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ﺗﺎرﯾﺦ اﻟﺗﻘﯾﯾم
Date of اﻟﻘﺳم/اﺳم اﻟﺷرﻛﮫ
Assessment(Day,Month, Company name/ ﻣﺳﻣﻰ اﻟوظﯾﻔﺔ/ اﺳم اﻟﻣوظف/
Year) Department Position Employee Name
ﺗرﻓﻖ ﺻﻔﺣﺔ ﻣﻧﻔﺻﻠﺔ اذا ﻟﺑﯾﺎن اﻟﺗﻔﺎﺻﯾل اﻻﺿﺎﻓﯾﺔ اذا ﻟم ﯾﺗﺳﻊ ﻟﮭﺎ اﻟﺟﺎل ﻓﻲ ھذا اﻟﻧﻣوذج. اﻟﺷﺧﺻﺎﻟﻣراد ﺗﻘﯾﯾﻣﺔ ﯾﻛﻣل اﻟﻧﻣوذج ﻗﺑل اﻟﻣﻘﺎﺑﻠﺔ واﻋﺎدﺗﺔ ﻟﻠﻣﻘﯾﯾم ﺑﺎﻟﺗﺎرﯾﺦ اﻟﻣﺣدد:(اﻟﺟزء )أ.
Part(A): The Employee who will be assess should be fill the form and return it back to his assessment supervisor on the specific date.
ا ( اﻟﻣﮭﺎم و اﻟﻣﺳؤوﻟﯾﺎت اﻟرﺋﯾﺳﯾﺔ )اذﻛر ﻓﮭﻣك اﻟﺧﺎص:1أ
Part A1: Main Job Responsibility (Please mention it as your point of view).
أ :3اﻛﺗب ﻗﺎﺋﻣﺔ ﺑﺎﻻھﺎف اﻟﺗﻰ وﺿﻌﺗﮭﺎ او ﺗم اﻻﺗﻔﺎق ﻋﻠﯾﮭﺎ ﻣﻊ رﺋﯾﺳك ﻛﻲ ﺗﺣﻘﻘﮭﺎ ﺧﻼل ﻣدة ال 12ﺷﮭر اﻟﻣﺎﺿﯾﺔ او اﻟﻣدة اﻟﺗﻲ ﻏطﺎھﺎ ھذا اﻟﺗﻘﯾﯾم وﻓﻘﺎ ﻟﻠﻣﻘﺎﯾﯾس و اﻟﻣﻌﺎﯾﯾر اﻟﻣﺗﻔﻖ ﻋﻠﯾﮭﺎ -اﻣﺎم ﻛل ﺗﻌﻠﯾﻖ
ا ﻋﻠﻰ اﻻﻧﺟﺎز او ﻏﯾر ذﻟك ﻣﻊ ذﻛر اﻻﺳﺑﺎب ﺣﯾﺛﻣﺎ ﻛﺎن ﻣﻼﺋﻣﺎ .اﻋط درﺟﺔ 5-1ﻣﻘﺎﺑل ﻛل ھدف) =1ﺿﻌﯾف=2 ،اﻗل ﻣن اﻟﻣﺗوﺳط =3 ،ﻣﺗوﺳط=4 ،ﺟﯾدن =5ﻣﻣﺗﺎز(
Mention a list of goals which you or your direct manger have agreed to achieve it during the past 12 months or during the period which is
=covered by this assessment as per the agreed standards and indicators. In front goal chose a degree ( 1= Week, 2= below Average, 3
)average, 4=Good, 5= Excellent
ﻋﻣﺎدة ﺗﻘﻧﯾﺔ اﻟﻣﻌﻠوﻣﺎت ﻣﻊ اﻟﺗﺎرﯾﺦ/ﺗوﻗﯾﻊ اﻟﻣﺳؤول ﻋن اﻟﺗﻘﯾﯾم ﺑﺎﻟﺟﺎﻣﻌﮫ ﺗوﻗﯾﻊ اﻟﻣوظف اﻟﻣﻘﯾﯾم ﻣﻊ اﻟﺗﺎرﯾﺦ ﺗوﻗﯾﻊ اﻟﺷﺧص اﻟﻣﻘﯾﯾم ﻣﻊ ﻟﺗﺎرﯾﺦ
Signature of the supervisor about the assessment Signature of employee who has Signature Of who will do
for KFU-Deanship of IT, with date assessed, with date the assessment with date
Conclusion of recommendation\ keeping\firing\ upgrading\changing the job ﺗﻐﯾﯾر اﻟوظﯾﻔﺔ ﻛﻣﺎ ﯾﻧطﺑﻖ/اﻟﺗرﻗﯾﺔ/ اﻟﻔﺻل/اﻻﺣﺗﻔﺎظ/ ﻣﻠﺧص اﻟﺗوﺻﯾﺔ2ج
Approval\comments about rejection from deanship of IT at KFU ﻣﻼﺣظﺎت اﻟرﻓض ﻣن ﻋﻣﯾد ﺗﻘﻧﯾﺔ اﻟﻣﻌﻠوﻣﺎت ﺑﺟﺎﻣﻌﮫ اﻟﻣﻠك ﻓﯾﺻل/ اﻟﻣواﻓﻘﺔ3ج