ERM - CLFRM - 12

COMPANY CLEARANCE Revision Code: 02 Page 1 of 1

FORM Effective Date : March 17, 2022
CNTRL NO.
EMPLOYEE NAME : Joseph Versoza COMPANY ID NO. 01217373
POSITION :
CLIENT ASSIGNMENT : Beyond Innovations
EMPLOYMENT DURATION : START DATE : January 21, 2021 END DATE : January 25, 2022
MODE OF SEPARATION :

A. Employee Relations Management Group CLEARED CLEARED BY

YES NO
1. Separation Letter:

2. Cash Advance - Liquidation:

3. Exit Interview
4. Other Accountabilities:
5. Other Attachments:
B. Technical Department
1. Company ID:
2. Laptop:
3. Laptop Accessories:
4. Other Accountabilities:
C. Human Resources Department
1. 201 Documents:
2. Signed CoEmp, Non Disclosure, and Orientation Sheet
3. Signed Handbook Orientation Sheet
D. Mandatory Group
1. Statutory Liabilities (loans, contribution etc.)

2. Health Insurance Card/HMO Liabilities (if applicable)

3. Others:
E. Marketing Department
1. Client Clearance Form
2. Separation Pay :
F. Payroll Group
1. Approved and Original Signed Timesheet
Daily Activity Sheet
Overtime Form
Other Forms:
2. Other Earnings:
Per Diem :
Reimburstment :
Performance Pay :
Incentives :
Others :
3. Authorization to deduct (Lost Accountabilities) :
4. Other Attachments :
G. Accounting Group
1. Release & Quit Claim
2. BIR 2316 (ITR)
3. Authority to Deposit
4. Other Attachments:

This is to certity that the above mentioned employee has been cleared of all his/her accountabilities
with Primus@Knowledge Specialists, Inc.

Requested by:
Joseph Versoza
Employee signature over printed name NELIA A. NAVARRO
Executive Vice President

Date : Date :
 ERM - CCFRM - 11
CLIENT CLEARANCE FORM Revision Code: 01 Page 1 of 1
Effectivity Date: March 17, 2022
CTRL NO.
EMPLOYEE NAME : Joseph Versoza COMPANY ID NO. : 01217373
POSITION :
CLIENT ASSIGNMENT : Beyond Innovations
EMPLOYMENT DURATION : START DATE: January 21, 2021 END DATE: January 25, 2022
MODE OF SEPARATION :
CLEARED CLEARED BY
A. Assigned Department YES NO
1. Turnover of Assignments
2. Technical Documentation
3. Other Accountability:

B. Admin / Procurement Department

1. Laptop and accessories
2. Tools
3. Equipment
4. Other Accountability:

C. HR Department
1. Company ID / Access Card
2. Training / Orientation Manual
3. Copy of Accountability Form
4. Other accountability:

ERM - CCFRM - 11
CLIENT CLEARANCE FORM Revision Code: 01 Page 1 of 1
Effectivity Date: March 17, 2022
CTRL NO.
EMPLOYEE NAME : Joseph Versoza COMPANY ID NO. : 01217373
POSITION :
CLIENT ASSIGNMENT : Beyond Innovations
EMPLOYMENT DURATION : START DATE: January 21, 2021 END DATE: January 25, 2022
MODE OF SEPARATION :
CLEARED CLEARED BY
A. Assigned Department YES NO
1. Turnover of Assignments
2. Technical Documentation
3. Other Accountability:

B. Admin / Procurement Department

1. Laptop and accessories
2. Tools
3. Equipment
4. Other Accountability

C. HR Department
1. Company ID / Access Card

2. Training / Orientation Manual

3. Copy of Accountability Form

4. Other accountability: