OFFICE PERFORMANCE COMMITMENT AND REVIEW (OPCR) FORM 1: FM-QP-AS-HRMD-04-01

DILG-AS-HRMD VN:1012015 Rev. No. Eff. Date Page No. PLEASE COPY THIS
0 10.01.15 Page1 of ___ PORTION

I, (Name) ______________, ___________(Position)_________________ of (Region/Bureau/Service) commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period________________________.

Signature of Head of Office/Ratee

Date:

APPROVED BY: (NAME) POSITION: DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL SUCCESS INDICATORS ALLOTTED DIVISION/INDIVIDUAL ACTUAL RATING (6) REMARKS
OUTPUT (Targets + Measures) BUDGET ACCOUNTABLE ACCOMPLISHMENTS/ Q1 E2 T3 Ave4 (7)
(1) (2) (3) (4) EXPENSES (5)

Strategic Priorities

Core Function MFO

1:
MFO 2:

Support Function

TOTAL RATING
FINAL AVERAGE RATING
ADJECTIVAL RATING:
Assessed by PMT Secretariat Reviewed by PMT Chairman Final Rating by:
Start of rating period End of rating period Start of rating period End of rating period

Position: Position: Position:

Date: Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 DIVISION PERFORMANCE COMMITMENT AND REVIEW (DPCR) FORM 2: FM-QP-AS-HRMD-04-02
DILG-AS-HRMD VN:1012016 Rev. No. Eff. Date Page No.
0 10.01.15 Page1 of _____

I, ROMIE M. POTOT, LGOO VI of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017.

Signature of Division Chief/Ratee

Date:

APPROVED BY: POSITION: DATE: SIGNATURE:

ATTY. ANTHONY C. NUYDA, CESO III REGIONAL DIRECTOR

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
RATING (6) REMARKS
ALLOTTED ACTUAL (7)
MAJOR FINAL OUTPUT SUCCESS INDICATORS BUDGET DIVISION/INDIVIDUAL Q1 E2 T3 Ave4
ACCOMPLISHMENTS /
(1) (Targets + Measures) ACCOUNTABLE EXPENSES
(2) (4) (5)
(3)

ACCOUNTABLE,
TRANSPARENT,
PARTICIPATIVE, AND
EFFECTIVE LOCAL
GOVERNANCE

Performance Challenge Fund (PCF)

LGOO III Sean Botavara
2 PCF 2013 subproject completed by end of March 2017 Engr III Shella Mie Tubang Caluya, Tapaz
Engr III Carleen Tibi

LGOO III Sean Botavara

2 PCF 2014 subproject completed by end of March 2017 Engr III Shella Mie Tubang Capiz Province, Iloilo Province
Engr III Carleen Tibi

LGOO III Sean Botavara Aklan Province, Banga, Ibajay, Malay

6 PCF 2015 subproject ongoing by end of March 2017 Engr III Shella Mie Tubang Concepcion
Engr III Carleen Tibi Dao

Outcome LGOO III Sean Botavara

Panit-an
3 PCF 2015 subproject completed by end of June 2017 Engr III Shella Mie Tubang
Lemery, New Lucena
Engr III Carleen Tibi

Aklan Province, Banga, Batan, Buruanga, Ibajay, Kalibo, Malay,

Tangalan
LGOO III Sean Botavara Bugasong, Culasi, San Jose de Buenavista, Sibalom
24 PCF 2016 subproject ongoing by end of June 2017 Engr III Shella Mie Tubang Capiz Province, Roxas City, Dumarao, Mambusao
Engr III Carleen Tibi Iloilo Province, Bingawan, Dingle, Mina, New Lucena, Oton,
Zarraga
Iloilo City

Engr III Shella Mie Tubang

9 PCF subprojects monitored by end of June 2017 Engr III Carleen Tibi
 16 PCF 2016 subproject proposals approved with no error by the Engr III Shella Mie Tubang
end of June 2017 Engr III Carleen Tibi

35 PCF subproject monitoring/final inspection report submitted Engr III Shella Mie Tubang
with 2 minor revisions by the end of June 2017 Engr III Carleen Tibi

Output
2 PCF subproject physical completion documents reviewed and Engr III Shella Mie Tubang
approved with 2 minor errors by the end of June 2017 Engr III Carleen Tibi

2 PCF subproject financial completion documents reviewed and FA II Maricar Calaliman

approved with 2 minor errors by the end of June 2017

2 PCF completed subproject documented (success stories) with LGOO II Aizel Padilla / LGOO Maria Jenica
2 minor revisions by end of June 2017 Villabeto

LGOO III Sean Botavara

12 LGUs provided with TA within 5 days after receipt/query with Engr III Shella Mie Tubang
2 negative feedbacks by end of June 2017 Engr III Carleen Tibi
FA Maricar Calaliman
Support Function
2 Hands-on training / TA on utilization of PCF website with 2 ISA I Franklin Terunez
ISA I Benjamin Ko
negative feedbacks by end of June 2017
2 Bimonthly status report submitted with 2 minor errors on the ISA I Franklin Terunez
ISA I Benjamin Ko
15th and 30th day of the month
10 Subprojects updated per month with 2 minor errors in PCF ISA I Franklin Terunez
website update ISA I Benjamin Ko

Socially-Protective and
Safe LGUs

PAMANA Pillar 3
LGOO III Sean Botavara
1 PAMANA 2014 subproject completed by end of June 2017 Engr III Joebert Pillora
Tapaz

LGOO III Sean Botavara

Outcome 1 PAMANA 2015 subproject ongoing by end of March 2017 Engr III Joebert Pillora
Aklan Province

LGOO III Sean Botavara

2 PAMANA 2016 subproject ongoing by end of June 2017 Engr III Joebert Pillora
Maasin (2)

Output 1 PAMANA subproject monitoring report with 2 minor revisions Engr III Joebert Pillora
by end of June 2017
2 Bimonthly status report submitted with 2 minor errors within ISA I Franklin Terunez
ISA I Benjamin Ko
the on 15th and 30th day of the month

1 PAMANA completed subproject documented with 2 minor LGOO II Aizel Padilla / LGOO II Marlon Ladia
Support Function
revisions by end of June 2017
1 LGUs provided with TA within 5 days after receipt/query with LGOO VI Romie Potot
LGOO III Sean Botavara Maasin
2 negative feedbacks by end of June 2017 Engr III Joebert Pillora

BUB Water
 LGOO III Sean Botavara
Engr III Ruel Dolar
1 BuB Water 2013 subproject completed by end of March 2017 Engr III Jude Nagtalon Madalag
Engr III Raffie Aquito

LGOO III Sean Botavara Libertad, Valderrama

Engr III Ruel Dolar
5 BuB Water 2014 subproject ongoing by end of March 2017 Engr III Jude Nagtalon Cuartero (2)
Engr III Raffie Aquito Ajuy

Banga, Lezo, Malinao

Barbaza (2), Bugasong, Caluya (2)
LGOO III Sean Botavara Cuartero, Dumarao, Pres. Roxas, Maayon,
Engr III Ruel Dolar
23 BuB Water 2014 subproject completed by end of March 2017 Engr III Jude Nagtalon Mambusao
Engr III Raffie Aquito Nueva Valencia, San Lorenzo, Sibunag
Alimodian, Anilao, Batad, Janiuay, Maasin, Sara,
Tigbauan

LGOO III Sean Botavara San Enrique

Engr III Ruel Dolar Libertad, Valderrama
5 BuB Water 2014 subproject completed by end of June 2017 Engr III Jude Nagtalon Cuartero
Engr III Raffie Aquito
Ajuy

Outcome LGOO III Sean Botavara Buruanga

Engr III Ruel Dolar
7 BuB Water 2015 subproject ongoing by end of March 2017 Engr III Jude Nagtalon Bugasong, Tibiao (3)
Engr III Raffie Aquito Anilao, Janiuay

Buruanga, Ibajay (2), Nabas, Numancia

LGOO III Sean Botavara Anini-y, Barbaza (2), Belison, Bugasong, Tibiao
Engr III Ruel Dolar (3), Tobias Fornier
26 BuB Water 2015 subproject completed by end of March 2017 Engr III Jude Nagtalon Cuartero, Dao, Dumalag, Dumarao, Mambusao
Engr III Raffie Aquito
Buenavista (2)
Anilao, Janiuay, Leon, Mina, San Enrique

LGOO III Sean Botavara Jamindan (2), Panay

Engr III Ruel Dolar San Lorenzo
11 BuB Water 2015 subproject completed by end of June 2017 Engr III Jude Nagtalon Ajuy, Barotac Viejo, Batad, Lemery (3), New
Engr III Raffie Aquito
Lucena

Nabas
LGOO III Sean Botavara Anini-y, Caluya, Culasi, Pandan, Sibalom
Engr III Ruel Dolar Dumalag, Pres. Roxas, Sigma
14 BuB Water 2016 subproject ongoing by end of June 2017 Engr III Jude Nagtalon Jordan, Nueva Valencia
Engr III Raffie Aquito
Dumangas, Mina
Iloilo City

27 BuB Water subproject monitoring/final inpsection report Engr III Ruel Dolar
Engr III Jude Nagtalon
submitted with 2 minor revisions by the end of March 2017 Engr III Raffie Aquito

7 BuB water Project Proposals reviewed with 2 minor errors by Engr III Ruel Dolar
end of June 2017 Engr III Jude Nagtalon
` Engr III Raffie Aquito
Output
10 BuB LAR subproject physical completion documents Engr III Ruel Dolar
reviewed and approved with 2 minor errors by the end of June Engr III Jude Nagtalon
2017 Engr III Raffie Aquito
 Output

10 BuB Others subproject financial completion documents

reviewed and approved with 2 minor errors by the end of June FA II Maricar Calaliman
2017

LGOO III Sean Botavara

10 LGUs provided with TA within 5 days after receipt/query with Engr III Ruel Dolar
2 negative feedbacks by end of June 2017 Engr III Jude Nagtalon
Engr III Raffie Aquito

2 Bimonthly status report submitted with 2 minor errors within ISA I Franklin Terunez
ISA I Benjamin Ko
the on 15th and 30th day of the month
Support Function
1 BuB Water completed subproject documented with 2 minor LGOO II Whelfrank Santias / LGOO II Marlon
revisions by end of June 2017 Ladia

AdA Jenefer Bitalac

10 BuB Water documents/emails/letters received/endorsed AdA Jovel Carreon
with no negative feedback by end of June 2017 ISA I Franklin Terunez
ISA I Benjamin Ko

BUB Local Access Roads

Altavas (2), Malinao (3)
7 BuB LAR 2014 subproject completed by end of June 2017 LGOO III Sean Botavara
Engr III Shella Mie Tubang
Tibiao, Libertad
Engr III Carleen Tibi
Outcome
LGOO III Sean Botavara
1 BuB LAR 2015 subproject completed by end of March 2017 Engr III Shella Mie Tubang Malinao
Engr III Carleen Tibi

4 BuB Others subproject monitoring/final inspection report Engr III Shella Mie Tubang
submitted with 2 minor revisions by the end of June 2017 Engr III Carleen Tibi

4 BuB LAR subproject physical completion documents reviewed Engr III Shella Mie Tubang
Output
and approved with 2 minor errors by the end of June 2017 Engr III Carleen Tibi

4 BuB Others subproject financial completion documents

reviewed and approved with 2 minor errors by the end of June FA II Maricar
2017

2 LGUs provided with TA with 2 negative feedbacks by end of Engr III Shella Mie Tubang
June 2017 Engr III Carleen Tibi

2 Bimonthly status report submitted with 2 minor errors within ISA I Franklin Terunez
ISA I Benjamin Ko
the on 15th and 30th day of the month
Support Function 1 BuB LAR completed subproject documented with 2 minor LGOO II Whelfrank Santias / LGOO II Marlon
revisions by end of June 2017 Ladia

