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Power Serve Innovation

Blk 3 Alley 78 Lakas Tao San Andres Floodway Cainta Rizal


Contact No. 863-461-52 / 09614623203 / 09171334317
Email Address: powerserve.innovation@gmail.com / Facebook: PowerServe Innovation

EMPLOYEE CLEARANCE FORM


Name: Date:
Position:
LIST OF TURN OVER EQUIPMENT AND MATERIALS

Cellphone & Charger

SIM card

Laptop & Bag

Uniform & ID

Safety shoes

Hand tools (please specify):

Power tools (please specify):

Clamp meter

Fluke

Safety vest & Hardhat

Ink

LAN cable RJ45/RJ11

Flash drive (USB)

Wireless mouse

Marketing/Graphic Designer Tool (please specify):

The Following Heads of each department or office shall make sure and sign, if the employee
has already returned/turn over belongings and cleared to any obligation to each department.

Technical Department Name Signature and Date:


Sales Department Name Signature and Date:
Support Desk Department Name Signature and Date:
Service & Operation Department Name Signature & Date:
Accounting Department Name Signature and Date:
HR/Administration Department Name Signature and Date:

Employee’s Signature General Manager

Gmail: PowerServe.Innovation@gmail.com
Gmail: psi.technicalgroup@gmail.com
For 863-461-52 Facebook: Power Serve Innovation
More Info: 0917-133-4317/0961-462-3203
Address: Blk 3 Alley 78 Lakas Tao, San Andres Floodway Cainta, Rizal

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