APPRAISAL FORM - XCG Pvt. Ltd.

Name :Mr. / Ms.

Designation:_______________________ Appraiser:
Department:_______________________ Appraisal Date:
Period covered for this Appraisal From: To:

Unsatisfactory Poor Marginal Satisfactory Highly Satisfactory

0 1 2 3 4

*Note: Ratings can be given according to the above mentioned assessment scale and N/A can be
mentioned wherever it is required.

Sr. No. Rating Factors Ratings Rating % Comments

A. Approach to work:
1 Follows instruction 0 0%
2 Proactive approach 0 0%
3 Planning & Organizing 0 0%
4 Accepts constructive criticism 0 0%
5 Flexible & adaptable 0 0%
Total 0 0%
B. Technical skills:
6 Job Knowledge 0 0%
7 Application of skills 0 0%
8 Analyzing the problem 0 0%
9 Follows proper procedures 0 0%
10 Follows Standards 0 0%
0 0%
C. Quality of work :
11 Accuracy 0 0%
12 Presentation 0 0%
13 Reliability 0 0%
14 Errorless work 0 0%
15 Follow-through and Follow-up 0 0%
0 0%
D. Handling targets and dead lines:
16 Completion of work on-time 0 0%
17 Ability to work under pressure 0 0%
18 Priority setting 0 0%
0 0%
E. Interpersonal Skills:
19 Relationship with colleagues 0 0%
20 Co-operation 0 0%
21 Co-ordination 0 0%
22 Team work 0 0%
23 Problem-solving 0 0%
24 Decision making 0 0%
0 0%

Sr. No. Rating Factors Ratings Rating % Comments

 F. Communication Skills :
25 Oral & Written expression 0 0%
26 Speaking in English 0 0%
27 Shares information / knowledge willingly 0 0%
28 Reporting 0 0%
0 0%
G. Willingness to learn and develop skills:
29 Seeks training and development 0 0%
30 Open to ideas 0 0%
0 0%
H. Personality:
31 Enthusiastic, Fair and mature 0 0%
32 Trustworthy 0 0%
33 Volunteer in Internal Activity 0 0%
0 0%
I. Code of conduct:
34 Work place etiquette 0 0%
35 Attendance 0 0%
36 Punctuality 0 0%
37 Email & mobile phone etiquette 0 0%
38 Dress Code 0 0%
0 0%
J. Leadership Skills:
39 Team Building 0 0%
40 Business knowledge 0 0%
41 New Strategy and Direction 0 0%
42 Client interaction & Co-ordination 0 0%
Total: 0 0%
Total points received 0 0%
Percentage:

OVERALL ASSESSMENT

Category- 1 0% ~ 34% NOT ACCEPTABLE Shall be given 1 month notice of termin

IMPROVEMENT NEEDED Shall be under observation for 1

month. After which he / she may fall in next Category base
Category- 2 35% ~ 49% their performance.
MARGINAL Shall be given nominal 5% increment and shou
Category- 3 50% ~ 75% under the observation of HOD always.
ACHIEVES EXPECTATIONS Shall be recommended for reg
Category- 4 76% ~ 90% 10% increment
EXCEEDS EXPECTATIONS Shall be promoted and given 20
Category- 5 91% ~ 96% increment.
OUTSTANDING Additionally with promotion and 30% incre
Category- 6 96% ~ 100% also incentives can be provided.

Comments and suggestins by the Appraiser:

Action plans for development:

Appraiser's Name:

Designation : Signature:
Date:

Reccomendations:

Dept Heads Comments :

Signature:
Date:

Approved by CEO:

Date:
 Exceptional
5

ments
25 20 15 10 5 0

25 20 15 10 5 0

25 20 15 10 5 0

15 12 9 6 3 0

30 24 18 12 6 0

ments
 20 16 12 8 4 0

10 8 6 4 2 0

15 12 9 6 3 0

25 20 15 10 5 0

20 16 12 8 4 0

210 168 126 84 42 0

of termination. 71 Points

tion for 1 more

gory based on
103 Points
and should be
158 points
ed for regular
189 points
d given 20%
202 Points
30% increment
210 points
SALES TARGET V/S ACHIEVED
(Fig. in Rs.)
Quarter - I Quarter - II Quarter - III Quarter - IV
Month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Total

Targeted

Achieved

Other Achievement :

Note: Please attach a separate sheet if necessary.