EMPLOYEE CLEARANCE FORM

RESIGNATION TERMINATION OTHERS

NAME: ____________________________________________________

POSITION: ____________________________________________________

DATE: ____________________________________________________

The undersigned hereby confirms that the above employee has

completed his/her requirements and doesn’t have any outstanding
BALANCE and MONEY CLAIMS with JHOACHIM AEP MANPOWER as of
____________.

POSITION SIGNATURE DATE

TEAM LEADER ___________________ ______________

STORE OIC ___________________ ______________

SALES SUPERVISOR ___________________ ______________

AGENCY COORDINATOR ___________________ ______________

COMPANY HR ___________________ ______________

EMPLOYEE NAME AND SIGNATURE / DATE