Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02
SCHOOLS DIVISION OF NUEVA VIZCAYA

INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM

Name of Employee:
Position: DISBURSING OFFICER Name of Rater
Review Period: Calendar Year 2015 Position
District: Date of Review

Wt per
MFO KRAs Objectives Timeline Performance Indicators
KRA
Improved Cash Collection (15) number of Official receipts and deposit slips
ARCA managed and accounted cash and check collections from LGU, 5%
registration fees and sales of BID documents for inclusion in
the daily (as
report of cash inflows
needed)
recorded and maintained cashbook for all types of cashbooks
collections
5%
report of disbursement and cashbooks
prepraed collections and deposit reports on a daily basis 5%
prepared, disbursed and released approved checks based report of disbursement and cashbooks
on prescribed forms to fulfill payment of obligations monthly 15%
reviewed and finalized advice of checks issued and advice of checks issued and cancelled
Cash/Check disbursement
cancelled (ACIC) for submission to authorized government (ACIC)- hard/softcopy
Payment and Remittances depository bank and Bureau of Treasury daily 15%
(45)
remitted mandatory contributions to BIR, PhilHealth, GSIS, 10th of the remittances paid to BIR, Philhealth, GSIS,
HDMF following month 15% HDMF
prepared liquidations of cash advances and replenished Liquidation report and cashbooks
petty cash fund
monthly 15%
Liquidation and Reporting negotiated bank transactiuons such as encashment of checks 3rd week of the pay slips/payroll bank statements and
(40%) for payroll, othe rbenefits and payables month 15% negotiated checks
perpared monthly reports of RCI, SLCIC, MRD, RD and copy of RCI, SLCIC, MRD, RD and RAAF
RAAF mothly 10%
 Wt per
MFO KRAs Objectives Timeline Performance Indicators
KRA
* To get the score, the rating is multiplied by the weight assigned.

Rater Ratee

Approving Autho
Actual Results
RATING SCORE
Q E T
 Actual Results
RATING SCORE
Q E T
Over-all Rating for
Accomplishments

rity