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Personnel Action Notice


EMPLOYMENT TERMINATION CHANGE

EFFECTIVITY DATE:
EMPLOYEE: SEX: MALE MARITAL STATUS SINGLE
ADDRESS: FEMALE MARRIED
BIRTHDATE SEPARATED
AGE: WIDOW

EMPLOYMENT STATUS:
DETAILS CURRENT NEW
NEW HIRE
REHIRE
POSITION
PROBATIONARY DEPARTMENT
CONTRACTUAL ( ____MOS ) SECTION
SALARY/DAY
OTHERS
Other Details

ACTION TAKEN:
REGULARIZATION Effective DISCIPLINARY ACTION
SALARY ADJUSTMENT CORRECTIVE COUNSELLING 1ST WRITTEN WARNING
PROMOTION 2ND WRITTEN WARNING
INCREASE
TRANSFER SUSPENSION FROM ___________________ TO
JOB RE-CLASSIFICATION TARDINESS (LATES/ABSENCES/UNDERTIMES)
CO. POLICY NO./MEMO DATED

REMARKS OF ACTION:

TERMINATION:
DATE HIRED LAST DATE OF WORK REASON OF TERMINATION / RESIGNATION
VOLUNTARY
INVOLUNTARY
REMARKS/COMMENTS:

PREPARED BY:

________________________
HR Officer
APPROVALS:
DEPARTMENT MANAGER HR DIRECTOR GENERAL MANAGER DA-GENERAL MANAGER/
VICE PRESIDENT

SIGNATURE OVER PRINTED NAME / SIGNATURE OVER PRINTED NAME / SIGNATURE OVER PRINTED SIGNATURE OVER PRINTED NAME /
DATE DATE NAME / DATE DATE

ACKNOWLEDGED BY EMPLOYEE:

SIGNATURE OVER PRINTED NAME / DATE

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