SOS

TACLOBAN
DESCIPLINARY
HEARING FORM
 DISCIPLINARY HEARING FORM

NAME & NUMBER OF EMPLOYEE: BRYAN AMBRAY

DEPARTMENT: _______________________________________
DATE: _________________
PRESENT: _________________________________________________________________
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ALLEGED OFFENCE:
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SUMMARY OF DEFENCE:
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DISCIPLINARY
ACTION:__________________________________________________________________
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EMPLOYEE: __________________________________
DATE: ______________________________________

CHAIRPERSON: _______________________________
DATE: ______________________________________

INITIATOR: __________________________________ DATE: _________________

REPRESENTATIVE: ____________________________ DATE: _________________

 FIRST WRITTEN WARNING
(Valid for 6 months)

NAME OF EMPLOYEE:
BRYAN CHRISTOPHER AMBRAY

JOB TITLE: TECHNICIAN

DETAILS OF MISCONDUCT:
JANUARY 23, 2019 (UNDER-TIME)
JANUARY 24, 2019 (ABSENCE WITHOUT OFFICIAL LEAVE))

EMPLOYEE'S COMMENTS (if any)

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WARNING ISSUED BY:

JOMAR Z. CORTEZ
SIGNATURE:
DATE ISSUED: JANUARY 24, 2019
POSITION: SALES MANAGER
EXPIRY DATE: 6 (SIX) MONTHS of warning

ACKNOWLEDGEMENT BY EMPLOYEE OR REPRESENTATIVE;

REPRESENTATIVE
SIGNATURE_______________________________________________________________

WITNESS SIGNATURE
________________________________________________________________________

EMPLOYEE
SIGNATURE_______________________________________________________________

(SHOULD EMPLOYEE REFUSE TO SIGN RECEIPT HEREOF TWO WITNESSES SHALL

SIGN ATTESTING TO THE FACT THE EMPLOYEE HAS BEEN WARNED)

WITNESS SIGNATURE__________________ DATE _______________________

WITNESS SIGNATURE__________________ DATE _______________________

 DISMISSAL FORM

TO:
_______________________________________DATE___________________________

Following the outcome of a disciplinary enquiry, your services are terminated with effect
from _________________ on the grounds of
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In terms of the employment policy, you are to leave our premises immediately. Attached
please find details of remuneration due.

SIGNED:
(for the Conference)
________________________________________________________

ACKNOWLEDGEMENT:
(by former employee)
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AUTHORISED BY: __________________________________________

CONFIDENTIAL
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 2ND OFFENSE 3-6 DAYS SUSPENSION
(VALID FOR 6 MONTHS)

NAME OF EMPLOYEE
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DEPARTMENT______________________________________________________________
JOB TITLE_________________________________________________________________
DETAILS OF MISCONDUCT
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

EMPLOYEE'S COMMENTS (if any)

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ISSUED BY:

SIGNATURE: ______________________________ DATE: ______________________

POSITION IN CONFERENCE: __________________ EXPIRY DATE_________________

ACKNOWLEDGEMENT BY EMPLOYEE OR REPRESENTATIVE:

REPRESENTATIVE SIGNATURE_______________________________________

WITNESS SIGNATURE _____________________________________________

EMPLOYEE SIGNATURE_____________________________________________

(SHOULD EMPLOYEE REFUSE TO SIGN RECEIPT HEREOF TWO WITNESSES SHALL

SIGN ATTESTING TO THE FACT THE EMPLOYEE HAS BEEN WARNED)

WITNESS SIGNATURE____________________ DATE________________________

WITNESS SIGNATURE ____________________ DATE _______________________

 SOS TACLOBAN
BRGY. 77, FATIMA VILLAGE, MARASBARAS, TACLOBAN
CITY

2nd OFFENSE 7 DAYS SUSPENSION

(VALID FOR 6 MONTHS)

NAME OF EMPLOYEE: HELEN T. BENCITO

DEPARTMENT: ACCOUNTING
JOB TITLE: CASHIER
DETAILS OF MISCONDUCT: ABSENCE WITHOUT OFFICIAL LEAVE (AWOL)

EMPLOYEE'S COMMENTS (if any)

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ISSUED BY:

NAME: JOMAR Z. CORTEZ EFFECTIVITY: MARCH 14, 2019

POSITION: SALES MANAGER EXPIRY DATE: MARCH 20, 2019

NOTE: You are allowed to work this company on March 21, 2019, this suspension will give
you enough time to think and don’t hesitate to ask more if needed. This will serve as your
last warning.

ACKNOWLEDGEMENT BY EMPLOYEE OR REPRESENTATIVE:

REPRESENTATIVE SIGNATURE_______________________________________

WITNESS SIGNATURE _____________________________________________

EMPLOYEE SIGNATURE_____________________________________________

(SHOULD EMPLOYEE REFUSE TO SIGN RECEIPT HEREOF TWO WITNESSES SHALL

SIGN ATTESTING TO THE FACT THE EMPLOYEE HAS BEEN WARNED)

WITNESS SIGNATURE____________________ DATE________________________

WITNESS SIGNATURE ____________________ DATE _______________________