HR COUNSELING FORM_ HR COUNSELING FORM_

TO: TO:
DATE: DATE:
APE RESULT: APE RESULT:

REFERENCE: REFERENCE:
COUNSELING SCHEDULE COUNSELING SCHEDULE
DATE: DATE:
TIME: TIME:
RECOMMENDATION: RECOMMENDATION:

EMPLOYEE’S COMMITMENT: EMPLOYEE’S COMMITMENT:

I understood the advice of the Company Nurse relative I understood the advice of the Company Nurse relative
to my Annual Medical findings. I shall comply with the to my Annual Medical findings. I shall comply with the
recommendation given to me. recommendation given to me.

__________________________ __________________________
EMPLOYEE EMPLOYEE
Signature over Printed Name Signature over Printed Name
COUNSELING CONDUCTED BY: COUNSELING CONDUCTED BY:

HR COUNSELING FORM_ HR COUNSELING FORM_

TO: TO:
DATE: DATE:
APE RESULT: APE RESULT:

REFERENCE: REFERENCE:
COUNSELING SCHEDULE COUNSELING SCHEDULE
DATE: DATE:
TIME: TIME:
RECOMMENDATION: RECOMMENDATION:

EMPLOYEE’S COMMITMENT: EMPLOYEE’S COMMITMENT:

I understood the advice of the Company Nurse relative I understood the advice of the Company Nurse relative
to my Annual Medical findings. I shall comply with the to my Annual Medical findings. I shall comply with the
recommendation given to me. recommendation given to me.

__________________________ __________________________
EMPLOYEE EMPLOYEE
Signature over Printed Name Signature over Printed Name
COUNSELING CONDUCTED BY: COUNSELING CONDUCTED BY: