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Republic of the Philippines
                                                            CvSU  MISSION
 CvSU VISION  CAVITE STATE UNIVERSITY
                                                   Cavit e  St ate  U niversity  shall  pr ovide  excellent,
 The premier university in historic  Trece Martires/Tanza/Gen.Trias  equitable and rel eva nt educ ational opportunities i n the
 Cavite recognized for excellence in              arts, science and technol ogy thr ough quality instructi on
 the development of morally upright  www.cvsu.edu.ph  and relevant research and development activities.
                                                                     skilled and morally
                                                   It shall produce
                                                              professi onal,
 and globally competitive individuals.            upright individuals for global com petitiveness.
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW  FORM (IPCR)
 I, Belleth E. Hosmillo, of the Cavite State University - Trece Martires City Campus  commits to deliver and agree  to be rated on the  attainment
 of the following targets in accordance with the indicated measures for the period January  - June  2020.
                                                             BELLETH E. HOSMILLO
                                                                   Ratee
 Reviewed by:  Date  Approved by:                                           Date
 LILIAN O. SIDAM ON  June 15, 2020  NOEL A. SEDIGO, M sC                June 15, 2020
 Immediate Superior                Head of Office


 Success Indicator                                Rating
 Output  Actual Accomplishments                                           Remarks
 (Target + M easures)                 Q  1     E 2      T 3     A  4
 Adm inistrative Service                                  (
 Prepared 210 PR/OR/Voucher/Liquidation Reports and other
 Prepared PR/OR/Voucher/Liquidation Reports and   5  5  4      4.67
      financial Forms
 other financial Forms (at least 20 within 6 months)
 (Liaison Officer/Canvasser)  Submitted and followed up at least 20 within 6 months
 of PR/OR/Voucher/Liquidation Reports and other   Submitted and followed up 210 PR/OR/Voucher/Liquidation   5  5  4  4.67
 financial Forms  Reports and other financial Forms
 Canvassed almost 120 PR of  various supplies, materials and
 Canvass of various suppliesm materials and equopment   5  5  5  5.00
       wquipment
 (at least 6 approved PR within 6 months)
 Inspect various supplies and materials deliveries (at least
 Almost 350 inspected  varoius supplies and materials  4  4  4  4.00
 100 within 6 months)
 submit and pick up documents for the campus   (at least
                                       4       5        4      4.33
 30 in 3 months)  Submitted and picked-up almost 180 documents for the campus
 Adm inistrative Service
 (Administrative documents submitted/followed up) at   30 within 6 months of communication/DTR/travel order were   4  5  5  4.67
 least 12 within 6 months of communication/DTR/travel   submitted and distributed
 order were submitted and distributed
 Others
 Accomplish all the documents need in Acceditation  150% completion of the task  4  4  4  4.00
 Attended and assisted during all the meetings and other campus
 Attend meetings and other campus activities  activities such as T3 General meeting, Gentri Faculty and staff   4  4  4  4.00
  meeting, and zoom meetings
 Perform other duties assigned by superiors  200% completion of the tasks  5  5  5  5.00
 Final Average Rating                                          4.48
 Comments and Recommendations for Development Purposes
 Discussed With  Date  Assessed by:           Date          Final Rating by     Date
 I certify that I discussed my assessment of
 the performance with the employee

 BELLETH E. HOSM ILLO  June 15, 2020  LILIAN O. SIDAM ON  June 15, 2020  NOEL A. SEDIGO, M sC  June 15, 2020
 Employee        Supervisor                                 Head of Office
 Legend:  1 - Quantity  2 - Efficiency  3 - Timeliness  4 - Average
   78   79   80   81   82   83   84   85   86   87   88