FRM/FMI/HR-BP/012/R00 Tgl. Efektif : 26 Sept.

2019

CLEARANCE SHEET (STORE)

NIK :200822586
NAME DIAN MONITASARI
DEPARTMENT : STORE OPERATION
WORK LOCATION : FMI FOODTRUCK
JOB LEVEL/ JOB TITLE :COORDINATOR STORE (NS3)
EFFECTIVE TANGGAL RESIGN : 21 JULI 2023
EFFECTIVE TANGGAL TERAKHIR BEKERJA : 21 JULI 2023

A. F&A Department
Jenis Tanggung Jawab Jumlah in Rp Settlement Note (if any) Processed by,
Cash Advance ⃝ Yes ⃝No
Expense Claim ⃝ Yes ⃝No
Other, .............................. ⃝ Yes ⃝No
Other, .............................. ⃝ Yes ⃝No
Other, .............................. ⃝ Yes ⃝No Name :
Other, .............................. ⃝ Yes ⃝No Date :
Other, .............................. ⃝ Yes ⃝No F&A

B. IT DEPARTMENT
Jenis Tanggung Jawab Kepemilikan Termination date Note (if any) Processed by,
Email ⃝ Yes, ID :
SAP Login ⃝ Yes, ID : ⃝ No
FSP Login ⃝ Yes, ID : ⃝ No
Other login, .............................. ⃝ Yes, ID : ⃝ No
Other login, .............................. ⃝ Yes, ID : ⃝ No
Other login, .............................. ⃝ Yes, ID : ⃝ No Name :
HP SmartFren ⃝ Yes, HP: ⃝ No Date :
Computer ⃝ PC ⃝Laptop IT

C. STORE OPERATION
Jenis Tanggung Jawab Jumlah in Rp Settlement Note (if any) Processed by,
Selisih Stock Take
Komisi
Petty Cash
Kunci Brankas Name :
Lain-lain : Date :
Lain-lain : STORE OPERATION

C. FASILITAS KANTOR
Type of responsibilities QTY Kepemilikan Dikembalikan ke HR Note (if any) Processed by,
ID Card ⃝ Yes ⃝ No ⃝ Yes ⃝No
Business card ⃝ Yes ⃝ No ⃝ Yes ⃝No
Buku Peraturan Perusahaan ⃝ Yes ⃝ No ⃝ Yes ⃝No
Kartu Asuransi ⃝ Yes ⃝ No ⃝ Yes ⃝No
Seragam *diluar seragam toko ⃝ Yes ⃝ No ⃝ Yes ⃝No
Akses Finger Print ⃝ Yes ⃝ No ⃝ Yes ⃝No
STORE OPERATION :
Seragam Tshirt 4 ⃝ Yes ⃝ No ⃝ Yes ⃝No
Seragam Celana ⃝ Yes ⃝ No ⃝ Yes ⃝No
Name Tag 1 ⃝ Yes ⃝ No ⃝ Yes ⃝No
PIN Store ⃝ Yes ⃝ No ⃝ Yes ⃝No
Apron ⃝ Yes ⃝ No ⃝ Yes ⃝No
Name :
Other, .............................. ⃝ Yes ⃝ No ⃝ Yes ⃝No Date :
Other, .............................. ⃝ Yes ⃝ No ⃝ Yes ⃝No HR/STORE OPERATION

Proposed by, Approved by, Approved by, Processed by,

Name : Name : DIAN MONITASARI Name : Name :

Date : Date :15 AGUSTUS 2023 Date : Date :
EMPLOYEE PIC AM HR OPR
1. Copy to : IT 2. Copy to HR