C L E A R A N C E

Name: Position: SSS:

Date Hired: Date of Separation: TIN:

Date Clearance Started: Date Clearance Finished: PhilHealth:

Pag-ibig:
Cell Number: Phone / Landline Number:

E-mail Address: Permanent Address:

Signature/
Cleared Remarks Name
Date

President & CEO

Chief Operating Officer

Accounting Manager

IT Group
a. Laptop / Desktop issued
b. Licensed OS / software, etc.
c. All files backed up
d. Email address deleted
Admin
a. Office supplies (calculator, stapler, staple
remover, scotch tape. scissor)
b. Petty Cash
Accounting &Treasury
a. Salary / Bank loan
b. Sun Cellular Postpaid Plan
c. Cash Advances
d. PICPA Membership Dues
e. PRC license fees
f. PTR fees
Human Resource
a. Exit Interview
b. Company ID
c. HMO Card
d. ATM (will be converted to savings account)
e. Turn Over Form
f. Time Reports (last 2 cut-off)

“ Creating Value is our Business ”