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DEPARTMENT OF LABOR AND EMPLOYMENT

Regional Office 5
GIP Accomplishment Report & Assessment of Performance

NAME OF INTERN: PERIOD COVERED:

MAJOR AREAS OF Supervisor’s Rating on the


ACCOMPLISHMENT SKILL/S DEVELOPED Supervisor’s Remarks
RESPONSIBILITY Work Output
(Relates to the major (Relates to the actual activities/jobs done for a specific period of time) (Cite the skill/s developed based on 1 Poor (Recommendations for further
activities/jobs that the GIP the accomplishment done) 2 Good improvement, positive remarks
performs) 3 Satisfactory on the performance, etc.)
4 Very Satisfactory
5 Excellent

Prepared by: Evaluated by: Noted by:

GIP Immediate Supervisor

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