Employee Exit Interview Form

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Agensi Pekerjaan Sperton Sdn. Bhd.

Unit.959. Suite:9.01 Level 9 Menara Summit


Persiaran Kewajipan USJ.1 UEP
47600 Subang Jaya Selangor
Tel: +603-8601 7143
www.sperton.com

EMPLOYEE EXIT INTERVIEW FORM

Name: ______________________________________

Department: _________________________________

Position: ____________________________________

Date of Resignation: ___________________________

Items to Return:
● PPE
● LOCKER KEY

REASON FOR LEAVING :

More than one reason may be given if appropriate; if so, tick primary reason.

Lack of work Dissatisfaction with salary

Poor health/physical disability Dissatisfaction with type of work

Pregnancy/home/family needs Dissatisfaction with supervisor

Relocation to another city Dissatisfaction with co-workers

Others:

____________________________________________________________________________________

____________________________________________________________________________________

Employee Signature : ______________________ Manager Signature: : _______________________

Date: ________________________ __________ Date: ___________________________________

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