PPI HOLDINGS, INC.

Restaurant Support Center

CLEARANCE / NOTICE OF SEPARATION
Instruction:
1. Signatories differ for each position, refer to table below.
2. All separated employees should return all accountabilities to RGM/Department Heads before securing clearance.
3. If there are accountabilities, list them at the back of this form.

EMPLOYEE NO. DEPARTMENT: DATE:

NAME OF EMPLOYEE:
DATE HIRED: DATE SEPARATED:
POSITION:

POSITIONS OF SIGNATORIES FOR ACCOUNTABILITY SIGNATURE OVER

SEPARATED EMPLOYEES OPERATIONS/CSC EMPLOYEES YES NO PRINTED NAME
Team Member / Management Trainee to
RESTAURANT MANAGER
Assistant Restaurant Manager
Restaurant Manager AREA MANAGER

Restaurant Manager / Area Manager DISTRICT MANAGER

Area Manager / District Manager VP-OPERATIONS

POSITIONS OF SIGNATORIES FOR ACCOUNTABILITY SIGNATURE OVER

SEPARATED EMPLOYEES RSC EMPLOYEES YES NO PRINTED NAME
Rank & File SECTION HEAD

Rank & File / Officer DEPARTMENT MANAGER

Department Manager GROUP MANAGER (VP)

HRD DEPT. MANAGER / VP

FINANCE DEPT. MANAGER / VP

MIS DEPT. MANAGER / VP

COMPLIANCE DEPT. MANAGER / VP

CHIEF OPERATING OFFICER (COO)

FOR HRD USE ONLY

CHECKLIST: CERTIFICATION:

* QUIT CLAIM * TERMINAL PAY This is to certify that _____________________________has been

* EXIT INTERVIEW REPORT cleared of all accountabilities from PPI.

NOTE: Please specify list of accountabilities at the

back of this form PPI Holdings, Inc.

DISTRIBUTION: 1st Copy: EMPLOYEE By: ______________________

2nd Copy: HRD HRD
Address: _____________________________________________ Contact No. _______________ Email address: __________
LIST OF ACCOUNTABILITIES
RETURN AMOUNT
ITEMS/DESCRIPTION QUANTITY RECEIVED BY
YES NO (Pesos)
UNIFORMS
NAME PLATE
IDENTIFICATION CARDS
TIPS/CASH ADVANCES
CELLPHONE
LAPTOPS
RESTAURANT KEYS
MANUALS
OTHERS: (Specify)

COMPUTATION OF TERMINAL PAY (IF ANY)

RELEASE AND QUITCLAIM

KNOW ALL MEN BY THESE RESENTS

That I, _______________________________ of legal age, married/single, Filipino, with residence and postal address at
_________________________________________ having voluntarily resigned/been terninated from the employment of having
voluntarily resigned/been terminated from the employment of __________________________________, and having received in
full all the sums due me by way of salary allowances, bonuses, and separation pay, have released, as I hereby release, my said
employer, its officers, directors and agents from any and all liabilities arising from and in connection with my said employment;

That I, hereby further waive any and all other claims, whether past, present, future or contingent or of whatever nature
against __________________________________ and forever hold free my said employer, its officers, directors and agents from
all obligation whatsoever under and in connection with my said employment.

IN WITNESS WHEREOF, I have hereunto signed this document this _____ day of __________, 20____ at Quezon City,
Metro Manila, Philippines.

___________________________________
Employee's Signature Over Printed Name

SIGNED IN THE PRESENCE OF:

____________________________ ____________________________
Signature Over Printed Name Signature Over Printed Name

SUBSCRIBED AND SWORN to before me this _____day of ______________, 20 ____ at Quezon City, Philippines. Affiant
exhibits to me his/her Residence Certificate No. ___________________________ issued at __________________________ on
_______________________________.

NOTARY PUBLIC
Until December 31, 20___
PTR No. _____________
Issued at _____________
Doc. No. On __________________
Page No.
Book No.
Served to: Revised June 2024