Employee Exit Clearance Form 662856

Employee Clearance Form

Instructions: 1. Section 1 : To be completed by employee. 2. Section 2 : Employee will need to complete his/her clearance at all departments on his/her last physical work da ensure that employee returns all company assets and outstanding matters cleared before g off. 3. Employee is to return the completed clearance form for final clearance. 4. Last payment will be released to the employee upon the completion (signed off by all departments) of the cleara

Section 1: Personal Data

Employee ID

Leave Period (if any)

Employee Name

Physical Last Day

Designation

Last Date of Service

Line Manager Name

Mailing Address

Country No

Clearance Item Laptop / Desktop including data cable LCD / Docking Station / Screen Filter Computer Lock Company Mobile Phone

Cisco IP Phone including data cable Cisco IP Phone Headset Intercall / WebEx Live Meeting / OCS Juniper VPN Business Applications include IA Store/ GSP/ Sale Funnel / E-procurement / Estationary / DHL / UPS / Web Timesheet. Others, pls specify

Personal Email Address Section 2 : Department Clearance

Clearance Status

Remarks

l departments on his/her last physical work day. Department Representatives need to matters cleared before g off. ance. on (signed off by all departments) of the clearance form.

ection 1: Personal Data

n 2 : Department Clearance

Department Representative Sign Off (Signatory, Name & Date)

Employee Clearance Form

Instructions: 1. Section 1 : To be completed by employee. 2. Section 2 : Employee will need to complete his/her clearance at all departments on his/her last physical work da ensure that employee returns all company assets and outstanding matters cleared before g off. 3. Employee is to return the completed clearance form for final clearance. 4. Last payment will be released to the employee upon the completion (signed off by all departments) of the cleara

FINANCE

Clearance Item

Clearance Status

Remarks

Clearance Status

Remarks

Loans / Advances Expense Claims AMEX Online Statement Others, pls specify Facilities Management Clearance Item Keys Issued (Rooms / Cabinets / Pedestals) Access Cards Outstanding Payments Others, pls specify :

l departments on his/her last physical work day. Department Representatives need to matters cleared before g off. ance. on (signed off by all departments) of the clearance form.

Department Representative Sign Off (Signatory, Name & Date)

Department Representative Sign Off (Signatory, Name & Date)

Employee Clearance Form

Instructions: 1. Section 1 : To be completed by employee. 2. Section 2 : Employee will need to complete his/her clearance at all departments on his/her last physical work da ensure that employee returns all company assets and outstanding matters cleared before g off. 3. Employee is to return the completed clearance form for final clearance. 4. Last payment will be released to the employee upon the completion (signed off by all departments) of the cleara

Real Estate Clearance Item

Clearance Status

Remarks

Apartment Keys Clearance done at apartment/s Outstanding Payments Others, pls specify : DEPARTMENT (Main Representative: Reporting Manager or Department ) Clearance Item Keys Issued by Department (if any)

Clearance Status

Remarks

Clearance Status

Remarks

Manuals / Files Company's CDs & Project related software Price Book / Project Literature Reference books / Magazines / Brochures Stationery Working Tools & Equipment Safety Shoes & Overall Others, pls specify : HR Clearance Item Training / Tuition Loan Car Key / Petrol Card AMEX Card

l departments on his/her last physical work day. Department Representatives need to matters cleared before g off. ance. on (signed off by all departments) of the clearance form.

Department Representative Sign Off (Signatory, Name & Date)

or)

Department Representative Sign Off (Signatory, Name & Date)

Department Representative Sign Off (Signatory, Name & Date)

Employee Clearance Form

Instructions: 1. Section 1 : To be completed by employee. 2. Section 2 : Employee will need to complete his/her clearance at all departments on his/her last physical work da ensure that employee returns all company assets and outstanding matters cleared before g off. 3. Employee is to return the completed clearance form for final clearance. 4. Last payment will be released to the employee upon the completion (signed off by all departments) of the cleara

Corporate Health Services Card (PanGroup) Termination of HRIS s Termination of Insurance Coverage & Flex Employment / Work Permit Income Tax Clearance Others, pls specify :

NOTE: For Manuals/Files/CDs/Software/Price Book/Literature, please attach a separate list with details w

DECLARATION BY EMPLOYEE : This is to certify that I do not have in my possession any Invensys prop

Signed Off By Employee

Signed Off by HR Representative

Name

Name

Date

Date

l departments on his/her last physical work day. Department Representatives need to matters cleared before g off. ance. on (signed off by all departments) of the clearance form.

please attach a separate list with details where applicable.

have in my possession any Invensys property.