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B. M. Nagano Industries Sdn. Bhd. Performance Appraisal Form Performance Appraisal Form … (for Annual Increment/Bonus/Confirmation/Promotion/Ext Note: 1. For scoring, please refer to Rating Guide 2. Appraisal can be done by more than 1 Superior, please use red ink for FINAL appraisal Name E/No. *Grade Department Joined Date L. of Service Present Position Present Salary Age GAN KIAT WEI S0460 G05 ONC DIC 12/04/2005 0.3 ASSISTANT MANAGER 2 S/N Appraisal Factors Score for * G1 ~ G5 S/ Appraisal Factors Score for * G6 ~ S/N Appraisal Factors Score for * G16 ~ G 1 Job Knowledge 0 1 2 3 4 5 1 Job Knowledge 0 1 2 3 4 5 1 Problem solving 0 1 2 3 4 2 Initiative 0 1 2 3 4 5 2 Initiative 0 1 2 3 4 5 2 Initiative 0 1 2 3 4 3 Attitude/Discipline 0 1 2 3 4 5 3 Attitude/Discipline 0 1 2 3 4 5 3 Punctuality 0 1 2 3 4 4 Co-operation/ 0 1 2 3 4 5 4 Co-operation/ 0 1 2 3 4 5 4 Co-operation/ 0 1 2 3 4 5 Guidance/Counselling 0 1 2 3 4 5 5 Planning & 0 1 2 3 4 5 5 Discipline 0 1 2 3 4 6 Cost Effective 0 1 2 3 4 5 6 Quantity of work 0 1 2 3 4 5 6 Attitude 0 1 2 3 4 7 Achievement of job 0 1 2 3 4 5 7 Attendance & 0 1 2 3 4 5 7 Leadership/ 0 1 2 3 4 8 Delegation/Co- 0 1 2 3 4 5 8 Adaptability 0 1 2 3 4 5 8 Adaptability 0 1 2 3 4 9 5S/Follow to Company 0 1 2 3 4 5 9 5S/Follow to Company 0 1 2 3 4 5 9 5S/Follow to 0 1 2 3 4 10 Respected by others 0 1 2 3 4 5 10 Respected by others 0 1 2 3 4 5 10 Respected by 0 1 2 3 4 11 Leadership 0 1 2 3 4 5 6 7 8 9 1 11 Leadership/ 0 1 2 3 4 5 6 7 8 9 1 11 Job Knowledge 0 1 2 3 4 5 6 7 8 9 12 Responsibility 0 1 2 3 4 5 6 7 8 9 1 12 Responsibility 0 1 2 3 4 5 6 7 8 9 1 12 Responsibility 0 1 2 3 4 5 6 7 8 9 13 Planning & 0 1 2 3 4 5 6 7 8 9 1 13 Quality of work 0 1 2 3 4 5 6 7 8 9 1 13 Quality of work 0 1 2 3 4 5 6 7 8 9 14 Problem solving 0 1 2 3 4 5 6 7 8 9 1 14 Problem solving 0 1 2 3 4 5 6 7 8 9 1 14 Quantity of work 0 1 2 3 4 5 6 7 8 9 15 Implementation/Job 0 1 2 3 4 5 6 7 8 9 1 15 Implementation/Job 0 1 2 3 4 5 6 7 8 9 1 15 Attendance 0 1 2 3 4 5 6 7 8 9 1 st 2 nd FINAL 1 st 2 nd FINAL 1 st 2 nd FINAL General Comments on strengths & weakness/Months extended: Recommendation % Pro- Amount % Range (pls. tick) Annual Excellent 91 ~100 [ Months extended: (if applicable) Very Good 81 ~ 90 [ Special/Confirmation Good 71 ~ 80 [ (Pls. void or delete accordingly) Above 61 ~ 70 [ Average 51 ~ 60 [ Promotion Increment Below 41 ~ 50 [ Strengths: (if applicable) Poor [ (if applicable) Weakness: Appraised By Section/Dept. Approved By Acknowledged by

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Performance Appraisal Form

B. M. Nagano Industries Sdn. Bhd.

Performance Appraisal Form (for Annual Increment/Bonus/Confirmation/Promotion/Extension)

Note: 1. For scoring, please refer to Rating Guide

2. Appraisal can be done by more than 1 Superior, please use red ink for FINAL appraisal

3. For Extension of employment contract, pls. write at Gen. Comments on numbers of months extend

NameE/No.*GradeDepartmentJoined DateL. of ServicePresent PositionPresent SalaryAge

GAN KIAT WEIS0460G05ONC DIC12/04/20050.3ASSISTANT MANAGER

2

S/NAppraisal FactorsScore for * G1 ~ G5S/NAppraisal FactorsScore for * G6 ~ G15S/NAppraisal FactorsScore for * G16 ~ G19

1Job Knowledge0

123451Job Knowledge0

123451Problem solving0

12345

2Initiative0

123452Initiative0

123452Initiative0

12345

3Attitude/Discipline0

123453Attitude/Discipline0

123453Punctuality0

12345

4Co-operation/Teamwork0

123454Co-operation/Teamwork0

123454Co-operation/Teamwork0

12345

5Guidance/Counselling0

123455Planning & Organizing0

123455Discipline0

12345

6Cost Effective0

123456Quantity of work0

123456Attitude0

12345

7Achievement of job assigned0

123457Attendance & Punctuality0

123457Leadership/Supervisory Skill0

12345

8Delegation/Co-ordination of task0

123458Adaptability0

123458Adaptability0

12345

95S/Follow to Company policy0

1234595S/Follow to Company policy0

1234595S/Follow to Company policy0

12345

10Respected by others0

1234510Respected by others0

1234510Respected by others0

12345

11Leadership0

123456789

1011Leadership/Supervisory Skill01234567891011Job Knowledge0

12345678910

12Responsibility0

123456789

1012Responsibility01234567891012Responsibility0

12345678910

13Planning & Organizing0

123456789

1013Quality of work01234567891013Quality of work0

12345678910

14Problem solving0

123456789

1014Problem solving01234567891014Quantity of work0

12345678910

15Implementation/Job Improvement0

123456789

1015Implementation/Job Improvement01234567891015Attendance0

12345678910

1st Score2nd ScoreFINAL1st Score

2nd Score

FINAL

1st Score

2nd Score

FINAL

General Comments on strengths & weakness/Months extended:Recommendation%Pro-rateAmount% increase Performance RatingRange (pls. tick)

Annual Increment/Bonus Excellent91 ~100 [ ]

Months extended:(if applicable) Very Good81 ~ 90 [ ]

Special/Confirmation Increment Good71 ~ 80 [ ]

(Pls. void or delete accordingly) Above Average61 ~ 70 [ ]

Average51 ~ 60 [ ]

Promotion Increment Below Average41 ~ 50 [ ]

Strengths:(if applicable) Poor 40 ~ 0 [ ]

Total

Promoted to

New Salary (if applicable)

Weakness: With effect from

Appraised BySection/Dept. HeadApproved ByAcknowledged by Personnel Dept.


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