PERFORMANCE APPRAISAL FORM

YEAR OF PERFORMANCE EVALUATION: 2019

SECTION A: GENERAL INFORMATION

A:PersonalDetails (To be filled by Appraisee)

Employee Code. -

Name Wina Amanda Designation HR&GA staff

Department HR&GA Location Jakarta

Date of Birth/ Age 28-Mar-91 Date of Joining 20-Oct-17

Details of Department Head/ General Manager (for Appraisal of Dept. Heads)

Name Li Mingjun Designation HR&GA MANAGER

Department HR&GA Location Jakarta

SECTION B: ASSIGNED TASKS
JOB DESCRIPTIONS (WITH MEASURABLE TARGETS)

S.N. KEY PERFORMANCE INDICATOR MEASUREMENT ACHIEVED WEIGHTAGE Weighted Target

Achieved
FOR FY 2018 (to be filled at end
of 2018)

1. Local & Chinese Personnel Human Resources Management Measurable KPI for this aspect shall be effective, proper and correct 25%
management of HR activities related to local & chinese staffs

Rating in the scale of 0 to 5 will be provided jointly by Manager-HR & GA and

HR Senior Officer in which 5 means best management and 0 means worst
management.

2. Operation works Preparing all necessary reports without any delay will achieve full rating 5 and 25%
rating will reduce by 1 for delay in each document.

3. Document and Data Control Assist superiors in Acquiring and maintaining all HR Legal Documents without 20%
any delay will achieve full rating 5 and rating will reduce by 1 for delay in each
document.

4. Administrative works Measurable KPI for this aspect shall be effective, proper and correct 15%
management of other administrative works, such as house leasing, company
canteen, etc.

Rating in the scale of 0 to 5 will be provided jointly by Manager-HR & GA and

HR Senior Officer in which 5 means best management and 0 means worst
management.
5. Initiative Performing all duties of Personal Assistance in proper and efficient way shall be 15%
measured by General Manager, and according rating will be provided. Rating 5
will correspond to best performance in this aspect and 0 will correspond to worst
performance.

TOTAL 100%

SECTION C: CONDUCT & ATTITUDE

TO BE FILLED BY APPRAISER IN CONSULTATION WITH APPRAISEE

Sr. Key Performance Indicators (KPI) Rating

No (5 to 1) Weightage Weighted Target Achieved

5: Best; 1: Worst

1 Behavior of employee towards seniors and subordinates 15%

Tendency of employee to work with all employees without discrimination and support other fellows in
2 15%
improving their performance

15%

3 Tendency of employee to improve the image and reputation of Company by projecting the company in
positive manner.
 4 Approach of employee in taking initiatives and enthusiasm in learning new skills/tasks 15%

5 Regularity in attendance including time of arrival/ leaving office 15%

6 Adaptability to Company culture and respecting each employee 15%

7 Overall general conduct & attitude including other aspects which are not mentioned above. 10%

TOTAL 100%

SECTION D: OVERALL PERFORMANCE EVALUATION

Sr. TO BE FILLED BY APPRAISER IN CONSULTATION WITH APPRAISEE

 Key Performance Indicators (KPI) Rating

No (5 to 1) Weightage Weighted Target Achieved

5: Best; 1: Worst

1 Rating obtained in Section-B [Assigned Tasks] 60%

2 Rating obtained in Section-C [Conduct & Attitude] 30%

4 Overall performance level (Max. rating 5 & Min 1; 5 corresponds to best & 1 corresponds to worst) 10%

TOTAL 100%

Please round off final rating to two digit after decimal place.

Rating Description Weighted Score by Appraiser

Excellent Consistently exceeds expectations

Equal to or more than 4.50

Very Good
Consistently meets expectations
 Less than 4.50 but more than 4.00

Good Meets expectations most of the times

Less than 4.00 but more than 3.25

Average Partially meets expectations

Less than 3.25 but more than 2.75

Unsatisfactory Consistently does not meet

expectations Less than 2.75

Increment/ Promotions in designations/ yearly bonus shall be decided by the Company based on appraisal result together with other factors in relation of the performance
of the appraisee and the Company.