[104-10193-10075.pdf — page 60]
# SECRETSK 8.# FITNESS REPORT (Part I) PERFORMANCEINSTRUCTIONSFOR THE ADMINISTRATIVE OFFICER: Consult current instructions for completing this report.FOR THE SUPERVISOR: This report is designed to help you express your evaluation of your subordinate and to transmit this evalustion to your supervisor end senior officials. Organization policy requires that you inform the subordinate where he stands with you. Completion of the report can help you prepare for o discussion with him of his strengths and weaknesses. It is also organization policy that you show Part Iof this report to the employee except under conditions specified in Regulation 20-370: It is recommended that you read the entire form before completing Any question. If this is the initial report on the employee, it must be completed and forwarded to the Office of Fersonnel no later than 30 days after the date indicated in item 8. of Section "A" below.SECTION Α.1. NAME OASIS IN2. DATE OF BIRTH 20 Jan 19243. SEX M4. SERVICE DESIGNATION DI5. OFFICE/DIVISION/BRANCH OF ASSIGNMENT FE, TOKYO, JAPAN6. OFFICIAL POSITION TITLE Area Ous Officer7. GRADE GS-148. DATE REPORT DUE IN OP9. PERIOD COVERED BY THIS REPORT (Inclusive dates) 1 October 1957-9 April 195810.. TYPE OF REPORT (Check one)REASSIGNMENT SUPERVISORX SPECIAL (Specify) PramotionSECTION В.1. FOR THE RATER: THIS REPORTHASCERTIFICATIONREASSIGNMENT EMPLOYEEANNUALINITIALHAS NOT BEEN SHOWN TO THE INDIVIDUAL RATED. IF NOT SHOWN, EXPLAIN WHYNOT:A. CHECK (X) APPROPRIATE STATEMENTS!* THIS REPORT REFLECTS MY OWN OPINIONS OF THIS INDIVIDUAL.* THIS REPORT REFLECTS THE COMBINED OPINIONS OF MYSELF AND PREVIOUS SUPERVISORS.* I HAVE DISCUSSED WITH THIS EMPLOYEE HIS STRENGTHS AND WEARNESSES SO THAT HE #NOWS #HERE NE STANDS.IF INDIVIDUAL IS RATED "I"IN CT OR D. A WARNING ίετο TER WAS SENT TO HIM & A COPY ATTACHED TO THIS REPORT,I CANNOT CERTIFY THAT THE RATED INDIVIDUAL KNOWS HO I EVALUAT HIS JOB PERFORMANCE BECAUSE (Specify):B. THIS DATE "27 May 1958C. TYPED OR PRINTED, NAME AND SIGNATURE OF SUPERVISOR William E. NelsonD. SUPERVISOR'S OFFICIAL TITLE2. FOR THE GEVIE ING OFFICIAL: RECORD ANY SUBSTANTIAL DIFFERENCE OF OPINION WITH THE SUPERVISOR, UN ANT OTHER IN- FORMATION. WHICH WILL LEAD TO A BETTER UNDERSTANDING OF THIS REPORT.BYDATE 1430LPosted res Control. 7/24/19Reviewed byTHIS PORT ELS PEN PERPAסמס פתCE CRITERIA SOCISE AT THIS STASION AND IN CONSTANCE FITOWANE FITNESS RS430 L AS POSSIBLECONTINUED ON ATTACHED SHEETI certify that any substantial difference of opinion with the supervisor is reflected in the above section.A. THIS DATE 27 May 1958B. TYPED OR PRINTED NAWE AND SIGNATURE OF REVIEWING OFFICIAL John E. BakerC. OFFICIAL TITLE OF REVIEWING OFFICIAL JOB PERFORMANCE EVALUATIONSECTION C.1. RATING ON GENERAL PERFORMANCE OF DUTIESDIRFCTIONS: Consider ONLY the productivity and effectiveness with which the individual being rated has performed his duties during the rating, period. Compare ham ONLY with others doing similar work at a similer level of responsibility. Factors other than productivity will be taken into account later in Section D.5/6INSERT RATING NUMBER*   DOES NOT PERFORM DUTIES ADEQUATELY, HE IS INCOMPETENT.*   BARELY ADEQUATE IN PERFORMANCE ALTHOUGH HE HAS HAD SPECIFIC GUIDANCE OR TRAINING. HE OFTEN FAILS TO CARRY OUT RESPONSIBILITIES.*   PERFORMS MOST OF HIS DUTIES ACCEPTABLY OCCASIONALLY REVEALS SOME AREA OF WEAKNESS.*   PERFORMS DUTIES IN A COMPETENT, EFFECTIVE MANNER.*   A FINE PERFORMANCE CARRIES OUT MANY OF HIS RESPONSIBILITIES EXCEPTIONALLY WELL.*   PERFORMS HIS DUTIES IN SUCH AN OUTSTANDING MANNER THAT HE IS EQUALLED BY FEW OTHER PERSONS KNOWN TO THE SUPERVISOR:COMMENTS:FORM NO. 45 (Part 1)REPLACES PREVIOUS EDITIONS OF FORMS 4S AND 434 WHICH SECRET Performance