Unit 1 2nd floor 527 Melting Pot Ph 1 Block 1
Lot 2, Ciudad Verde
Executive Village, Omega St., Quezon City
Telephone Number: 02-87455281
Email:
[email protected] EXIT CLEARANCE FORM
Name : __________________________________ ✓
Department: _______________________________ ✓
Position Held: ______________________________ ✓
Last Day of Service: _________________________ ✓
Forwarding Address: __________________________ ✓ Email Address: ___________________ ✓
Employee Signature : ___________________________ ✓ Date : _____________________ ✓
ADMIN / HR DEPARTMENT
No Clearance Details Clearance Received by: Date
by:
1. Acknowledge resignation Letter from
Employee
2 Employee I.D / Access Card
3. Proper turnover of supplies and
materials / equipment
4. Drawers cleared and keys returned
5. Exit Interview Form
6. All official documents /Process
handed over
7 Personal Disk space cleared on
Computers.
8. Internet / Telephone connection (if
any)
ACCOUNTING / FINANCE DEPARTMENT
No Clearance Details Clearance Received by: Date
by:
1. ATM Payroll account
2 SSS Loan
3. Settement of all dues
Note: * This form should be returned to HR / Admin - Department, on or before the last
working
day
**Please do not keep any of the field empty, as incomplete form will not be
entertained
***Some of the fields may not be applicable to all, in such case please mention N/A
Employee Signature: __________________________ ✓
Date : _________________________________ ✓
