

1 2 3 4 5 6

7 8

c. Overall Rating based as per On the Job Commitment, dependability and responsiveness (To be done by HOD only): _____________________________________ Signature by HOD:

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