CLIENT ACKNOWLEDGEMENT

OF CLEARANCE

DATE SUBMITTED : _______________________

EMPLOYEE’S NAME : _______________________
START DATE : _______________________
CLIENT : _______________________
OUTLET : _______________________

Please be informed that the said employee who has been assigned to your
establishment has resigned effective _________________. In this connection,
please check your records and affix your signature below if the said employee has no
outstanding obligation or accountability with your good office. Otherwise, please
indicate below all accountabilities of said deployed employee. Thank you.

Conforme:

__________________________________
NAME AND SIGNATURE OF
SUPERVISOR/MANAGER

_________________________________
NAME AND SIGNATURE OF
HR REPRESENTATIVE

_________________________________
NAME AND SIGNATURE OF
ACCOUNTING REPRESENTATIVE

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ACCOUNTABILITIES TO BE SURRENDERED:

HR FORM - Revised as of May 15, 2021