AdA Jenefer Bitalac

4 BuB LAR documents/emails/letters received/endorsed with no AdA Jovel Carreon
negative feedback by end of June 2017 ISA I Franklin Terunez
ISA I Benjamin Ko

BuB Others (Evacuation Centers, Drainage, Footbridges, Procurement of Vehicles and Equipment, Dredging)
LGOO III Sean Botavara Makato
2 BuB Others 2014 subproject completed by end of March 2017 Engr III Joebert Pillora
Engr III Mary Lyn Joy Camina Jordan
 Lezo, Nabas
Barbaza (2), Bugasong (2), Culasi (2), Libertad
LGOO III Sean Botavara (2), Sebaste
23 BuB Others 2015 subproject ongoing by end of March 2017 Engr III Joebert Pillora
Engr III Mary Lyn Joy Camina Maayon, Roxas City
Ajuy, Cabatuan, Dumangas, Guimbal (5),
Janiuay, San Dionisio

Banga, Madalag, New Washington, Tangalan

LGOO III Sean Botavara Anini-y, Tibiao
17 BuB Others 2015 subproject completed by end of March Engr III Joebert Pillora Cuartero, Ivisan, Pontevedra, Pres. Roxas, Sigma
2017 Engr III Mary Lyn Joy Camina Alimodian, Duenas, Janiuay, Leganes, Mina, San
Rafael

Outcome
Altavas, Malinao
Hamtic, Libertad (2), Sebaste, Tobias Fornier
LGOO III Sean Botavara Pres. Roxas (2)
20 BuB Others 2015 subproject completed by end of June 2017 Engr III Joebert Pillora Nueva Valencia
Engr III Mary Lyn Joy Camina Ajuy, Balasan, Maasin, Miag-ao, Mina (2), Passi
City, Pototan, Tigbauan
Iloilo City

Lezo, Makato, Malay, New Washington,

LGOO III Sean Botavara
30 BuB Others 2016 subproject ongoing by end of June 2017 Engr III Joebert Pillora
Engr III Mary Lyn Joy Camina
Tangalan
Barbaza, Bugasong, Sebaste
Dumalag, Ivisan, Maayon, Mambusao, Panitan,
Sigma
Nueva Valencia, Sibunag
Badiangan, Banate, Batad, Calinog, Carles,
Estancia, Janiuay, Mina, Passi City, San Dionisio,
San Miguel, Tubungan, Zarraga
Iloilo City

27 BuB Others subproject monitoring/final inspection report Engr III Joebert Pillora
submitted with 2 minor revisions by the end of June 2017 Engr III Mary Lyn Joy Camina

20 BuB Others subproject physical completion documents

Engr III Joebert Pillora
Output reviewed and approved with 2 minor errors by the end of June Engr III Mary Lyn Joy Camina
2017

20 BuB Others subproject financial completion documents

reviewed and approved with 2 minor errors by the end of June FA II Maricar Calaliman
2017

LGOO III Sean Botavara

10 LGUs provided with TA within 5 days after receipt/query with Engr III Ruel Dolar
Engr III Jude Nagtalon
2 negative feedbacks by end of June 2017 Engr III Raffie Aquito
FA II Maricar Calaliman

2 Bimonthly status report submitted with 2 minor errors within ISA I Franklin Terunez
ISA I Benjamin Ko
Support Function the on 15th and 30th day of the month
1 BuB Others completed subproject documented with 2 minor LGOO II Whelfrank Santias / LGOO II Maria
revisions by end of June 2017 Jenica Villabeto

AdA Jenefer Bitalac

10 BuB Others documents/emails/letters received/endorsed AdA Jovel Carreon
with no negative feedback by end of June 2017 ISA I Franklin Terunez
ISA I Benjamin Ko
SALINTUBIG

2 SALINTUBIG 2012 subproject completed by end of March 2017 LGOO III Sean Botavara Tapaz, Jamindan
Engr III Ruel Dolar
Engr III Jude Nagtalon
Engr III Raffie Aquito

Batan, Madalag, Nabas, New Washington

LGOO III Sean Botavara Laua-an
17 SALINTUBIG 2013 subproject completed by end of March Engr III Ruel Dolar Dumalag
2017 Engr III Jude Nagtalon San Lorenzo
Engr III Raffie Aquito
Ajuy, Alimodian, Calinog, Carles (2), Dumangas,
Guimbal, Leon, Janiuay, San Joaquin

Banga (4), Buruanga (2), Ibajay (4), Malinao

LGOO III Sean Botavara Bugasong (2), Hamtic (2), Laua-an (4), San
27 SALINTUBIG 2015 subproject completed by end of March Engr III Ruel Dolar Remigio (7)
Outcome 2017 Engr III Jude Nagtalon Duenas
Engr III Raffie Aquito

LGOO III Sean Botavara

Engr III Ruel Dolar
8 SALINTUBIG 2015 subproject ongoing by end of June 2017 Engr III Jude Nagtalon Bugasong (2), Nabas (4), Culasi (2)
Engr III Raffie Aquito

LGOO III Sean Botavara

Engr III Ruel Dolar
8 SALINTUBIG 2015 subproject completed by end of June 2017 Engr III Jude Nagtalon Caluya (5), Laua-an (3)
Engr III Raffie Aquito

LGOO III Sean Botavara Bugasong, Caluya, Laua-an, San Remigio

Engr III Ruel Dolar
12 2016 SALINTUBIG subproject ongoing by end of June 2017 Engr III Jude Nagtalon Maayon, President Roxas, Sigma
Engr III Raffie Aquito Carles (2), Pototan (2)

30 SALINTUBIG subproject monitoring/final inspection report Engr III Ruel Dolar

Engr III Jude Nagtalon
submitted with 2 minor revisions by the end of June 2017 Engr III Raffie Aquito

16 SALINTUBIG subproject physical completion documents Engr III Ruel Dolar

Output reviewed and approved with 2 minor errors by the end of June Engr III Jude Nagtalon
2017 Engr III Raffie Aquito

16 SALINTUBIG subproject financial completion documents

reviewed and approved with 2 minor errors by the end of June FA II Maricar Calaliman
2017

