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  • Form CCL 19 Point Terbaru

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    utari
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    This document is a clearance checklist for departing employees. It lists 19 items that need to be cleared including returning company assets, settling any outstanding costs, checking leave balances, returning ID cards, settling loans, and deactivating system access. The employee signs that all items are returned, their manager approves, and HR signs to confirm receipt of all items. Payment schedules are noted - payroll deductions are made by the 5th or 15th of the month and funds are transferred to the employee's account by the 15th or 28th.

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    This document is a clearance checklist for departing employees. It lists 19 items that need to be cleared including returning company assets, settling any outstanding costs, checking leave balances, returning ID cards, settling loans, and deactivating system access. The employee signs that all items are returned, their manager approves, and HR signs to confirm receipt of all items. Payment schedules are noted - payroll deductions are made by the 5th or 15th of the month and funds are transferred to the employee's account by the 15th or 28th.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Form CCL 19 Point Terbaru

    Uploaded by

    utari
    This document is a clearance checklist for departing employees. It lists 19 items that need to be cleared including returning company assets, settling any outstanding costs, checking leave balances, returning ID cards, settling loans, and deactivating system access. The employee signs that all items are returned, their manager approves, and HR signs to confirm receipt of all items. Payment schedules are noted - payroll deductions are made by the 5th or 15th of the month and funds are transferred to the employee's account by the 15th or 28th.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    CLEARANCE CHECKLIST

    Nama Karyawan / Employee Name

    Nomor Induk / ID No .

    Jabatan - Grade / Position - Grade (PIC / Non PIC)

    SBU - Divisi / SBU - Division

    Tanggal Terakhir Bekerja / Resignation Date

    Dengan ini menyerahkan kembali seluruh asset , perlengkapan milik Perusahaan yang diserahkan kepada saya, beserta penyelesaian biaya-biaya
    perorangan yang terjadi selama berdinas di lingkungan PT. Mitra Adiperkasa, Tbk. & Groups :

    Related Yes / Staff Floor


    No Item Office
    Department No Non PIC PIC
    Surat Pengunduran Diri
    1 Superior
    Resignation Letter
    Temporer / Kontrak I / Kontrak II / Kontrak II < 3 th / Probation / Permanent
    2 st nd nd
    Superior
    Temporer / 1 contract / 2 contract / 2 contract but < 3 yrs / Probation / Permanent
    Kehilangan Barang - Rp.
    3 OIC / Superior
    Missing Item
    Outstanding Setoran Penjualan Harian Toko (Cash and Voucher) Retail Admin
    4
    Outstanding Store Sales Deposit Daily Cash and Voucher) (RACS)
    Lain-lain : Seragam, Kunci, Exit Interview, dll
    5 HR SBU
    Others : Uniform, Lock, Exit Interview, etc.
    Pinjaman Buku - Perpustakaan
    6 Training
    Book - Library
    Sisa Cuti (ABSENSI PERIODE TERAKHIR dilampirkan)
    7
    Annual Leave Balance (attach last attendance) Personnel
    Kartu (ID KARYAWAN, ASURANSI KESEHATAN, TRAVEL dilampirkan) Admin
    8
    ID Card (Employee, Health, Travel Insurance)
    Pinjaman Koperasi / BPR / Perusahaan
    9 Payroll
    Loan
    Kelebihan Pemeliharaan Kesehatan Personnel
    10
    Overlimit of Health Insurance Admin
    Kas Kecil, Penyelesaian Kas Bon
    11 Finance
    Petty Cash, Outstanding Advance
    Mobil / Motor
    12
    Car / Motor Cycle General
    Handphone / BlackBerry, Kunci Apartment Affair
    13
    Mobilephone / BlackBerry, Apartment Key
    Kartu Kredit Perusahaan Corporate
    14
    Corporate Credit Card Treasury
    Deactivated by
    15 Please fill in E-mail Account :
    IT / MIS
    Deactivated by
    16 Active directory access
    IT / MIS
    Deactivated by
    17 Application access : SAP, FI/CO, ETP, Smarttime, Pro-int
    IT / MIS
    Deactivated by
    18 VPN remote access
    IT / MIS
    Komputer Jinjing
    19 IT / MIS
    Notebook Computer
    Diserahkan Oleh / Prepared by, Disetujui Oleh / Approved by, Diterima Oleh / Received by,

    _________________________ _______________________ ________________________


    (Karyawan / Employee) (Nama jelas dan Jabatan) (Personnel Admin Head)
    Catatan / Note :
    Jadwal pembayaran
    Diterima Payroll Transfer ke rekening staff
    ≤ Tgl 5 Tgl 15
    ≤ Tgl 15 Tgl 28

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