Form Exit Interview Hgs

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HOTEL GRAN SENYIUR

BALIKPAPAN
Employee Name
Section/Department
Termination Date

EXIT INTERVIEW
: _________________
Position
: _________________
Date of Hire
: _________________
Date of Interview

: __________
: __________
: __________

Your reason for leaving : ___________________________________________________

CLEARANCE ITEMS :
ITEMS
DEPT.HEAD

TIME/DATE

REMARKS

By __________

Date ________

____________

By __________

Date ________

____________

3. Financial Record By ___________


(Accounting Dept)

Date ________

____________

4. Dept.Head Concern By___________

Date _________

____________

1. Uniform
(Laundry Dept)
2. Name Tag
Locker Key
INHEALT Card
Book Of Rule
(HRD Dept)

I am agree with the Hotels policy that during my resignation. I am not allowed to
go around of the Hotels area until 1 year later.
Acknowledge
.
(Employee)

HRD In Charge

SUMMARY
(Human Resources Department use only)
Employees reason for leaving
: ________________________________________
Response Employees Comments
: ________________________________________
Re-Hire? Yes
No
Additional Remarks
: ________________________________________
Original
1st Copy
2nd Copy

- Human Resources Department


- General Manager
- Department Concerned

HOTEL GRAN SENYIUR


BALIKPAPAN
Employee Name
Section/Department
Termination Date

EXIT INTERVIEW
: _________________
Position
: _________________
Date of Hire
: _________________
Date of Interview

: __________
: __________
: __________

Your reason for leaving : ___________________________________________________

CLEARANCE ITEMS :
ITEMS
DEPT.HEAD

TIME/DATE

REMARKS

By __________

Date ________

____________

By __________

Date ________

____________

3. Financial Record By ___________


(Accounting Dept)

Date ________

____________

4. Dept.Head Concern By___________

Date _________

____________

1. Uniform
(Laundry Dept)
2. Name Tag
Locker Key
ASKES Card
Book Of Rule
(HRD Dept)

I am agree with the Hotels policy that during my resignation. I am not allowed to
go around of the Hotels area until 1 year later.
Acknowledge
.
(Employee)

HRD In Charge

SUMMARY
(Human Resources Department use only)
Employees reason for leaving
: ________________________________________
Response Employees Comments
: ________________________________________
Re-Hire? Yes
No
Additional Remarks
: ________________________________________

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