LGOO III Sean Botavara

10 LGUs provided with TA within 5 days after receipt/query with Engr III Ruel Dolar
Engr III Jude Nagtalon
2 negative feedbacks by end of June 2017 Engr III Raffie Aquito
FA II Maricar Calaliman

Support Function 2 Bimonthly status report submitted with 2 minor errors within ISA I Franklin Terunez
ISA I Benjamin Ko
the on 15th and 30th day of the month
1 SALINTUBIG completed subproject documented with 2 minor LGOO II Whelfrank Santias / LGOO II Marlon
revisions by end of June 2017 Ladia

AdA Jenefer Bitalac

10 SALINTUBIG documents/emails/letters received/endorsed AdA Jovel Carreon
with no negative feedback by end of June 2017 ISA I Franklin Terunez
ISA I Benjamin Ko
Environment

RAY
Altavas (7), Buruanga (3), Libacao (13), Malinao
(19), New Washington (2)
Libertad, Sebaste (2), Tibiao (2), Valderrama (12)
Cuartero (3), Dumalag (2), Dumarao (18), Panay
(11), Panitan (4), Pilar (2), Pontevedra (2), Pres.
Roxas (6), Roxas City (1), Mambusao (9), Tapaz
(16)
LGOO III Sean Botavara Ajuy (29), Balasan (18), Banate (14), Barotac
311 RAY 2 completed by end of March 2017 Engr III William Pillora Viejo (5), Batad (26), Carles (10), Concepcion
Engr III Edward Pagayona
Engr III Ronelo Gabayoyo (15), Dumangas (1), Janiuay (5), Lemery (14,
Passi City (6), San Dionisio (29), Sara (5)
Outcome

LGOO III Sean Botavara

Engr III William Pillora Altavas (2), Madalag (2)
12 RAY 2A completed by end of March 2017 Engr III Edward Pagayona Pilar (2)
Engr III Ronelo Gabayoyo Balasan, Barotac Viejo, Concepcion, Passi City,
San Enrique (2)
162 RAY subproject monitoring/final inspection report Engr III William Pillora
Engr III Edward Pagayona
submitted with 2 minor revisions by the end of June 2017 Engr III Ronelo Gabayoyo

162 subproject physical completion documents reviewed and Engr III William Pillora
Output Engr III Edward Pagayona
approved with 2 minor errors by June 2017 Engr III Ronelo Gabayoyo

162 subproject financial completion documents reviewed and FA II Eleanor Sta. Ana
approved with 2 minor errors by June 2017

LGOO III Sean Botavara

10 LGUs provided with TA within 5 days after receipt/query with Engr III William Pillora
Engr III Eduard
2 negative feedbacks by end of June 2017 Engr III Ronelo Gabayoyo
FA Eleanor Sta. Ana

Support Function 2 Bimonthly status report submitted with 2 minor errors within ISA I Franklin Terunez
ISA I Benjamin Ko
the on 15th and 30th day of the month
5 RAY completed subproject documented with 2 minor revisions LGOO II Aizel Padilla / LGOO II Marlon Ladia
by end of June 2017
AdA Jenefer Bitalac
10 RAY documents/emails/letters received/endorsed with no AdA Jovel Carreon
negative feedback by end of June 2017 ISA I Franklin Terunez
ISA I Benjamin Ko

Business Friendly

Engr III Shella Mie Tubang

1 KALSADA subproject by end of June 2017 Engr III Carleen Tibi
KALSADA
1 LGUs provided with TA within 5 days after receipt/query with Engr III Shella Mie Tubang
2 negative feedbacks by end of June 2017 Engr III Carleen Tibi

1 SLRF subproject monitored with minor error by end of June Engr III Shella Mie Tubang
2017 Engr III Carleen Tibi

SLRF
1 LGUs provided with TA within 5 days after receipt/query with Engr III Shella Mie Tubang
2 negative feedbacks by end of June 2017 Engr III Carleen Tibi

TOTAL RATING
 FINAL AVERAGE RATING
ADJECTIVAL RATING:
Rater: Approved Rating by:
Position: (Director III /ARD, Provincial/City Director) Position: (Director/RD)
Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM 3: FM-QP-AS-HRMD-04-03
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page __ of 4

I, MARIA JENICA D. VILLABETO, LGOO II of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017

Signature of Employee/Ratee

Date: 6/7/2017

APPROVED BY: ROMIE M. POTOT POSITION: PDMU Chief DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL SUCCESS INDICATORS ACTUAL ACCOMLISHMENTS/EXPENSES (3) RATING (6) REMARKS (7)
OUTPUT (Targets + Measures) Q1 E2 T3 Ave4
(1) (2)
ACCOUNTABLE, TRANSPARENT, PARTICIPATIVE, AND EFFECTIVE LOCAL GOVERNANCE
Performance Challenge Fund (PCF)
2 PCF 2013 subproject completed by end of March 2017 2 PCF 2013 subproject completed by end of April 2017 3 2 2.5 Caluya, Tapaz

2 PCF 2014 subproject completed by end of March 2017 2 PCF 2014 subproject completed by end of March 2017 3 3 3 Capiz Province, Iloilo Province

6 PCF 2015 subproject ongoing by end of March 2017 Aklan Province, Banga, Ibajay, Malay
6 PCF 2015 subproject ongoing by end of March 2017 3 3 3 Concepcion
Dao

2 PCF 2015 subproject completed by end of June 2017 Panit-an

Outcome 3 PCF 2015 subproject completed by end of June 2017 5 3 4 Lemery, New Lucena

Aklan Province, Banga, Batan, Buruanga, Ibajay, Kalibo, Malay, Tangalan

3 PCF 2016 subproject ongoing by end of June 2017 Bugasong, Culasi, San Jose de Buenavista, Sibalom
Capiz Province, Roxas City, Dumarao, Mambusao
24 PCF 2016 subproject ongoing by end of June 2017 1 3 2 Iloilo Province, Bingawan, Dingle, Mina, New Lucena, Oton, Zarraga
Iloilo City

