Performance Appraisal form

(for Officers/Doctors only)

To be filled by the Employee

Name Designation Department Date of joining Length of service Academic qualification Period of appraisal Rating Scale : Outstanding = 10, Good = 8, Average = 5, Below Average = 2

To be rated by the Supervisor

Sl # 1 . 2 . 3 . 4 . Criteria Job Knowledge: Possesses sufficient knowledge to perform all parts of the job effectively, efficiently and safely. Makes an active effort to stay up-to-date Skill/Technical knowledge: Adequate skill (IT knowledge, technology) in current job and learning attitude Compliance: Acknowledge the given assignment without unnecessary argument and pays effort to complete the given task on time Dependability: Compliance with instructions, ability to work efficiently with minimum supervision for completing the assigned job Rating 0 0 2 2 2 5 5 8 8 8 10 10

10

10

To be rated by the Management

5 . 6 . 7 . Tidiness: Dress and outside attributes should be neat and clean, maintain hygiene and cleanliness in relevant working area Punctuality and Attendance: Report timely and inform the authority in case of absence as soon as possible, fully ready to work at beginning of work schedule and continues until work day is done Discipline: Disciplined in routine and periodical jobs, pays due respect to the supervisors and colleagues 0 2 2 5 8 8 10

10

10

To be rated by the Support Colleague

8 . 9 . 1 0 . Communication: Employee's written and verbal communication skills in relation to their position Efficiency: Taking self initiative, ownership, work smartly and constantly seeks to improve Integrity: Maintains effective core values during both good and bad situations Total Developed by: Khan Sarfaraz Ali / COO, HOPE Foundation 0 0 2 2 2 0 5 5 5 8 8 8 10 10 10

Performance Appraisal form

(for Officers/Doctors only)

Evaluation metrics (by HR/Admin Dept.):

Sl 1 2 3 4 5 6 Terms: Score 91 - 100 81 - 90 71 - 80 61 - 70 51 - 60 40 - 50 Grade A+ A B+ B C D Promotion YES YES N/A N/A N/A N/A Increment 20% of basic 15% of basic 15% of basic 10% of basic 5% of basic N/A Training N/A N/A N/A Yes Yes N/A Transfer N/A N/A N/A N/A Yes Yes Termination N/A N/A N/A N/A N/A Yes

* Promotion and increment are proposed only for A+ and A graded employees * B+ and B graded employees are proposed for an increment * C graded employees are proposed for nominal increment, training and transfer * D graded employees are proposed for a possible transfer or separation from job

Supervisors comments (please specifically mention for salary raise and promotion, if any):

Peers comments (any one decided by management):

Subordinates comments (any one decided by management):

Patient/beneficiaries comments (any one):

HR/Administration comments:

Management decision:

Signature with date

Developed by: Khan Sarfaraz Ali / COO, HOPE Foundation