CLEARANCE

Name: Zeny Palenzuela Date: October 2, 2021

Position/Dept: Front Desk Executive Date Hired: April 2021

Employment Status: Separated: September 25, 2021

NOTE : Your signature appearing hereunder will certify that the above employee have satisfactorily completed
turnover of functions regards to incoming employees and have been cleared of all account to be hire in the
departments concerned.

Printed Name & Designation Signature Date Remarks

1. Client (Optional)

2. Immediate Supervisor Micah Palaganas

3. Area Manager Jovan Barrago

4. Operations Coordinator

5. Payroll Dept.

6. Accounting Dept.

7. Supplies & Logistics

Distributions of Copies

Original – 201 file of Employee

Duplicate – Copy of Employee

Triplicate – Accounting ( to be attached to the check voucher on last payment of compensation.)

Approved by:

Administrative/HR Manager Employees Signature