CONFIDENTIAL WHEN FILLED
Your Company Logo
CONFIRMATION REVIEW FORM
Name of your company---HR department-For internal use only
PART- I
(To be filled by the staff member who is to be appraised)
Dear …………………………,
You are on the eve of completing your probation period, and we are reviewing
your performance during the past months in the organisation.
We have enclosed an appraisal form (See Annexure), which evaluates an
individual on areas such as, Core Competencies, Functional adeptness and
Soft skills. We believe that an appraisee should get an opportunity to give
his / her inputs during an evaluation process. We, thus request you to fill up
the form and forward it to your appraiser / reviewer for their inputs. The
reviewer is requested to forward the form to HRD so that we can finalise the
confirmation in time.
Details of the Appraisee
NAME :
QUALIFICATION:
EMPLOYEE NO.:
DEPARTMENT:
LOCATION:
REPORTING TO:
DATE OF JOINING:
DUE DATE OF CONFIRMATION:
SIGNATURE:
Name of your company ---HR department-For internal use only
Annexure
PART- II
(To be filled firstly by the staff member who is to be appraised and then by his/her
appraiser)
Scoring scale:
1 2 3 4 5 6
Poor Unsatisfactory Average Good Very good Outstanding
Evaluation on a scale
I Core Competencies & Functional adeptness of 1 to 6 by
Appraisee
Appraiser
1 Functional Knowledge
(In-depth technical knowledge of related areas to
his / her function and keeping abreast with the
latest developments in his / her functional area).
2 Goal Setting & Result Orientation
(Sets high standards of performance for self; sets
aggressive goals and is committed to achieving
targets well in time).
3 Decision Making Ability
(Visibly demonstrates an ability to evaluate and
adopt alternatives & arrive at timely & workable
solutions).
4 Analytical & Problem Solving Ability
(Analytically reviews and assesses
recommendations given by team members and
analyses and identifies relevant data, critical
issues and alternatives).
5 Planning & Organizing Ability
(Organizes activities in terms of importance and
priority and establishes schedules to complete
assignments in time and is also able to deliver
results under stress conditions).
6 Cost & Quality Consciousness
(Ensures optimum utilization of resources keeping
cost control in mind; gives considerable amount of
effort and importance to maintain and upgrade
quality standards of work for self and team).
Name of your company ---HR department-For internal use only
Average Score
Evaluation on a scale of
II Soft Skills 1 to 6 by
Appraisee Appraiser
1 Interpersonal Ability
(Demonstrates strong skills in establishing and
maintaining healthy & co-operative relationships
with team members as well as customers.)
2 Leadership and Team Building Ability
(Can inspire confidence in others and creates
enthusiasm and ensures collaboration amongst
team members to attain stated objectives.)
3 Communication
(Can effectively express ideas and opinions and
provide information with clarity on a one to one
level and to a group as a whole. Is an effective
listener and can appropriately respond to non-
verbal clues).
4 Enthusiasm and Initiative
(Shows a positive attitude – motivation towards
his / her work and the organization in general.
Consistently developing new initiatives to ensure
continued growth).
Average Score
PART- III
(To be filled by the Appraiser)
Strengths: __________________________________________________________________
__________________________________________________________________
Weaknesses: __________________________________________________________________
__________________________________________________________________
Areas of Improvement: __________________________________________________________________
__________________________________________________________________
Name of your company ---HR department-For internal use only
Observation / : ___________________________________________________________________
Comments of HOD
___________________________________________________________________
__________________________________________________________________
_________________ ______________
Appraisee Appraiser / HOD
Recommendation:
(Please select by ticking any of the following):
Confirm Extend Probation De-hire
Remarks if any:
____________________________________________________________________________
____________________________________________________________________________
____________________
Date: ________________ Signature of the Appraiser: ______________________
Name of the Appraiser
PART- IV
(To be filled by the Director)
Overall Remarks:
____________________________________________________________________________
____________________________________________________________________________
____________________
Name of your company ---HR department-For internal use only
Date: _________________ Signature of the Director:
_____________________
Name :
PART- V
(To be filled by the H R Department)
For HR Department Use Only:
1. Letter of confirmation issued with Date of Confirmation: __________ Grade: ________Designation:
____________ Salary : __________
2. Letter of extension mentioning the weakness / areas of improvement issued.
(Authorized Signatory) Date:
HRD
Name of your company ---HR department-For internal use only
