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STAFF ISSUANCE & CLEARANCE FORM

1. Please note that monies due to you will not be paid unless all items (where applicable) have been cleared.
2. Kindly do your clearance according to the following Steps 1,2,3,4,5 & 6 by the last working day.

ISSUE RETURN
RETURNED BY PAYMENTS TO BE
STEP 1 ITEMS ISSUED BY STAFF(PLEASE MADE TO ACKNOWLEDGED
PUT YES / NO /NA) ACCOUNTS BY
1) DEPARTMENT
Department Manuals
Metal Keys _________________ ________________
Master Keys Signature Signature
Others: _____________ Name : Name :
___________________ Designation : Designation :
STEP 2
Date : Date :
2) IT
MIS Passwords
Mail Account ________________
Email & IT Policy Signature
Extension Phone _________________ Name :
Laptop Signature Designation :
Others: _____________ Name : Date :
____________________ Designation :
Date :
STEP 3 3. HOUSEKEEPING
Uniforms
Shoes _________________ ________________
Others: _____________ Signature Signature
____________________ Name : Name :
Designation : Designation :
____________________
Date : Date :
4. POMEC (Engineering)
Key Cards _________________ ________________
Others: ______________ Signature Signature
_____________________ Name : Name :
_____________________ Designation : Designation :
Date : Date :
5. HUMAN RESOURCES
Name Tag
Locker ( )
Employee Handbook
Lapel Pin
Exit Interview
Training Bond _________________ ________________
Bienvenue receiving form Signature Signature
Parking Ticket Name : Name :
Acknowlege forms Designation : Designation :
Others: _____________ Date : Date :
____________________
___________________
6. ACCOUNTS
Staff Clearance Form _________________ ________________
Others: ___________ Signature Signature
__________________ Name : Name :
Designation : Designation :
__________________ Date : Date :

PERSONAL DETAILS

Employee name: Employee Code No:


Designation: Department:
Signature: Received date: Returned date:

STEP 654

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