Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02
SCHOOLS DIVISION OF NUEVA VIZCAYA

INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM

Name of Employee:________________________________________
Position: DISBURSING OFFICER Name of Rater
Review Period: Calendar Year 2015 Position
District:___________________________________________________ Date of Review

Wt per
MFO KRAs Objectives Timeline Performance Indicators
KRA
Improved Cash Collection (15) number of Official receipts and deposit slips
ARCA managed and accounted cash and check collections from LGU, 5%
registration fees and sales of BID documents for inclusion in the
report of cash inflows daily (as needed)
recorded and maintained cashbook for all types of collections cashbooks
5%
report of disbursement and cashbooks
prepraed collections and deposit reports on a daily basis 5%
prepared, disbursed and released approved checks based on report of disbursement and cashbooks
prescribed forms to fulfill payment of obligations monthly 15%
Cash/Check disbursement reviewed and finalized advice of checks issued and cancelled advice of checks issued and cancelled (ACIC)-
(ACIC) for submission to authorized government depository bank hard/softcopy
Payment and Remittances
and Bureau of Treasury daily 15%
(45)
remitted mandatory contributions to BIR, PhilHealth, GSIS, HDMF 10th of the remittances paid to BIR, Philhealth, GSIS, HDMF
following month 15%
prepared liquidations of cash advances and replenished petty Liquidation report and cashbooks
cash fund
monthly 15%
Liquidation and Reporting negotiated bank transactiuons such as encashment of checks for 3rd week of the pay slips/payroll bank statements and negotiated
(40%) payroll, othe rbenefits and payables month 15% checks
perpared monthly reports of RCI, SLCIC, MRD, RD and RAAF copy of RCI, SLCIC, MRD, RD and RAAF
mothly 10%
 Wt per
MFO KRAs Objectives Timeline Performance Indicators
KRA
* To get the score, the rating is multiplied by the weight assigned.

Rater Ratee

Approving Authority
_______________________________

Actual Results
RATING SCORE
Q E T
 Actual Results
RATING SCORE
Q E T
Over-all Rating for
Accomplishments

ee

Authority