Republic of the Philippines

DEPARTMENT OF EDUCATION
Region VI- Western Visayas
DIVISION OF NEGROS OCCIDENTAL
HIMAMAYLAN NATIONAL HIGH SCHOOL
Vasquez St., Himamaylan City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee: HELEN JOY D. GRIJALDO Name of Rater: DONNA BELLE S. MIGUEL/MARILYN N. GALVEZ

Position: ADMINISTRATIVE OFFICER II Position: Assistant Principal II /Principal III

Review Period: 2nd Semester CY 2017 Date of Review:

Bureau/Center/Service/Division: Negros Occidental

TO BE FILLED DURING
TO BE FILLED IN DURING PLANNING EVALUATION

Performance Indicators
Actual Results Rating Score
MFOs/KRAs Objectives MOVs Timeline
Weight per (Quality, Efficiency, Timeliness)
KRA
Efficiency Effectiveness Time E E T
1. Prepared payroll Monthly and 10% 5-100% of the 5- presence of the 5 –on or before
A.ACCOUNTING and attained as needed submitted payrolls ff: indicators the 30th day of
FUNCTIONS 30% 100% releases of were approved and the month
salaries, 100% of the salaries, A. complete,
allowances and allowances and other accurate 4 - 1- 2 days
other benefits of benefits of all Senior without after the 30th
all Senior High High School compliance day of the month
School Employees Employees were
within the released. 3 - 3-4 days
prescribed period. after the 30th
B. monthly day of the month
4-90% of the payroll of
submitted payrolls salaries and 2 - 5 - 6 days
were approved and other benefits after the 30th
100% of the salaries, submitted/ap day of the month
allowances and other proved
benefits of all Senior
High School
Employees were
released.

3-80% of the
submitted payrolls
were approved and
100% of the salaries,
allowances and other
benefits of all Senior
High School C. w/documents
Employees were vis-à-vis
released. physical
manifestations
justifiably
assessed
2-70% of the
submitted payrolls
were approved and
100% of the salaries, D. absence of
allowances and other COA findings 1-10 days &
benefits of all Senior above after the
High School 30th day of the
Employees were 4- presence of 4 month
released. indicators

1 - Less than 70 % of 3-presence of

the submitted 3indicators
payrolls were
approved and
100% of the salaries, 2-presence of 2
allowances and other indicator
benefits of all Senior
High School
Employees were 1-presence of only
released. 1 indicator
2. Prepared Monthly 5% 5- 100 % of the 5- Records were: 5- Submitted on
summary of required reports a. complete or before the due
mandatory b. accurate date
contributions 4-90% of the required c. up to date
reports d. filed properly for 4- 1- 3 days
esy acces. after the due
3-80% of the -3 indicators date
required reports present
3-2 indicators 3- 4-6 days after
2-70% of the required present the due date
reports 2-1 indicators
present 2-7-9 days after
1-69% & below of the 1-No action the due date
required reports 5-
100% 1-10 days &
above after the
due date

3. Compute Income December 5% 5- 100 % compliance 5- presence of the 5- Submitted on

Tax Returns and 2017 and of the required ff: indicators or before the due
reflect on monthly December reports date
payrolls of 2018 A. complete,
Salaries and 4-90% compliance of accurate 4- 1- 3 days
Wages the required reports without after the due
compliance date
3-80% compliance of
the required reports B. Income tax 3- 4-6 days after
returns the due date
2-70% compliance of submitted
the required reports 2-7-9 days after
C. w/documents the due date
1-69% & below vis-à-vis
compliance of the physical 1-10 days &
required reports manifestations above after the
justifiably due date
assessed

D. absence of
COA findings

4- presence of 4
indicators

3-presence of
3indicators

2-presence of 2
indicator

1-presence of only
1 indicator
 4. Prepared journal Monthly and 10% 5- 100% of the 5- presence of the 5 –on or before
& disbursement as needed submitted journal & ff: indicators the 15th and
vouchers, disburse 30th day of the
obligation slips ment vouchers, A. complete, month
per claim of obligation slips were accurate
Senior High approved/acted upon without 4 - 1- 2 days
Schools compliance after the 15th
Employees. 4-90% of the and 30th day of
submitted journal & B. monthly the month
disburse journal &
ment vouchers, disbursement
obligation slips were vouchers, 3 - 3-4 days
approved/ acted upon obligation after the 15th
slips and 30th day of
3-80% of the submitted the month
submitted journal &
disburse C. w/documents
ment vouchers, vis-à-vis 2 - 5 - 6 days
obligation slips were physical after the 15th
approved / acted manifestations and 30th day of
upon justifiably the month
assessed
2-70% of the
submitted journal & D. absence of 1-10 days &
disburse COA findings above after the
ment vouchers, 15th and 30th
obligation slips were day of the month
approved/ acted upon 4- presence of 4
indicators
1- less than 70%
of the submitted 3-presence of
journal & disburse 3indicators
ment vouchers,
obligation slips were 2-presence of 2
approved/ acted upon indicator