9 PCF subprojects monitored by end of June 2017 14 PCF subprojects monitored by end of June 2017 5 3 4
16 PCF 2016 subproject proposals approved with no error by the
end of June 2017
21 PCF 2016 subproject proposals approved with no error by the end of June 5 3 4
2017
44 PCF subproject monitoring/final inspection report submitted with no minor
35 PCF subproject monitoring/final inspection report submitted with revision by the end of March 2017
2 minor revisions by the end of June 2017
5 5 5 5

5 PCF subproject physical completion documents reviewed and approved with

Output 2 PCF subproject physical completion documents reviewed and no minor error by the end of March 2017
approved with 2 minor errors by the end of June 2017
5 5 5 5

10 PCF subproject financial completion documents reviewed and approved

2 PCF subproject financial completion documents reviewed and with no minor errors by the end of March 2017
approved with 2 minor errors by the end of June 2017
5 5 5 5

20 LGUs provided with TA within 3 days after receipt/query with no negative

12 LGUs provided with TA within 5 days after receipt/query with 2 feedbacks by end of May 2017
negative feedbacks by end of June 2017
5 5 5 5

Support Function
4 Hands-on training / TA on utilization of PCF website with no negative
2 Hands-on training / TA on utilization of PCF website with 2 feedbacks by end of April 2017 5 5 5 5
negative feedbacks by end of June 2017
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM 3: FM-QP-AS-HRMD-04-03
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page __ of 4

I, MARIA JENICA D. VILLABETO, LGOO II of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017

Signature of Employee/Ratee

Date: 6/7/2017

APPROVED BY: ROMIE M. POTOT POSITION: PDMU Chief DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL SUCCESS INDICATORS ACTUAL ACCOMLISHMENTS/EXPENSES (3) RATING (6) REMARKS (7)
OUTPUT (Targets + Measures) Q1 E2 T3 Ave4
(1) (2)
Socially-Protective and Safe LGUs
BUB Local Access Roads
7 BuB LAR 2014 subproject completed by end of June 2017 6 BuB LAR 2014 subproject completed by end of April 2017 Altavas (2), Malinao (3)
2 5 3.5 Tibiao, Libertad
Outcome
1 BuB LAR 2015 subproject completed by end of March 2017 1 BuB LAR 2015 subproject completed by end of April 2017 Malinao
3 2 2.5

4 BuB Others subproject monitoring/final inspection report 7 BuB LAR subproject monitoring/final inspection report submitted with no
submitted with 2 minor revisions by the end of June 2017 minor revisions by the end of March 2017 5 5 5 5

4 BuB LAR subproject physical completion documents reviewed 6 BuB LAR subproject physical completion documents reviewed and approved
Output and approved with 2 minor errors by the end of June 2017 with no minor error by the end of April 2017 5 5 5 5

4 BuB Others subproject financial completion documents reviewed 6 BuB LAR subproject financial completion documents reviewed and approved
and approved with 2 minor errors by the end of June 2017 with no minor errors by the end of April 2017 5 5 5 5

2 LGUs provided with TA with 2 negative feedbacks by end of June 4 LGUs provided with TA with no negative feedbacks by end of April 2017 Altavas, Malinao, Tibiao, Libertad
2017 5 5 5 5

2 Bimonthly status report submitted with 2 minor errors within the 2 Bimonthly status report submitted with no minor error 2 days before the set
on 15th and 30th day of the month deadline by the OPDS 5 5 5 5

1 BuB LAR completed subproject documented with 2 minor 2 BuB LAR completed subproject documented with 1 minor revisions by end of Libertad, Altavas
Support Function
revisions by end of June 2017 April 2017 4 5 5 4.6666667

4 BuB LAR documents/emails/letters received/endorsed with 2 8 BuB LAR documents/emails/letters received/endorsed with no negative
negative feedback by end of June 2017 feedback by end of April 2017 5 5 5 5
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM 3: FM-QP-AS-HRMD-04-03
DILG-AS-HRMD VN:1012017 Rev. No. Eff. Date Page No.
0 10.01.15 Page __ of 4

I, MARIA JENICA D. VILLABETO, LGOO II of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017

Signature of Employee/Ratee

Date: 6/7/2017

APPROVED BY: ROMIE M. POTOT POSITION: PDMU Chief DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL SUCCESS INDICATORS ACTUAL ACCOMLISHMENTS/EXPENSES (3) RATING (6) REMARKS (7)
OUTPUT (Targets + Measures) Q1 E2 T3 Ave4
(1) (2)
BuB Others (Evacuation Centers, Drainage, Footbridges, Procurement of Vehicles and Equipment, Dredging)
2 BuB Others 2014 subproject completed by end of March 2017 1 BuB Others 2014 subproject completed by end of March 2017 Makato
1 3 2 Jordan

23 BuB Others 2015 subproject ongoing by end of March 2017 6 BuB Others 2015 subproject ongoing by end of March 2017 Lezo, Nabas
Barbaza (2), Bugasong (2), Culasi (2), Libertad (2), Sebaste
1 3 2 Maayon, Roxas City
Ajuy, Cabatuan, Dumangas, Guimbal (5), Janiuay, San Dionisio

17 BuB Others 2015 subproject completed by end of March 2017 17 BuB Others 2015 subproject completed by end of March 2017 Banga, Madalag, New Washington, Tangalan
Anini-y, Tibiao
3 3 3 Cuartero, Ivisan, Pontevedra, Pres. Roxas, Sigma
Alimodian, Duenas, Janiuay, Leganes, Mina, San Rafael

Outcome 20 BuB Others 2015 subproject completed by end of June 2017 15 BuB Others 2015 subproject completed by end of June 2017 Altavas, Malinao
Hamtic, Libertad (2), Sebaste, Tobias Fornier
Pres. Roxas (2)
2 3 2.5 Nueva Valencia
Ajuy, Balasan, Maasin, Miag-ao, Mina (2), Passi City, Pototan, Tigbauan
Iloilo City

