The image appears to be a photograph of a document with various fields and checkboxes that are filled out with ink pen markings. The document has headings like "REASON FOR REVIEW" and includes sections labeled for information such as the employee's name, department, position, and the review date. There is visible text within these fields, but due to the resolution of the image, it's not possible to read all the details clearly. The form also contains statements with boxes that can be checked off, likely indicating compliance or acknowledgement of terms or policies by the person filling out the document. There are no people depicted in this image; it is focused on the printed material.