MB-HR-FR-009 MB LEGACY SDN. BHD.

Human Resources
Standard Operating Procedure Updated: 21.06.2021
Final Salary Clearance Form
(Borang Pelepasan Gaji Terakhir)

FINAL SALARY CLEARANCE FORM

Name : _____________________________________________________________

Department : _____________________________________________________________

Position : _____________________________________________________________

Start Work : _____________________________________________________________

Last Working Date : _____________________________________________________________

Note: This column below is the clearance item which you have return to company

Requisitions: Returned:
1. Name tag Yes / No
2. Locker Key Yes / No
3. Tools / Equipment Yes / No
4. Uniform Yes / No
Time Attendant:
Annual Leave ____________________
Overtime ____________________
Compensation Day Off ____________________

Claim on tools/ equipment damage ____________________

Checked by: ___________________

Date: _________________________

Total deduction RM _____________________

Please send this form back with items in the last working day. If you don’t return by list, we will
deduct from your salary.

Employee : __________________________

Date : __________________________