1-presence of only
1 indicator

A. Human 1. Prepared Monthly and as 5% 5- 100% of the 5- presence of the 5 –on or before
Resource supporting documents needed travel claims filed ff: indicators end of the
Management and certify as to were approved quarter
completeness of each /acted upon A. complete,
and
travel claim of all SHS accurate 4 - 1- 2 days
Development employees 4- 90% of the without after end of the
15% travel claims filed compliance quarter
were
were approved B. quarter
/acted upon liquidation 3 - 3-4 days after
 report end of the
3- 80% of the submitted quarter
travel claims filed
were were C. w/documents
approved /acted vis-à-vis 2 - 5 - 6 days
upon physical after end of the
manifestation quarter
2- 70% of the s justifiably
travel claims filed assessed
were were 1-10 days &
approved /acted D. absence of above after end
upon COA findings of the quarter

1- less than 70% 4- presence of 4

of the travel indicators
claims filed were
were approved 3-presence of
/acted upon 3indicators
2-presence of 2
indicator

1-presence of only
1 indicator

2. Prepared Quarterly 5% 5-100% of the 5- presence of the 5 –on or before

liquidation of liquidation ff: indicators end of the
Senior High reports were quarter
School MOOE. submitted/appro A. complete,
ved/acted upon accurate 4 - 1- 2 days
without after end of the
4-90% of the compliance quarter
liquidation
reports were B. quarter
submitted/appro liquidation 3 - 3-4 days after
ved/acted upon report end of the
submitted quarter

3-80% of the C. w/documents

liquidation vis-à-vis 2 - 5 - 6 days
reports were physical after end of the
submitted/appro manifestation quarter
ved/acted upon s justifiably
assessed
1-10 days &
2-70% of the D. absence of above after end
liquidation COA findings of the quarter
reports were
submitted/appro 4- presence of 4
ved/acted upon indicators

3-presence of
1- Less 70% of 3indicators
the liquidation
reports were 2-presence of 2
submitted/appro indicator
 ved/acted upon
1-presence of only
1 indicator

1. Prepared flash As required 5% 5-100% of the 5- presence of the 5 –on or before

reports as per prepared flash ff: indicators end of the
required by the reports were quarter
division office. submitted A. complete,
accurate 4 - 1- 2 days
4-90% of the without after end of the
prepared flash compliance quarter
reports were
submitted B. quarter
liquidation 3 - 3-4 days after
3-80% of the report end of the
prepared flash submitted quarter
reports were
submitted C. w/documents
vis-à-vis 2 - 5 - 6 days
physical after end of the
2-70% of the manifestation quarter
prepared flash s justifiably
reports were assessed
submitted D. absence of 1-10 days &
COA findings above after end
1- Less 70% of 4- presence of 4 of the quarter
the prepared indicators
flash reports
were submitted 3-presence of
3indicators

2-presence of 2
indicator

1-presence of only
1 indicator

B. PROPERTY 1. Determines actual Monthly 5% 5 - 100% of the 5-problems , 5 –on or before

PROCUREMENT needs of inventory Senior High needs identified, end of the
15% requestor and report School facilities, acted, resolved, quarter
checks Inventory and and addressed
requisitions and Supplies of the accordingly 4 - 1- 2 days
prepares school were after end of the
purchase included in an 4 - presence of 4 quarter
requests based on updated and indicators
existing stocks accurate
and needs. inventory within 3-presence 3 3 - 3-4 days after
the quarter. indicators end of the
quarter
4 - 90% of the 2- presence of 2
 Senior High indicators
School facilities, 2 - 5 - 6 days
Inventory and 1- presence of 1 after end of the
Supplies of the indicator quarter
school were
included in an
updated and 1-10 days &
accurate above after end
inventory within of the quarter
the quarter.

3 - 80% of the
Senior High
School facilities,
Inventory and
Supplies of the
school were
included in an
updated and
accurate
inventory within
the quarter.

2 - 70% of the
Senior High
School facilities,
Inventory and
Supplies of the
school were
included in an
updated and
accurate
inventory within
the quarter.

Less than 70% of

the Senior High
School facilities,
Inventory and
Supplies the
school were
included in an
updated and
accurate
inventory within
the quarter.

