PERFORMANCE REVIEW FORM

HR-02 Rev.11/13 INSTRUCTIONS: This form should be completed to provide record on the nature of the Employees job and their performance in it. Supervisors are urged to be frank in their evaluations both for the benefit of the staff member and for the accuracy of this appraisal record. This appraisal will become a part of the staff members personal file. EMPLOYEE NAME POSITION TITLE TYPE OF REVIEW Probation Annual Other DEPARTMENT SUPERVISOR REVIEW PERIOD

PERFORMANCE RATING SCALE: Using the following definitions, check the box that best describes the Employee's performance. 1: Performance fails to meet expectations 2: Performance seldom meets expectations 3: Performance usually meets expectations 4: Performance always meets expectations 5: Performance exceeds expectations
1 2 3 4 5

JOB EXPERTISE & RESOURCEFULNESS: Understands the job enough to determine what needs to be done without constant direction. Makes use of personal experience, network or other resources to maximize results.

COOPERATION & ADAPTIBILITY: Builds productive rapport with others within and outside the company. Willing to be a team player, give and receive constructive criticism, and treat others in a respectful manner.

WRITTEN & ORAL COMMUNICATION: Expresses ideaseffectively effectively and confidently across different levels. Generates Expresses ideas and confidently across different levels. Knows when to ask questions. Updates work progress Is a goodin representative the company and generates credibility when representing thepromptly. company. Tactful dealing with of difficult or sensitive matters. credibility.

INDUSTRIOUSNESS & MOTIVATION: Is able and willing to work hard. Seeks out new tasks and responds quickly to work demands. Does not require prodding to do work.

QUALITY & QUANTITY OF WORK: Produces satisfactory amount of work that is accurate, thorough and reliable in a specified period of time.

WORK HABITS: Adheres to work policies and procedures, such as attendance, punctuality, safety, security, proper care and maintenance of assigned equipment, and economical use of supplies.

SUPERVISION (if applicable): Sets clear and effective goals and plans strategically to achieve goals. Provides guidance, direction and support to subordinates. Delegates responsibility based on individual qualities.

OVERALL PERFORMANCE RATING: Overall impression of job performance that is supported by the job factor ratings, not necessarily an average of those ratings.

MUTUALLY AGREED PLANS FOR IMPROVEMENTS

JOB DESCRIPTION REVIEW SECTION (Please check the appropriate box) Employee job description has been reviewed during this evaluation and no changes are recommended at this time. Employee job description has been reviewed during this evaluation and modifications have been proposed.

EMPLOYEE'S SIGNATURE
(Name and date, signature)
Signature does not imply concurrence with the appraisal, only that it was administered.

RATING SUPERVISOR
(Name and date, signature)

DEPARTMENT HEAD
(Name and date, signature)

CEO (for any salary change) (Name and date, signature) Return completed and approved form to Human Resources or via email to hr@lazada.co.id