PESHAWAR INSTITUTE OF CARDIOLOGY

MEDICAL TEACHING INSTITUTION, PIC - MTI

5-A, Sector B-3, Phase-V, Hayatabad, Peshawar, KP, Pakistan
+92 91 9219641 info@pic.edu.pk www.pic.edu.pk

WARNING LETTER

Employee Name: Date:

Employee RFID No#: Department:

Employee’s Supervisor: Location of Violation:

Violation Date Time a.m./p.m

Warning Classification
Attendance/Tardiness Insubordination Theft

Safety Infraction Workplace Harassment Work Quality

Sexual Harassment Inappropriate Action or Behavior Substance Abuse

Failure to Perform Duties Other

Organization Statement

Summary of Corrective Action (Include dates for improvement and plans for follow up)

Consequences of Failure to Improve Performance or Correct Behavior

Termination Reassignment Other Warning No.1
Warning No.2
Verbal Warning Written Warning
Total Warnings

Employee Statement
I do concur with the organization’s Statement I do not concur with the organization’s Statement
Notes:

Signatures
I have read this performance warning and understand the form and its contents and hereby acknowledge
that I have been given the opportunity to respond. If desired, I have attached additional sheets to
respond to the organization’s statement.
Employee Date

Prepared and signed By: Focal Person Employee Relation Human Resource Department Date

Head of Department Date

Copy Distribution: Personal File