Individual Performance Commitment and Review Form (Ipcr)

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INDIVIDUAL PERFORMANCE COMMITMENT

I, MELODY D. MANGAOIL of the City Health Office commit to deliver and agree to be rated on the fol
December 30, 2014.
Reviewed by:

Date

Immediate Supervisor

Output

Success Indicator (Target +


Measure)

Core Function:

Comments and Recommendations for Development Purposes

Discussed with

Employee

Date

Assessed by:
I certify that I discussed my assessment of perform
employee:

Supervisor

DIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCR)

mit to deliver and agree to be rated on the following targets in accordance with the indicated measures for the p

Approved by:
GENARO N. MANALO,M.D.
City Health Officer
Rating

Actual Accomplishment
Q

urposes

Date

Final Rating by:

y that I discussed my assessment of performance with the


employee:

Supervisor

Department Head

es for the period July 1, 2014 to

Date

Remarks

Date

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