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    Form - Exit Clearance Form

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    Putri Griyani
    This document is an exit clearance form for an employee leaving a company. It requires the employee to provide their name, ID, job title, department, and date of joining and leaving. It also asks for the reason for leaving. There are 13 items listed that need to be settled, such as returning the ID card, uniform, insurance card, company equipment, laptop, files, and ensuring job handover is completed. The employee and their direct superior must sign off on the status of settling each item before HR can approve the exit clearance.

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    Form - Exit Clearance Form

    Uploaded by

    Putri Griyani
    4 views1 page
    This document is an exit clearance form for an employee leaving a company. It requires the employee to provide their name, ID, job title, department, and date of joining and leaving. It also asks for the reason for leaving. There are 13 items listed that need to be settled, such as returning the ID card, uniform, insurance card, company equipment, laptop, files, and ensuring job handover is completed. The employee and their direct superior must sign off on the status of settling each item before HR can approve the exit clearance.

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    Form - Exit Clearance form (2)

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    This document is an exit clearance form for an employee leaving a company. It requires the employee to provide their name, ID, job title, department, and date of joining and leaving. It also asks for the reason for leaving. There are 13 items listed that need to be settled, such as returning the ID card, uniform, insurance card, company equipment, laptop, files, and ensuring job handover is completed. The employee and their direct superior must sign off on the status of settling each item before HR can approve the exit clearance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    4 views1 page

    Form - Exit Clearance Form

    Uploaded by

    Putri Griyani
    This document is an exit clearance form for an employee leaving a company. It requires the employee to provide their name, ID, job title, department, and date of joining and leaving. It also asks for the reason for leaving. There are 13 items listed that need to be settled, such as returning the ID card, uniform, insurance card, company equipment, laptop, files, and ensuring job handover is completed. The employee and their direct superior must sign off on the status of settling each item before HR can approve the exit clearance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    FORM : EXIT CLEARANCE

    Employee Name :
    Employee ID :
    Job Title :
    Department / Branch :
    Date of joining to company :
    Date of leaving company :

    Reason for leaving company Resign Not pass from probation period
    End of contract Assignment to overseas
    Retirement Others (specify)

    Signature of related
    No Settlement / obligation Status of Settlement Remarks
    parties
    1 ID card Not returned yet Returned GA
    2 Uniform Not returned yet Returned / not borrowed GA
    3 Insurance card Not returned yet Returned GA
    4 Duty Commitment Not finished yet Finished
    Direct Superior
    Not paid penalty yet Paid penalty

    Company car and its


    5 Not returned yet Returned / not borrowed GA
    equipment
    Mobile handphone / Modem
    6 Not returned yet Returned / not borrowed GA
    (Handset / SIM Card)
    Not returned yet Paid / Not borrowed GA

    7 Loan Not returned yet Paid / Not borrowed Finance

    Not returned yet Paid / Not borrowed Koperasi


    8 Laptop / PC & Accessibility Not returned yet Returned / not borrowed GA
    9 Job hand over Not done yet Done Direct Superior

    10 Document / file Not returned yet Returned Direct Superior

    Calculator / other
    11 Not return yet Returned / not borrowed GA
    stationaries
    12 Key drawer / filling cabinet Not returned yet Returned / not borrowed GA
    13 Others

    Jakarta, Exit Clearance Status (Checked by HR Dept)


    Submitted by : Acknowledged by ; OK

    Tidak OK

    Catatan :
    (employee) (Direct Superior / Manager)

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