Part II - Behavioral Dimension (30%)

A. Courtesy 10
B. Human Relations 10
C. Punctuality and Attendance 10
D. Initiative 10
E. Leadership (for Supervisors only)
F. Stress Tolerance (for Supervisors only)
Total: 40
Average Point Score 3
OVERALL POINT SCORE (Part I & II) 8.37
EQUIVALENT NUMERICAL RATING 8
EQUIVALENT ADJECTIVAL RATING VS
EMPLOYEE'S COMMENTS/REMARKS
DISCUSSED RATING WITH:
Date
RATER'S COMMENT/REMARKS
Date
Date
LILIA M. LACAMBRA January 17, 2014
Signature of Rater"s
Supervisor
MERELITA P. VALDEPEAS January 17, 2014
Signature of Ratee
JOSEFA F. CUE January 17, 2014
Signature of Rater
Employee: MERELITA P. VALDEPEAS Office:
Position: ADMINISTRATIVE AIDE II Division:
Part I Performance (70%)
ACTUAL ACTUAL ACTUAL
1. Prepared and maintained Record of General Collection, 6 records accurate 6 10 6
RPT collection and Trust Collections.
2. Reconciled record of receipts VS Trial Balance
for all funds.
*Trial Balance 6 records 6 records accurate accurate 15 days after immediately 6 10 10
*Cashbook 6 records accurate accurate every 2nd week 1st week of the 6 10 8
of the month month
3. Prepared & submitted
* PTW 2013
* PERF (July-December 2013) 1 no revision 6 10 6

* Report of Collection 6 reports accurate accurate every 10th of June-July 8/13 6 10 6
the month July-Aug 6/13
Aug-Sept 9/13
Sept - Oct 8/13
Oct- Nov 11/13
Nov-Dec 10/13
* Statement of Receipt Sources 6 reports accurate accurate every 10th of June-July 8/13 6 10 6
the month July-Aug 6/13
Aug-Sept 9/13
Sept - Oct 8/13
Oct- Nov 11/13
Nov-Dec 10/13
I agree to achieve these targets for the rating I agree to assist the employee achieve Totals 36 60 42
period from July to December 2013 his/her targets for the said rating period.
Grand Total
MERELITA VALDEPEAS Ave. Pt. Score
138
Jan 17, 2014 JOSEFA F. CUE Jan 17, 2014 7.67
17-Jan-14
6 reports
6 reports
1 no revision 25-Jan-14
Trial balance
6 records
receipt of
6 records accurate upon receipt of upon receipt of
RCD RCD
QT
PLANNED PLANNED PLANNED
FINANCIAL MNGT. & FIELD DIV.
DUTIES AND RESPONSIBILITIES
PERFORMANCE TARGET
REMARKS
RATING
QUANTITY QUALITY TIME
QN QL
Republic of the Philippines
Province of Cagayan
Tuguegarao City
PERFORMANCE EVALUATION REPORT FORM
July 1 to December 31, 2013
PROV'L TREASURERS OFFICE
Signature of Ratee Equiv. Pt. Score Date Signature of Rater Date 5.37
Employee: MERELITA P. VALDEPEAS Office:
Position: ADMINISTRATIVE AIDE II Division:
Part I Performance (70%)
ACTUAL ACTUAL ACTUAL
1. Prepared and maintained Record of General Collection, 18 records accurate 10 10 6
RPT collection and Trust Collections.
2. Reconciled record of receipts VS Trial Balance
for all funds.
*Trial Balance 6 records 36 records accurate accurate 15 days after immediately 10 10 6
*Cashbook 36 records accurate accurate every 2nd week 1st week of the
of the month month
3. Prepared & submitted
* PTW 2013 1 no revision Jan 2, 2013
* PERF (January-June 2013) 1 no revision 6 10 6

* Report of Collection 6 reports accurate accurate every 9th of Feb 6, March 6,April10
the month May 9, June 10 and
July 8, 2013
* Statement of Receipt Sources 6 reports accurate accurate every 9th of Feb 6, March 6,April10
the month May 9, June 10 and
July 8, 2013
I agree to achieve these targets for the rating I agree to assist the employee achieve Totals 26 30 18
period from January to June 2013 his/her targets for the said rating period.
Grand Total
MERELITA VALDEPEAS Ave. Pt. Score
Signature of Ratee Equiv. Pt. Score
3 records accurate
Date Signature of Rater Date
6 reports
74
July 10, 2013 JOSEFA F. CUE July 10, 2013 8.22
5.76
6 reports
25-Jul-13 1 no revision
1
QUALITY TIME
QN QL
Republic of the Philippines
Province of Cagayan
Tuguegarao City
PERFORMANCE EVALUATION REPORT FORM
January 1 to June 30, 2013
PROV'L TREASURERS OFFICE
QT
PLANNED PLANNED PLANNED
FINANCIAL MNGT. & FIELD DIV.
DUTIES AND RESPONSIBILITIES
PERFORMANCE TARGET
REMARKS
RATING
QUANTITY
upon receipt of
RCD
upon receipt of
RCD
6 records
Trial balance
no revision 7-Jan-13
July 10, 2013
receipt of
Part II - Behavioral Dimension (30%)
A. Courtesy 8
B. Human Relations 8
C. Punctuality and Attendance 6
D. Initiative 8
E. Leadership (for Supervisors only)
F. Stress Tolerance (for Supervisors only)
Total: 30
Average Point Score 7.5
OVERALL POINT SCORE (Part I & II) 8.01
EQUIVALENT NUMERICAL RATING 8
EQUIVALENT ADJECTIVAL RATING VS
EMPLOYEE'S COMMENTS/REMARKS
DISCUSSED RATING WITH:
Date
RATER'S COMMENT/REMARKS
Date
Date
July 10, 2013
LILIA M. LACAMBRA
Signature of Rater"s
Supervisor
MERELITA P. VALDEPEAS
Signature of Ratee
JOSEFA F. CUE
Signature of Rater
July 10, 2013
July 10, 2013