[104-10195-10002.pdf — page 128]
# SECRET(When Filled In)EMPLOYEE SERIAL NUMBERFITNESS REPORT## SECTION A1. NAMEGENERAL(Middle)2. DATE OF BIRTH3. SEX   M4. GRADE   OS-145. SERVICE DESIGNATION 6. OFFICIAL POSITION TITLE7. OFF/DIV/BR OF ASSIGNMENT   SR, Tokyo, JapanCAREER STAFF STATUSTYPE OF REPORTNOT ELIGIBLEMEMBERDEFERREDINITIALREASSIGNMENT/SUPERVISORPENDINGDECLINEDDENIEDANNUALREASSIGNMENT/EMPLOYEE10. DATE REPORT DUE IN O.P.11. REPORTING PERIOD    SPECIAL (Specify)1 May 195910 Apr 58 - 31 Mar 59## SECTION B EVALUATION OF PERFORMANCE OF SPECIFIC DUTIESList up to six of the most important specific duties performed during the rating period. Insert rating number which best describes the manner in which employee performs EACH specific duty. Consider ONLY effectiveness in performance of that duty. All employees with supervisory responsibilities MUST be rated on their ability to supervise (indicate number of employees supervised).1- Unsatisfactory 2- Barely adequate 3-Acceptable 4-Competent 5-Excellent 6- Superior 7- OutstandingSPECIFIC DUTY NO. 1RATINGNO.SPECIFIC DUTY NO. 4RATINGNO.Supervises and directs operational branch of some 17 persons5Case officer6SPECIFIC DUTY NO. 2RATINGNO.SPECIFIC DUTY NO. 5RATINGNO.Conducts operational liaison with local intelligence and security services.6SPECIFIC DUTY NO. 3RATINGNO.SPECIFIC DUTY NO. 6RATINGNO.Conducts liaison with U.S. military and civilian intelligence services6## SECTION C EVALUATION OF OVERALL PERFORMANCE IN CURRENT POSITIONTake into account everything about the employee which influences his effectiveness in his current position - performance of specific duties, productivity, conduct on job, cooperativeness, pertinent personal traits or habits, particular limitations or talents. Based on your knowledge of employee's overall performance during the rating period, place the rating number in the box corresponding to the statement which most accurately reflects his level of performance.RATINGNO.1- Performance in many important respects fails to meet requirements.2- Performance meets most requirements but is deficient in one or more important respects.3- Performance clearly meets basic requirements.4- Performance clearly exceeds basic requirements.5- Performance in every important respect is superior.6- Performance in every respect is outstanding.5## SECTION D DESCRIPTION OF THE EMPLOYEEIn the rating boxes below, check (X) the degree to which each characteristic applies to the employee1- Least possible degree 2- Limited degree 3- Normal degree 4- Above average degree 5- Outstanding degree| CHARACTERISTICS                                                 | NOT APPL. CABLE | NOT OBSERVED |  1  |  2  |  3  |  4  |  5  || --------------------------------------------------------------- | :-------------: | :----------: | :-: | :-: | :-: | :-: | :-: || GETS THINGS DONE                                                |                 |              |     |     |     |     |  X  || RESOURCEFUL                                                     |                 |              |     |     |     |  X  |     || ACCEPTS RESPONSIBILITIES                                        |                 |              |     |     |     |  X  |     || CAN MAKE DECISIONS ON HIS OWN THEN NEED ARISES                  |                 |              |     |     |     |  X  |     || DOES HIS JOB WITHOUT STRONG SUPPORT                             |                 |              |     |     |  X  |     |     || FACILITATES SMOOTH OPERATION OF HIS OFFICE                      |                 |              |     |     |     |     |  X  || WRITES EFFECTIVELY                                              |                 |              |     |     |     |  X  |     || SECURITY CONSCIOUS                                              |                 |              |     |     |     |  X  |     || THINKS CLEARLY                                                  |                 |              |     |     |     |     |  X  || DISCIPLINE IN ORIGINATING, MAINTAINING AND DISPOSING OF RECORDS |                 |              |     |     |     |     |  X  || OTHER (Specify):                                                |                 |              |     |     |     |     |     |FORM 45 OBSOLETE PREVIOUS EDITIONS.SEE SECTION "E" ON REVERSE SIDESECRET(4)