CLEARANCE FORM

Document Number BIIS-TRF-01

Reference Document NA
TITLE: Clearance Form

CLEARANCE FORM
EMPLOYEES SHALL RETURN THE COMPANY PROPERTY TO THE SUPERVISOR OR HUMAN
RESOURCE STAFF. ANY WORK-RELATED DOCUMENTS/FILES MUST REMAIN THE
PROPERTY OF THE COMPANY. FAILURE TO RETURN PROPERTIES MAY RESULT IN LEGAL
ACTION TO RECOVER SUCH PROPERTIES

NAME: DATE:
DESIGNATION: LAST DAY ON DUTY:
Passport Number:

THE FOLLOWING PROPERTIES HAS TO BE RETURNED TO THE COMPANY

S.NO ITEM SERIAL NUMBER QUANTITY
1
2
3
4
5

Note:

 Rented vehicle was returned. Any fines or other issues happened only you are responsible.
 Any extra bill payment for your mobile sim card it will be detected from you.
 All the settlement are received (0080,0081,0082,0083,0084)

EMPLOYEE NAME: HR STAFF:

SIGNATURE: SIGNATURE:

DATE: Date:

Issued by QHSE Manager Document Number BIIS-CLF-01 Revision No. 0.1

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Authorized by Managing Director Date 08-08-2021