Annex B Ipcr Form (New)

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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE
Annex B

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM

Employee Name: Performance Period:


Tax Identification Number: Office:
Position:

I commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the aforesaid period.

(Signature over printed name) Date: MM/DD/YYYY


Ratee
Reviewed by: Date: Approved by: Date:

MM/DD/YYYY MM/DD/YYYY
(Signature over printed name) (Signature over printed name)
Immediate Supervisor Head of Office

5 - Outstanding 4 - Very Satisfactory


3 - Satisfactory 2 - Unsatisfactory 1 - Poor
Legend: Q - Quality E - Efficiency T - Timeliness

SUCCESS INDICATOR ACTUAL DIMENSIONS & DESCRIPTION OF THE RATING SCALE AVERAGE
MAJOR FINAL OUTPUT RATING REMARKS
Targets + Measures ACCOMPLISHMENT MEASURES RATING
5 4 3 2 1
Strategic Priority
(Q)
(...)
MFO 1 (E ) #DIV/0!
(...)
(T)
(...)
Core Function
(Q)
(...)
MFO 1 (E ) #DIV/0!
(...)
(T)
(...)
Support Function
(Q)
(...)
MFO 1 #DIV/0!
MFO 1 (E ) #DIV/0!
(...)
(T)
(...)

Final Average Rating: #DIV/0! Adjectival Rating

Comments and Recommendation for Development Purposes:

Discussed with: Assessed by: Final Rating by:


I certify that I discussed my assessment of the
performance with the employee

(Signature over printed name) (Signature over printed name) (Signature over printed name)
Employee Supervisor Head of Office
Date: MM/DD/YYYY Date: MM/DD/YYYY Date: MM/DD/YYYY

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