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PROBATIONARY EVALUATION
Name:_______________________________________ Date Hired:____________________
Designation:_____________________________ Department/Section:___________________
MONTHLY
1st Month
2nd Month
3rd Month
4th Month
5th Month
6th Month
RATING
G F P G F P
G F P G F P
G F P G F P
Quality of Work __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __
Cooperation __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __
Dependability __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __
Attendance __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __
LEGEND: G-Good; F-Fair; P-Poor
FIRST MONTH IMPRESSION/REMARKS
DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_____________________
_____________________
Signature of Supervisor
Signature of Employee
___RETAIN
___TERMINATE
SECOND MONTH IMPRESSION/REMARKS
DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_____________________
_____________________
Signature of Supervisor
Signature of Employee
___RETAIN
___TERMINATE
THIRD MONTH IMPRESSION/REMARKS
DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_____________________
_____________________
Signature of Supervisor
Signature of Employee
___RETAIN
___TERMINATE
FOURTH MONTH IMPRESSION/REMARKS
DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_____________________
_____________________
Signature of Supervisor
Signature of Employee
___RETAIN
___TERMINATE
FIFTH MONTH IMPRESSION/REMARKS
DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_____________________
_____________________
Signature of Supervisor
Signature of Employee
___RETAIN
___TERMINATE
SIXTH MONTH IMPRESSION/REMARKS
DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_____________________
_____________________
Signature of Supervisor
Signature of Employee
___RETAIN
___TERMINATE
NOTE TO DEPT HEAD: Please submit this form to the Personnel Department, as accomplished, 5 days after the 30th
day from starting date of the above employee and every 30th day of each succeeding months during the 6 months
probationary peiod for recording and nformation purposes.
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