OFFICE PERFORMANCE COMMITMENT AND REVIEW (OPCR) Annex A

I, __________________NAME / POSITION / DESIGNATION_________________, __________PROVINCIAL GOVERNMENT OF QUEZON_______________, __OFFICE/HOSPITAL___, commit to deliver and
agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period ___________ to ___________, ________.

__________________
PGDH/COH

__________________
Date

Reviewed by: Date Recommended by: Date Approved by: Date

ANGELINA “DOKTORA HELEN” D.L. TAN, MD. MBAH

Planning Office PMT Chairperson
Governor
5-Outstanding
R 4-Very Satisfactory
A 3-Satisfactory
T 2-Unsatisfactory

SUCCESS INDICATORS Allotted Division/Individual Actual Rating

MFO Remarks
(Targets + Measures) Budget Accountable Accomplishments Q E T A
Strategic Priority (20%)
Output 1
Output 2
Subtotal:
Core Function (70%)
Output 1
Output 2
Subtotal:
Support Function (10%)
Output 1
Output 2
Subtotal:
TOTAL RATING

FINAL RATING

ADJECTIVAL RATING

Assessed by PMT Secretariat Calibrated by PMT Chairperson Final Rating by:

Start of Rating Period End of Rating Period Start of Rating Period End of Rating Period
ANGELINA “DOKTORA HELEN” D.L. TAN, MD. MBAH
Governor

Position: Position: Position: Position:

Date: Date: Date: Date: