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Clearance Form

The document is an HR clearance form used to certify that an employee has returned all company property and settled any outstanding accounts upon leaving the organization. It includes sections for clearance from various departments such as Reporting Officer, BD, IT, Admin, and Accounts, each requiring signatures and confirmation of items returned. The form concludes with a section for HR to confirm receipt and update records accordingly.

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19 views3 pages

Clearance Form

The document is an HR clearance form used to certify that an employee has returned all company property and settled any outstanding accounts upon leaving the organization. It includes sections for clearance from various departments such as Reporting Officer, BD, IT, Admin, and Accounts, each requiring signatures and confirmation of items returned. The form concludes with a section for HR to confirm receipt and update records accordingly.

Uploaded by

re.lfs.tumas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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RESTRICTED

HR Form – 9 (2018 Revised)

FINAL CLEARANCE: ISSUED BY HRD


Name :_______________________________ Employee No: ___________

Designation :_______________________________ Date of Joining: ___________

Deptt./Project:______________________________ Date of Leaving: ___________

Office Lahore Karachi Islamabad

Project Site (Please mention the Project site name here: _________ )

1. Clearance from Reporting Officer

Items Cleared (Yes/No) Specify


Handing over taking over by

Others

This is certified that Mr./Ms. ____________ has handed over all items by the undersigned
and nothing is out standing against him/her.

___________________________________ ________________________
Name and Signature Dated

2. Clearance from BD Department (if applicable)

Items Cleared (Yes/No) Specify


Proposal(s)

EOI/Prequalification(s)

Others

This is certified that Mr./Ms. ____________ has handed over all items by the undersigned
and nothing is out standing against him/her.

___________________________________ ________________________
Name and Signatures Dated
RESTRICTED

3. Clearance from IT Department

Items Cleared (Yes/No) Specify

Allocated Lap top / Desktop Computers (if any)

USB/Data Backup / CD’s/DVD’s (if any)


Closure of e-mail account
Intranet account etc
Status
Others:

This is certified that Mr./Ms. ____________has handed over all items pertaining to IT
department to the undersigned and nothing is out standing against him/her.

___________________________________ ________________________
Name and Signatures Dated

4. Clearance from Admin Department

Items Cleared (Yes/No) Specify

Book (s)

Non consumable items (e.g Tonner, Camera,


Binocular, stationary, stapler, calculator etc.)
Return of Corporate ID Cards
Medical Card (If applicable) etc
Others :

This is certified that Mr./Ms. ____________has handed over all items pertaining to Library
to the undersigned and nothing is out standing against him/her.

___________________________________ ________________________
Name and Signature Dated
RESTRICTED

5. Clearance from Accounts Department

Items Cleared (Yes/No)

Advances against salary

Advances against Imprest

Others

This is certified that account of Mr./Ms. ____________has been settled by the


undersigned and nothing is out standing against him/her.

___________________________________ ________________________
Name and Signature of Manager Accounts Dated

For use in HR Department


Date of Receipt:

Cleared from all Departments: Yes No

Update in HR record: Yes/No

Clearance Certificate issued: Yes/No

Name & Signatures of HR Staff Dated:

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