EMPLOYEE CLEARANCE FORM

Employee Name: Junrey Racho ID No.: 1108-23-189

Department: Showroom Assistant Position: Showroom Assistant/Admin

Employee Status: Reg Mgr/Sup Regular Staff x Probationary

Part Timer Contractual

Type: Resigned Last day of active Employment: February 27, 2024

An employee is required to return the Company’s properties to the respectiveDepartment before

leaving the service of the Company. Employees must visit the HMI Main offices to obtain the
appropriate signature before the exit. Otherwise, the HR Department can process the completion
of this document.

MOVEMENT PRINTED NAME,

SIGNATURE / DATE NOTES/REMARKS
1. DEPARTMENT CLEARANCE
Date forwarded to HR:_________________
Other Notes/Remarks:
● ____ Keys (Desk, Drawer, Office, Car etc)
● ____Company Issued Computer / Laptop Logins and Passwords:
● ____Company Issued Sim Card ______________________________________

● ____Company Issued Mobile Phone Sup / Reporting Mgr

● ____Company Issued Ipad, chargers and casing
Date: _____________

2. HUMAN RESOURCES CLEARANCE Date Received From Dept. : ___________

Other Notes/Remarks:
● ____Company ID
Signed Resignation/Termination Letter
● ____Exit Form Received: ______
● ____Calling Cards ______________________________________

● ____Handover Form / Confirmed Login and Paswords HR Manager

● ____Signed Last Pay and 13th Month Computation Date: ______________

3. ACCOUNTING CLEARANCE
● Petty Cash Date Received From HR Dept. : ___________
______________________________________
● Loans Other Notes/Remarks:
Accounts

Date: ______________

4. ADMIN CLEARANCE Date Received From Accounts. : ___________

______________________________________
Other Notes/Remarks:

Admin

Date: ______________

5. AVP CLEARANCE REMARKS:

______________________________________

EJM

6. VP CLEARANCE REMARKS:
______________________________________
JBN

Once separated, I understand that I have an on-going responsibility to maintain the

confidentiality of the company and employee information to which I may have had access during
my employment. I understand that my final pay will be released only 1 month after the
completion of this Employee Clearance Form.

________________________________ ____________________
Employee’s Signature Date