MBC CLOTHING GROUP INC. MBC CLOTHING GROUP INC.

EXIT CLEARANCE EXIT CLEARANCE

Name: (Surname, First Name, MI - Print) Position: Date Filled: Date Hired: (MMDDYR) Name: (Surname, First Name, MI - Print) Position: Date Filled: Date Hired: (MMDDYR)

Brand / Store: Nature of Separation: Date Separated: (MMDDYR) Brand / Store: Nature of Separation: Date Separated: (MMDDYR)

PENDING ACCOUNTABILITIES PENDING CLAIMS PENDING ACCOUNTABILITIES PENDING CLAIMS

TO BE FILLED UP BY SUPERIORS TO BE FILLED UP BY EMPLOYEE TO BE FILLED UP BY SUPERIORS TO BE FILLED UP BY EMPLOYEE
STORE - (REPORTS / OTHERS) UNCLAIMED (X) (Note: Subject for checking if claim is correct) PERIOD HR/ACTG STORE - (REPORTS / OTHERS) UNCLAIMED (X) (Note: Subject for checking if claim is correct) PERIOD HR/ACTG

( ) SALARY ( ) SALARY

( ) OT ( ) OT

( ) PONDO ( ) PONDO

( ) REIMBURSEMENT ( ) REIMBURSEMENT

( ) OTHERS ( ) OTHERS

HEAD OFFICE - (REPORTS/SHOPLIFT / OTHERS) HEAD OFFICE - (REPORTS/SHOPLIFT / OTHERS)

I CERTIFY THAT THE ABOVE INFORMATIONS ARE TRUE & CORRECT TO THE BEST OF MY I CERTIFY THAT THE ABOVE INFORMATIONS ARE TRUE & CORRECT TO THE BEST OF MY
KNOWLEDGE BUT IS STILL SUBJECT TO THE COMPANY'S CONFIRMATION BASED ON _______ KNOWLEDGE BUT IS STILL SUBJECT TO THE COMPANY'S CONFIRMATION BASED ON _______
THEIR RECORDS. EMPLOYEE'S SIGNATURE OVER PRINTED NAME DATE THEIR RECORDS. EMPLOYEE'S SIGNATURE OVER PRINTED NAME DATE
DATE RCVD BY: REMARKS SIGNATURE DATE RCVD BY: REMARKS SIGNATURE
STORE OIC: STORE OIC:

SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE
ROVING SUPERVISOR ROVING SUPERVISOR

SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE
HR HR

SIGNATURE OVER PRINTED NAME DATE SIGNATURE OVER PRINTED NAME DATE
ACCOUNTING ACCOUNTING

THIS IS TO CERTIFY THAT THE ABOVE-
MENTIONED SEPARATED EMPLOYEE
HAS NO OUTSTANDING OBLIGATION
WHATSOEVER AND THAT HE/SHE IS
CLEARED OF ANY ACCOUNTABILITY
WITH THE COMPANY.
DEPARTMENT HEAD
(SIGNATURE OVER PRINTED NAME)
DEPARTMENT
UPON SETTLING ALL ACCOUNTABILITIES
MR/MRS.
IS HEREBY GIVEN CLEARANCE FROM ALL HER
DUTIES & RESPONSIBILITIES WITH MBC CLOTHING
GROUP INC. THIS IS ALSO TO CERTIFY THAT
HER EMPLOYMENT HAS CEASED EFFECTIVE ON THE
DATE OF HER SEPARATION FROM THE COMPANY.
SIGNATURE OVER PRINTED NAME DATE
THAT FOR IN THIS CONSIDERATION OF THE SUM OF
(Php __________________________) IN THE SETTLEMENT OF
MY/OUR CLAIM(S) AS FINANCIAL ASSISTANCE & /OR
GRATUITOUSLY GIVEN BY MY/OUR EMPLOYER RECEIPT OF
WHICH IS HEREBY ACKNOWLEDGE TO MY/OUR COMPLETE &
FULL SATISFACTION. I/WE HEREBY STATE FURTHER THAT
I/WE HAVE NO MORE CLAIM, RIGHT OF ACTION OF
WHATSOEVER NATURE WHETHER PAST, PRESENT OR
CONTINGENT AGAINST THE SAID RESPONDENT & OR ITS
OFFICERS.
THIS IS TO CERTIFY THAT THE ABOVE-
MENTIONED SEPARATED EMPLOYEE
HAS NO OUTSTANDING OBLIGATION
WHATSOEVER AND THAT HE/SHE IS
CLEARED OF ANY ACCOUNTABILITY
WITH THE COMPANY.
DEPARTMENT HEAD
(SIGNATURE OVER PRINTED NAME)
DEPARTMENT
UPON SETTLING ALL ACCOUNTABILITIES
MR/MRS.
IS HEREBY GIVEN CLEARANCE FROM ALL HER
DUTIES & RESPONSIBILITIES WITH MBC CLOTHING
GROUP INC. THIS IS ALSO TO CERTIFY THAT
HER EMPLOYMENT HAS CEASED EFFECTIVE ON THE
DATE OF HER SEPARATION FROM THE COMPANY.
SIGNATURE OVER PRINTED NAME DATE
THAT FOR IN THIS CONSIDERATION OF THE SUM OF
(Php __________________________) IN THE SETTLEMENT OF
MY/OUR CLAIM(S) AS FINANCIAL ASSISTANCE & /OR
GRATUITOUSLY GIVEN BY MY/OUR EMPLOYER RECEIPT OF
WHICH IS HEREBY ACKNOWLEDGE TO MY/OUR COMPLETE &
FULL SATISFACTION. I/WE HEREBY STATE FURTHER THAT
I/WE HAVE NO MORE CLAIM, RIGHT OF ACTION OF
WHATSOEVER NATURE WHETHER PAST, PRESENT OR
CONTINGENT AGAINST THE SAID RESPONDENT & OR ITS
OFFICERS.

(SIGNATURE OVER PRINTED NAME) DATE (SIGNATURE OVER PRINTED NAME) DATE
DATE HUMAN RESOURCE DEPARTMENT EMPLOYEES SIGNATURE OVER PRINTED NAME DATE DATE HUMAN RESOURCE DEPARTMENT EMPLOYEES SIGNATURE OVER PRINTED NAME DATE