EMPLOYEE APPRAISAL FORM

Employee Name: Designation:

Department: Supervisor:

Appraisal Period: Tenure:

Enlist the Objectives/KPIs of 2024 for the Appraisee;

2024 Objectives/KPIs Actually Achieved

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A) Total Attributes (skill based) for this section are (06) and Maximum score is 30

5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Job Knowledge Extent to which the incumbent is familiar with policies, procedures & responsibilities applicable
to that position.
Specific Reasons with Examples
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Productivity Ability to organize, prioritize work, ability to work independently, utilize time well and meet
deadlines
Specific Reasons with Examples:
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Work Habits Business attire, Grooming & Punctuality.

Specific Reasons with Examples
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5 4 3 2 1

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 Outstanding Very Good Good Needs Improvement Inadequate

Responsibility/Initiative Acceptance & fulfillment of work assignments, leadership, proactive & quick decision
making
Specific Reasons with Examples
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Interpersonal Skills Ability to establish & maintain effective relationship with whom interaction is taken place
during job
Specific Reasons with Examples
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Managerial Skill Ability to get effective results from others.

Specific Reasons with Examples
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Total score from section A (out of 30) =

B) This Core Value section will carry maximum of 30 points
5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Integrity / Ethics
Specific Reasons with Examples
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Customer Centric
Specific Reasons with Examples:
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Innovative
Specific Reasons with Examples
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

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 Quality
Specific Reasons with Examples
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Team Work
Specific Reasons with Examples
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5 4 3 2 1
Outstanding Very Good Good Needs Improvement Inadequate

Social Responsibility
Specific Reasons with Examples
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Total score from section B (out of 30) =

OVERALL RATING = Sec A (Skill Based) + Sec B (Core Values) =

OVERALL RATING KEY

Outstanding = 54-60 Very Good = 45-53 Good = 29-44 Needs Improvement = 19-28 Inadequate = 12-18

SUMMARY OF OVERALL RATING/ANNUAL ACHIEVEMENTS

Only complete this section once you have reviewed the employee’s achievements (tick any one).
Outstanding (Brief Comments)
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Very Good

Good ______________________________________________________________________________________

Needs Improvement ______________________________________________________________________________________

Inadequate ______________________________________________________________________________________

(3) Comments by Immediate Supervisor. Please include (a) rationale for your overall evaluation, (b) key
strengths of the employee, (c) ways in which the employee needs to improve, (d) what the employee has
accomplished during this review period to prepare for greater effectiveness in the present position and/or
prepare for more responsibility.

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 Name: ____________________________________________ Signature: _____________________________________________

Title: _________________________________________ Date: __________________________________________

(4) Comments by CEO, Department Head or Manager. Please comment on the employee performance
from your perspective and your suggestions to improve his/her performance with training needs, if any).

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Name: ____________________________________________ Signature: ___________________________________________

Title: _________________________________________ Date: __________________________________________

(5) Comments by Appraised Employee. My performance has been discussed with me as described in this
appraisal. (Please feel free to add any comments you have concerning your performance, your
development or your review).

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Name: ____________________________________________ Signature: __________________________________________

Title: _________________________________________ Date: __________________________________________

Enlist the Objectives/KPIs of year 2025 for the Appraisee;

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(6) Employee Future Growth Prospective (as assessed by his/her supervisors)

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Name: ________________________________________ Signature: ______________________________________

Title: _________________________________________ Date: __________________________________________

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