30 BuB Others 2016 subproject ongoing by end of June 2017 15 BuB Others 2016 subproject ongoing by end of June 2017 Lezo, Makato, Malay, New Washington, Tangalan
Barbaza, Bugasong, Sebaste
Dumalag, Ivisan, Maayon, Mambusao, Panitan, Sigma
Nueva Valencia, Sibunag
1 3 2 Badiangan, Banate, Batad, Calinog, Carles, Estancia, Janiuay, Mina, Passi City, San Dionisio,
San Miguel, Tubungan, Zarraga
Iloilo City

27 BuB Others subproject monitoring/final inspection report 43 BuB Others subproject monitoring/final inspection report submitted with no
submitted with 2 minor revisions by the end of June 2017 minor revision by the end of June 2017 5 5 3 4.3333333

20 BuB Others subproject physical completion documents 25 BuB Others subproject physical completion documents reviewed and
Output reviewed and approved with 2 minor errors by the end of June approved with 2 minor errors by the end of June 2017 5 5 3 4.3333333
2017

20 BuB Others subproject financial completion documents 25 BuB Others subproject financial completion documents reviewed and
reviewed and approved with 2 minor errors by the end of June approved with no minor errors by the end of June 2017 5 5 3 4.3333333
2017
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM 3: FM-QP-AS-HRMD-04-03
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I, MARIA JENICA D. VILLABETO, LGOO II of DILG Region VI commit to deliver and agree to be rated on the attainment of the
following targets in accordance with the indicated measures for the period January - June 2017

Signature of Employee/Ratee

Date: 6/7/2017

APPROVED BY: ROMIE M. POTOT POSITION: PDMU Chief DATE: SIGNATURE:

Ratings: 5 - Outstanding (5.00) 4 - Very Satisfactory (4.00-4.99) 3 - Satisfactory (3.00-3.99) 2 - Unsatisfactory (2.00-2.99) 1 - Poor (1.00-1.99)
MAJOR FINAL SUCCESS INDICATORS ACTUAL ACCOMLISHMENTS/EXPENSES (3) RATING (6) REMARKS (7)
OUTPUT (Targets + Measures) Q1 E2 T3 Ave4
(1) (2)
10 LGUs provided with TA within 5 days after receipt/query with 2 13 LGUs provided with TA within 3 days after receipt/query with no negative
negative feedbacks by end of June 2017 feedbacks by end of June 2017 5 5 5 5

2 Bimonthly status report submitted with 2 minor errors within the 2 Bimonthly status report submitted with no minor error 2 days before the set
on 15th and 30th day of the month deadline by the OPDS 5 5 5 5

Support Function 1 BuB Others completed subproject documented with 2 minor 2 BuB Others completed subproject documented with 1 minor revision by end
revisions by end of June 2017 of June 2017 4 5 3 4

10 BuB Others documents/emails/letters received/endorsed with no 23 BuB Others documents/emails/letters received/endorsed with no negative
negative feedback by end of June 2017 feedback by end of June 2017 5 5 3 4.3333333

Business Friendly and Competitive LGUs

1 KALSADA on-going subproject by end of June 2017 8 KALSADA on-going subprojects by end of March 2017 5 5 5 Aklan, Antique (2 SPs), Capiz, Guimaras (3 SPs), Iloilo

KALSADA 1 LGUs provided with TA within 5 days after receipt/query with 2 2 LGUs provided with TA withing 3 days after receipt/query with 0 negative feedbacks Guimaras, Iloilo
negative feedbacks by end of June 2017 by end of April 2017 5 5 5 5
1 SLRF subproject monitored with minor error by end of June 2017 2 SLRF subproject monitored with no errors by end of April 2017 Guimaras (2 SPs)
5 5 5 5
SLRF 1 LGUs provided with TA within 5 days after receipt/query with 2 2 LGUs provided with TA withing 3 days after receipt/query with 0 negative feedbacks Guimaras, Iloilo
negative feedbacks by end of June 2017 by end of April 2017 5 5 5 5

TOTAL RATING 151

FINAL AVERAGE RATING 4.081081
ADJECTIVAL RATING: VS

Rater comments on the Ratee for development purpose or rewards/promotion:

The above rating has been discussed with:
Name and Signature Ratee: Jude Mckean F. Nagtalon Name and Signature of Rater: Final Rating By:
Position: Engineer III Position: Position: Director IV/ Regional Director
Date: Date: Date:

LEGEND: Q1 - Quality E2 - Efficiency T3 - Timeliness Ave4 - Average

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OFFICE: DILG REGION VI, REGIONAL OFFICE DIVISION: PDMU COVERED PERIOD: January 1-31, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors
January 10 and
Submitted bi-monthly report with no minor errors every 15th and 30th of the month 0 5 2 January 15 and 30 January 1 and 16
January 25
5 days ahead 5.00000

Within the day upon 2-3 days upon

Drafted advisory/memorandum to be sent to LGUs 0 5 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Every Monday of the Every Monday of

Attended monthly meeting 1 Every Monday of the month
month the month
3.00000

Within the day upon 2-3 days upon

Replied to communications for BUB Others with no errors within 15 days of receipt 0 5 5 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Prepared communications for KALSADA/CMGP in reply to requests with no errors Within the day upon 2-3 days upon
0 5 3 15 days upon receipt 5 days ahead 5.00000
within 15 days from receipt receipt receipt

Prepared communications for PCF in reply to requests with no errors within 15 days Within the day upon 2-3 days upon
0 5 5 15 days upon receipt 5 days ahead 5.00000
from receipt receipt receipt

Prepared and submitted by: Verified by: Confirmed by:

February 1, 2017
MARIA JENICA D. VILLABETO DATE ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V
LGOO II PDMU Chief OIC-Asst. Regional Director

Received by: Date:

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OFFICE: DILG REGION VI, REGIONAL OFFICE DIVISION: PDMU COVERED PERIOD: February 1-28, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors
February 10 and
Submitted bi-monthly report with no minor errors every 15th and 30th of the month 0 5 2 February 15 and 28 February 1 and 16
February 23
5 days ahead 5.00000

