26thFloor,IBPTower

Doña Julia Vargas Avenue & Jade Drive,

OrtigasCenter,PasigCity1605Philippines
CLEARANCEFORM
DATE FILED: January 17,2024
NAME:Albert A. Jarlego DATEHIRED: December 26, 2022
POSITION/DEPARTMENT:Barista/SM BAGUIO LASTDAYOFWORK: January 06, 2024

CLEARINGOFFICER LIST OF
CLEARINGDEPARTMENT REMARKS
NAME SIGNATURE ACCOUNTABILITY
IMMEDIATESUPERIOR

WAREHOUSE&
LOGISTICS
AUDIT

SERVICES & 1.
PURCHASING 2.

ACCOUNTING

ADMIN

HUMANRESOURCES

ReturnedCompanyProperties
Item Quantity Remarks
UNIFORM(includingcap,apron,etc) 1 apron,1 Coco cap,2 gray

COMPANYID/TENANTID None

PAYROLLATM/HMO CARD 1 BDO cash card

COMPANYLAPTOP/CELLPHONE/SIM
OTHERS
REMINDERS:

1. ClearanceFormmustbesubmittedtoHumanResourcesDepartmentforprocessing.
2. Separatedemployeesmustsettleallhis/heraccountabilitiesandsurrenderallcompany-issuedmaterialsuponthefilingofthisform.
3. Clearancemaytake60-90workingdaysforprocessinguponsubmissionofthisform.
4. Allremainingcashadvances,loans, charges,wrongmade&re-seal (ifapplicable),etc.willbedeductedfromtheemployees’lastpay
unlesssettled.
5. Acertificateofemploymentwillbegiven uponreleaseofthelastpayment.

CONFIRMED: Albert A. Jarlego. 09693347660

 Employees’Signatureoverprintedname ContactNu mber/s