2. Checks and As needed 5% 5 - 100% of

accounts donated/solicited
deliveries based equipment,
on contracts supplies and
,purchase orders materials has
or any corresponding
appropriate ICS/ARE
document
 procured or 4 - 80% of
donated and donated/solicited
stores them equipment,
accordingly supplies and
materials has
corresponding
ICS/ARE

3 - 60% of
donated/solicited
equipment,
supplies and
materials has
corresponding
ICS/ARE

2 - 40% of
donated/solicited
equipment,
supplies and
materials has
corresponding
ICS/ARE

1 - 20% of
donated/solicited
equipment,
supplies and
materials has
corresponding
ICS/ARE

3. Issues items to As needed 5% 5 - 100% of

end users using donated/solicited 5- presence of all 5- ICS / ARE
appropriate forms equipment, indicators accomplished
such as ICS, ARE, supplies and upon turn-over
IRP, RIS, etc. materials has A. Monitored w/ of equipment
corresponding M & E report /supplies
ICS/ARE/IRP/RI /materials
S, etc. B. Evaluated and
reported 4- ICS / ARE
4 - 80% of accomplished
donated/solicited C. Equipment upon turn-over
equipment, /Supplies and of equipment
supplies and Materials /supplies
materials has inspected by /materials
corresponding the PFC /PTA
ICS/ARE/
IRP/RIS, etc. 3- ICS / ARE
accomplished
3 - 60% of upon turn-over
donated/solicited of equipment
equipment, D. Published /supplies
supplies and report to /materials
materials has stakeholders 2-7-9 days after
 corresponding the due date
ICS/ARE/ 4- Presence of 3
IRP/RIS, etc. indicators 1-10 days &
above after the
2 - 40% of 3-Presence of 2 due date
donated/solicited indicators
equipment,
supplies and 2-Presence of 1
materials has indicators
corresponding
ICS/ARE/ 1.Non-
IRP/RIS, etc. compliance of the
given criteria
1 - 20% of
donated/solicited
equipment,
supplies and
materials has
corresponding
ICS/ARE/
IRP/RIS, etc.

C. SCHOOL AND 4. Maintained Copies of October – April, 5% 5- zero 5 – Excellent 5 – Submitted

COMMUNITY harmonious Evaluation 2018 complaint/ average rating the report 1
INVOLVEMENT relationships with Sheet done Conflict filed or from superiors week before the
10% superiors, by immediate reported with and co-teachers due date
students, local heads and superiors,
and co-teachers. colleagues parents, co- 4 – Very 4 – submitted
teachers, and Satisfactory the report 3 days
students average rating before the due
from superiors date
4- 1 complaint/ and co-teachers
Conflict filed or 3 – submitted
reported with 3 – Satisfactory the report on the
superiors, average rating due date
parents, co- from superiors
teachers, and and co-teachers 2 – submitted
students the report 2 – 3
2 – Fair average days after the
3- 2 complaints/ rating from due date
conflicts filed or superiors and co-
reported with teachers 1 – submitted
superiors, the report 4 days
parents, co- 1 – Poor average after the due
teachers, and rating from date
students superiors and co-
teachers
2- 3 complaints/
conflicts filed or
reported with
superiors,
 parents, co-
teachers, and
students

1- 4 or more
complaints/
Conflict
filed or reported
with superiors,
parents, co-
teachers, and
students
Gets involved in Certificate of October 2017 – 5% 5 – Participated 5 – Integrated at 5 – Arrived
school, community Participation April, 2018 at least 6 or more least 6 or more before the start
and civic-organization / activities in DepEd policies, of scheduled
activities Appreciation school, community and program/
community and civic organization activity
Pictorials civic organization activities as
activities within evident in the 4 - Arrived 15
the rating period daily minutes after
accomplishment the start of
4 – Participated scheduled
at least 5 4 – Integrated at program/
activities in least 5 DepEd activity
school, policies,
community and community and 3 - Arrived 30
civic organization civic organization minutes after
activities within activities evident the start of
the rating period in the daily scheduled
accomplishment program/
3 – Participated activity
at least 4
activities in 3 – Integrated at 2 - Arrived I
school, least 4 DepEd hour after the
community and policies, start of
civic organization community and scheduled
activities within civic organization program/
the rating period activities as activity
evident in the
2 – Participated daily 1 – Arrived 2 or
at least 3 accomplishment more hours after
activities in the start of
school, scheduled
community and program/
civic organization 2 – Integrated at activity
activities within least 3 DepEd
the rating period policies,
community and
1 – Participated civic organization
at least 2 activities as
activities in evident in the
school, daily
community and accomplishment
civic organization
 activities within
the rating period 1 – Integrated at
least 2 DepEd
policies,
community and
civic organization
activities as
evident in the
daily
accomplishment

D. PROPER 1. Observed proper Checklist October 2017 – 5% 5- role model 5 - Observes Observed proper
DECORUM 10% decorum accomplished March 2018 4-consistently proper decorum decorum.
by the rate, demonstrates and wears
colleague and 3-most of the prescribed
head) time uniform and
computed by 2-sometimes appropriate attire
averaging. demonstrates at all times.
1-rarely
demonstrate 4 – With critical
incident report on
the proper
decorum but
wears prescribed
uniform and
appropriate attire
at all times.