Within the day upon 2-3 days upon

Drafted advisory/memorandum to be sent to LGUs 0 7 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Every Monday of the Every Monday of

Attended monthly meeting 1 Every Monday of the month
month the month
3.00000

Within the day upon 2-3 days upon

Replied to communications for BUB Others with no errors within 15 days of receipt 0 5 8 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Prepared communications for KALSADA/CMGP in reply to requests with no errors Within the day upon 2-3 days upon
0 5 5 15 days upon receipt 5 days ahead 5.00000
within 15 days from receipt receipt receipt

Prepared communications for PCF in reply to requests with no errors within 15 days Within the day upon 2-3 days upon
0 5 7 15 days upon receipt 5 days ahead 5.00000
from receipt receipt receipt

Attended Oral Defense for LGOOs II and III 50th Batch Training February 10 February 10 February 10 3.00000

Prepared and submitted by: Verified by: Confirmed by:

March 1, 2017
MARIA JENICA D. VILLABETO DATE ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V
LGOO II PDMU Chief OIC-Asst. Regional Director

Received by: Date:

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OFFICE: DILG REGION VI, REGIONAL OFFICE DIVISION: PDMU COVERED PERIOD: March 1-31, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors
Submitted bi-monthly report with no minor errors every 15th and 30th
0 5 2 March 15 and 30 March 1 and 16 March 10 and 30 5 days ahead 5.00000
of the month
Within the day upon 2-3 days upon
Drafted advisory/memorandum to be sent to LGUs 0 10 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Every Monday of the Every Monday of

Attended monthly meeting 1 Every Monday of the month
month the month
3.00000

Replied to communications for BUB Others with no errors within 15 Within the day upon 2-3 days upon
0 5 10 15 days upon receipt 5 days ahead 5.00000
days of receipt receipt receipt

Prepared communications for KALSADA/CMGP in reply to requests Within the day upon 2-3 days upon
0 5 5 15 days upon receipt 5 days ahead 5.00000
with no errors within 15 days from receipt receipt receipt

Prepared communications for PCF in reply to requests with no errors Within the day upon 2-3 days upon
0 5 3 15 days upon receipt 5 days ahead 5.00000
within 15 days from receipt receipt receipt

Conducted Rapid Subproject Sustainability Assessment 8 End of March March 8 March 10 3 weeks ahead 5.00000
Conducted monitoring for KALSADA/SLRF projects 6 End of March March 14 March 16 2 weeks ahead 5.00000

Prepared and submitted by: Verified by: Confirmed by:

April 3, 2017
MARIA JENICA D. VILLABETO DATE ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V
LGOO II PDMU Chief OIC-Asst. Regional Director

Received by: Date:

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OFFICE: DILG REGION VI, REGIONAL OFFICE DIVISION: PDMU COVERED PERIOD: April 1-30, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors
Submitted bi-monthly report with no minor errors every 15th and 30th
0 5 2 April 15 and 30 April 1 and 16 April 10 and 30 5 days ahead 5.00000
of the month
Within the day upon 2-3 days upon
Drafted advisory/memorandum to be sent to LGUs 0 8 15 days upon receipt
receipt receipt
5 days ahead 5.00000
Every Monday of the Every Monday of
Attended monthly meeting 1 Every Monday of the month
month the month
3.00000

Replied to communications for BUB Others with no errors within 15 Within the day upon 2-3 days upon
0 5 5 15 days upon receipt 5 days ahead 5.00000
days of receipt receipt receipt

Prepared communications for KALSADA/CMGP in reply to requests Within the day upon 2-3 days upon
0 5 5 15 days upon receipt 5 days ahead 5.00000
with no errors within 15 days from receipt receipt receipt

Prepared communications for PCF in reply to requests with no errors Within the day upon 2-3 days upon
0 5 8 15 days upon receipt 5 days ahead 5.00000
within 15 days from receipt receipt receipt

Attended Training-Workshop on Human-Rights Based Local April 7 April 3 April 7 3.00000

WATSAN Governance and Strategic Communication
Attended Component III: Part III - Simulated Exercises and Interview April 10 April 10 April 10 3.00000
to the 50th Batch LGOO Training
Attended Regional Interfacing Activity April 21 April 19 April 21 3.00000

Prepared and submitted by: Verified by: Confirmed by:

May 2, 2017
MARIA JENICA D. VILLABETO DATE ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V
LGOO II PDMU Chief OIC-Asst. Regional Director

Received by: Date:

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OFFICE: DILG REGION VI, REGIONAL OFFICE DIVISION: PDMU COVERED PERIOD: May 1-31, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors
Submitted bi-monthly report with no minor errors every 15th and 30th of the month 0 5 2 May 15 and 30 May 2 and 16 May 10 and 30 5 days ahead 5.00000
Within the day upon 2-3 days upon
Drafted advisory/memorandum to be sent to LGUs 0 8 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Every Monday of the Every Monday of

Attended monthly meeting 1 Every Monday of the month
month the month
3.00000

Within the day upon 2-3 days upon

Replied to communications for BUB Others with no errors within 15 days of receipt 0 5 10 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Prepared communications for KALSADA/CMGP in reply to requests with no errors Within the day upon 2-3 days upon
within 15 days from receipt 0 5 5 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Prepared communications for PCF in reply to requests with no errors within 15 days Within the day upon 2-3 days upon
from receipt 0 5 3 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Attended Seminar-Workshop on the Updating of the Local Road Network

May 12 May 8 May 12 3.00000
Development Plan (LRNDP) for PLGUs
Attended Revalida for LGOOs II and III 50th Batch May 19 May 15 May 19 3.00000
Attended Seminar-Workshop on Detailed Engineering Design for Road and Drainage
May 26 May 22 May 26 3.00000
Projects for Regions V and VI
Prepared Training Design for Locally-Funded Project Seminar with no error by May
15 0 5 1 May 15 May 2 May 5 10 days ahead 5.00000

Prepared and submitted by: Verified by: Confirmed by:

