CLEARANCE FORM

I. Name of Employee: DERWIN M. MUSNIT

Department/Branch: Marinduque Branch
Designation: Sales Associate – DepEd Sales
Length of Service: October 12, 2021 – September 13, 2022

II. Route:
CLEARED / SIGNATURE

JULIAN MICHEL A. ABOITIZ – Salary Loans Business Head _______________________

GREG R. ROMERO – Chief Technology & Process Officer _______________________

JANA JAY BAGSICAN – Share Insurance Premium ______________________

ARLYN GRANDE – Company Assets _______________________

III. If the employee whose name appears above has any outstanding account or is in possession of any supplies/bank records,
please indicate if he has been cleared by affixing your signature on the “CLEARED” column:

CLEARED / SIGNATURE
Jan Felix R. Cruz – CPS Accounting Manager __________________________

Julius M. Apeluddin – Audit ___________________________

Jomalyn C. Barajas – CA Liquidation ___________________________

Fritz T. Abenir – IT Access ____________________________

Shiella V. Amistoso – CSB Loans ____________________________

Donna C. Magcamit – Regional Business Head ____________________________

Jonathan P. Pedernal – Branch Business Head ____________________________

This is to certify that I agree to have my Clearance Form processed as a requirement for the release of my last pay and other
receivables due to my resignation from the Bank.

Conforme:

______________________________
DERWIN M. MUSNIT

After completion, please forward this to HRQ