3 - With critical
incident report on
the proper
decorum but
wears
inappropriate
attire at all times.

2 – With critical
incident report on
proper decorum
and wears
inappropriate
attire.

1 – Doesn’t
observe proper
decorum and
wears
inappropriate
attire most of the
time.
2. Attend professional 5% 5 – Participated 5 – Arrived
meetings, in-service at least 5 or more before the start
trainings and related professional of scheduled
activities for self- meetings, in- program/
growth and service trainings activity
advancement. and related
activities for self- 4 - Arrived 15
growth and minutes after
advancement the start of
within the rating scheduled
period program/
activity
4 – Participated
at least 4 or 3 - Arrived 30
more professional minutes after
meetings, in- the start of
service trainings scheduled
and related program/
activities for self- activity
growth and
advancement 2 - Arrived I
within the rating hour after the
period start of
scheduled
3 – Participated program/
at least 3 or activity
more professional
meetings, in- 1 – Arrived 2 or
service trainings more hours after
and related the start of
activities for self- scheduled
growth and program/
advancement activity
within the rating
period
2 – Participated
at least 2 or more
professional
meetings, in-
service trainings
and related
activities for self-
growth and
advancement
within the rating
period

1 – Participated
at least 1 or
more professional
meetings, in-
service trainings
and related

activities for self-

 growth and
advancement
within the rating
period

E. PUNCTUALITY 5 not more than 5- not more than

AND Come to school and Logbook Daily 10% 3 times tardy 4 times absent 5 – Form 6 and
ATTENDANCE attended required or under except for other
10% meetings, Attendance time within absences applied pertinent
conferences, Sheet the rating in accordance papers
trainings, school period with regulations submitted on
activities. Daily Time time
Record 4- not more than 4- not more than
4 to 6 times 5 to8 absences 4 - Form 6 and
tardy or except for other
under time absences pertinent
within the applied in papers
rating period accordance submitted 3
tardy or with days after
under time regulations
3 - Form 6 and
3- not more than 3- not more than other
7 to 10 times 9 to 12 pertinent
tardy or absences papers
under time except for submitted 5
within the absences days after
rating period applied in
accordance 2 - Form 6 and
2- not more than with other
11 to 15 regulations pertinent
times tardy papers
or under 2- not more than submitted 7
time within 13 to 16 days after
the rating absencesexcep
period t for absences
applied in 1 - Form 6 and
1-16 or more accordance other pertinent
times tardy with papers
or under regulations submitted 9
time within 1-more than 17 days after
the rating times absent
period except for
absences
applied in
accordance
with
regulations
 F. Other Provide /Response Other As required 5% 5 5- presence of all Timeliness not
Functions administrative and assignment -produced/contri indicators, required
10% clerical supports to buted at least adopted,
superiors and all shs 90% outputs utilized, wide
personnel. usage, &
4-80-89% produced good
3-70-79% result
2-60-69%
1-below 60% 4-3 indicators
present
3-2 indicators
present
2-1 indicator
present
1. No Action
5 done.
Provided ICT technical Other As required 5% -produced/contri Timeliness not
assistance to assignment buted at least 5- presence of all required
superiors, teachers, 90% outputs indicators,
and colleagues. adopted,
4-80-89% utilized, wide
3-70-79% usage, &
2-60-69% produced good
1-below 60% result

4-3 indicators
present
3-2 indicators
present
2-1 indicator
present
1-No Action done.

OVERALL RATING FOR

*To get the score, the rating is multiplied by the weight assigned.
ACCOMPLISHMENTS

Ratee: Rater: Recommending Approval: Approved by:

HELEN JOY D. GRIJALDO DONNA BELLE S. MIGUEL MARILYN N. GALVEZ PETER J. GALIMBA GLADYS AMYLAINE D. SALES, CESE
Administrative Officer II Assistant Principal II Principal III OIC - ASDS OIC-SDS
Operations and Learner Support In-Charge of South Negros Division of Negros Occidental