11th Floor, Double Dragon Plaza Tower 2, EDSA Extension cor.

Macapagal Boulevard, Pasay City

T: (02) 8291-1232 / E: hr@igcph.com

EMPLOYEE CLEARANCE FORM

Any work related documents or files must remain the property of Asian Technology Services, Inc. Thus, all
separated employees shall return Company Properties to the designated departments indicated below. Affidavit
of loss must be presented in case of lost company issued items and will result in deduction in the final pay.

Name: Date Hired:

E-mail Address: Date of Separation:

NAME SIGNATURE

IMMEDIATE SUPERVISOR

ADMINISTRATION OFFICE

ITEM RETURNED N/A REMARKS SIGNATURE

Building access card

ID

Office access card

Parking access card

HUMAN RESOURCES

ITEM RETURNED N/A REMARKS SIGNATURE

Employee Handbook

Code of Conduct

Health card

NAME OF INTERVIEWER SIGNATURE

EXIT INTERVIEW

________________________ _____________________________
Employee Name & Signature Date of Completion

________________________ _____________________________
HR Officer Name & Signature Date

Note: Final Pay will be released one (1) month after completion of Clearance.