EMPLOYEE ACTION NOTICE

EMPLOYEE INFORMATION

Employee Name:               

Last First M.I.

Employee ID
Number:       Department:       Date:      

ADJUSTMENT INFORMATION

EFFECTIVE
     
DATE
FROM TO
POSITION
         

SALARY          

         
DEPT
         
BRANCH
Remarks
REGULARIZATION
PROMOTION
RECLASSIFICATION
ADJUSTMENT
TRANSFER OF ASSIGNMENT
SUSPENSION
OTHERS

ADJUSTMENT DETAILS

Effective Date:       Next Review Date:      

New Salary
Salary Bracket:       Amount:      

SIGNATURES

HRTD’s
Signature:      Date:     

President’s
Signature:      Date:     

Employee’s
Signature:          
Date:

EmployeeActionNoticeForm