June 1, 2017
MARIA JENICA D. VILLABETO DATE ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V
LGOO II PDMU Chief OIC-Asst. Regional Director

Received by: Date:

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OFFICE: DILG REGION VI, REGIONAL OFFICE DIVISION: PDMU COVERED PERIOD: June 1-30, 2017

EFFECTIVENESS /
TIMELINESS
QUALITY
WORK/ACTIVITY EFFICIENCY (4) REMARKS
(2)
(1) (3) (5)
No. of Ratings Target Started Finished Result Rating
Errors
Submitted bi-monthly report with no minor errors every 15th and 30th of the month 0 5 2 June 15 and 30 June 1 and 16 June 10 and 30 5 days ahead 5.00000
Within the day upon 2-3 days upon
Drafted advisory/memorandum to be sent to LGUs 0 5 15 days upon receipt
receipt receipt
5 days ahead 5.00000
Every Monday of the Every Monday of
Attended monthly meeting 1 Every Monday of the month
month the month
3.00000

Within the day upon 2-3 days upon

Replied to communications for BUB Others with no errors within 15 days of receipt 0 5 8 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Prepared communications for KALSADA/CMGP in reply to requests with no errors Within the day upon 2-3 days upon
within 15 days from receipt 0 5 5 15 days upon receipt
receipt receipt
5 days ahead 5.00000

Attended Seminar Workshop for Local Road Maintenance Management under the
June 23 June 19 June 23 3.00000
CMGP
Attended the 2017 National Consultation, Program Review and Assessment
June 30 June 26 June 30 3.00000
Workshop for LFPs

Prepared and submitted by: Verified by: Confirmed by:

July 3, 2017
MARIA JENICA D. VILLABETO DATE ROMIE M. POTOT MARIA CALPIZA J. SARDUA, CESO V
LGOO II PDMU Chief OIC-Asst. Regional Director

Received by: Date:

 PERFORMANCE MONITORING AND COACHING JOURNAL FORM 5: FM-QP-AS-HRMD-04-05
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Name of Office/Division/Cluster/Field Office: DILG AKLAN 1st

QUARTERLY
Director/Division Chief/Head: MA. LYNETTE P. URQUIOLA 2nd
Number of Personel in the Office/Division: 11 3rd
4th

MECHANISM/S (2)
Others
ACTIVITY (1) REMARKS (3)
Meeting (a) MEMO (b) (Pls. Specify)
One-on-One Group ( c)
MONITORING

COACHING

Please indicate the date in the appropriate box when the monitoring was conducted.
Conducted by: (DC/CLGOO/CTL/PM) Date: Noted by: Date:

MA. LYNETTE P. URQUIOLA JOHN ACE A. AZARCON

Position/Designation: LGOO VI/Program Manager (Provincial Director)

Note: Whenever necessary, the USEC/ASEC/Head of Office may conduct monitoring and coaching to his/her immediate subordinate.
 COACHING REPORT FORM FORM 6: FM-QP-AS-HRMD-04-06
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1. Date 2. Name of Coach

3. Name & Signature of individual coachee (Attach Attendace sheet if Team Coaching)
MA. LYNETTE P. URQUIOLA
LGOO VI/PM

4. Coaching

5. Reality of the Problem

Situation/Issue:

7. Committed Action

8. Who will do?

9. Resource Needed (time, approval,

authorities,fund, etc.

10. Date that Coachee/s commits to:

11. Agreed next meeting is on:
12. Key points of what was shared:

13. Process Observatio of the coach (Observable behavior of the Coachee/Team/Group being coached, General Disposition, Change in Attitude since the last Coaching, level of coping with the Demands of Work)
 PROFESSIONAL DEVELOPMENT PLAN FORM 7: FM-QP-AS-HRMD-04-07
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TRACKING METHOD/COMPLETION DATE

DEVELOPMENT ACTIVITY SUPPORT NEEDED (3)
(1) (2) Planned Accomplished Accomplished
Mid-year Year End

NONE FOR THE PERIOD

MA. LYNETTE P. URQUIOLA JOHN ACE A. AZARCON ATTY. ANTHONY C. NUYDA, CESO III
Employee's Name & Supervisor's Name & Regional Director
Date Date Date
Signature Signature Signature
 INDIVIDUAL DEVELOPMENT PLAN (IDP) FORM 8: FM-QP-AS-HRMD-04-08
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1. Name & Signature 6. Nature of Work for the las two-years

2. Current Position 7. Divition
3. Salary Grade 8. Office
4. Years in the Position 9. No further development is desired or required for this year/s (Please check appropriate box)
Year 1 Year 2 Both years Needs development

5. Years in rhe DILG

Competancy Assessment and Development Priorities: Baseed on the competency assessment conducted and/or the review of performance results, please
identiiify at least three (3) development needs.
KNOWLEDGE/SKILLS/ATTITUDE (KSA) PERFORMANCE GOAL THIS SUPPORTS OBJECTIVES
FOR DEVELOPMENT (2) (3)
(1)

Support Needed (1) :

 SUMMARY LIST OF INDIVIDUAL PERFORMANCE RATINGS FORM 9: FM-QP-AS-HRMD-04-09
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BUREAU/SERVICE/REGIONAL OFFICE: PERFORMANCE ASSESSMENT:

DIVITSION A RATING
(1) (2)
Numerical Adjectival
(a) (b)

AVERAGE RATING: (division employeess plus DC)

DIVISION B RATING
Numerical Adjectival

AVERAGE RATING:

DIVISION C RATING
Numerical Adjectival

AVERAGE RATING:
SUMMARY: Division A
Division B
(include provincical/city field offices
AVERAGE RATING:
 CRITICAL INCIDENT JOURNAL FORM FORM 10: FM-QP-AS-HRMD-04-010
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1. Name: 3. Division & Office:

2. Position 4. Name of Immediate Supervisor: MA. LYNETTE P. URQUIOLA

Incident RESULT
TASK ACTION
No. SITUATION (2) (impact to organization or the individual) REMARKS (6)
(3) (4)
(1) (5)

NONE FOR THE RATING PERIOD