CRUSHH LANDING KOREAN CORNDOG

Oroquieta City

EMPLOYEE CLEARANCE FORM

NAME: ________________________________________
POSITION: ________________________________________

EMPLOYEE’S STATEMENT

That as of today, I am separated from the employment of CRUSHH LANDING KOREAN

CORNDOG OROQ-Branch by virtue of my:
( ) voluntary resignation, ( ) completion of contractual appointment, ( ) termination of services;

That during the period of my employment with the company, I enjoyed all the rights and privileges due to me
as provided.

That I hereby finally certify that I have no claims of whatever kind and nature against CRUSHH LANDING
KOREAN CORNDOG OROQ-Branch, and

That this statement is made and executed by me out of my own free will and deed in the presence of a
witness.

Done in Oroquieta City, Philippines __________________, 20______.

WITNESS:

________________________________

_________________________________________
JASMINE PRINCESS V. ALBETRIA
Employee Name and Signature
Proprietor

(0955) 840 0784 Crushh Landing Oroq- Branch