SOUTHERN ELECTRONICS (BANGALORE) PVT.

LTD.,
16-A, Peenya Industrial Area, Phase-1, Peenya, Bangalore-560 058. Ph:080 39280329

Performance Evaluation Form

Name of Employee ____________________________________________________________
Emp No.
Date of Joining
Designation ____________________________________________________________
Department ____________________________________________________________
Principal Evaluator ____________________________________________________________

Personal Characteristics Self Evaluator Comments

Adherence to company practices
Work Planning

Ability to plan, prioritize and effectively manage

tasks assigned.
Communication

Express ideas and concerns clearly :

Proficient and confident in presentation :
Flexible and effective writing skills :
Risk Taking

Is willing to take personal risks to advance new

ideas; has to courage to commit resources based
on a blend of analysis and intuition.
Resourcefulness

Adapts to rapidly changing conditions; mediates

differences; demonstrates high level of initiative,
drive and persistence and involvement
Strategic thinking

Can deal with ideas at an abstract level; has

ability to conceptualize
Team Work

Co-ordination within a team; sensitive response;

develops rapport & trust; solicits interpersonal
feedback
Adherence to committed schedules
This indicates that the workers/staff has to
complete the work in the given time frame
Managerial Proficiency (Efficiency)
Understands complex operational issues quickly
and takes appropriate action; executes well
Improvements / Kaizen
Business philosophy of continuous
improvement of working practices, personal
efficiency, etc.
Integrity

Professional and personal integrity;

Confidentiality of sensitive information

Signature of Candidate Signature of Evaluator

Date : Date:

Drive Ratings
(1 - 10)
1 being the lowest
10 being the highest
SELF EVAL
Dedication
Responsibility
Initiative
Vision
Enthusiasm

Technical Skills

Relative rating among the group

Signature of Candidate Signature of HOD

Date : Date:

Recommended steps for improvements :

Skills / Characteristics Recommended Action

Appraisal History
Date of appraisal Last Designation Last Salary (in Rs.)
Recommended Designation : _____________________________________
Recommended Salary : _____________________________________
Next evaluation date : _____________________________________

Designation Granted : _____________________________________

Salary Granted (Rs.) : _____________________________________
From Date : _____________________________________

Note:
Official Remarks –

Increment = Can be given

= Can be kept pending

= Need not be given

= Can be discharged from service

Training Requirement:
Areas for which training in required :
Ratings:
1-2 – Excellent
3-5- Very Good
6-7 – Good
8-9 – Average
10 – Below Average

HOD Feedback
Signature of HOD
Date:

Feedback of Sr. Manager HR

Signature of Sr. Manager HR
Date :

Feedback of Director
Signature of Director
Date :