Professional Documents
Culture Documents
Number : BIZ/GA/HC/P07/Form001
Version : 5.0
EXIT CLEARANCE FORM
Effective Date : 12 January 2023
Classification : Internal
Resignation Reason:
Robi Agustriadi
Name/Date
B IT OPERATION DEPARTMENT Check Note PIC Signature
Revoke Access - Billing
Revoke Access - CRM
Compliment Biznet Home - Change Email
Compliment Biznet Home - Change Plan
Compliment Biznet Home - Deduct Period
Others Name/Date
C IT HELPDESK DEPARTMENT Check Note PIC Signature
Account User dan Email
Forward Email (Max 30 hari) to :
Access Card
PC/Laptop SN :
Status PC/Laptop : Normal/Tidak Normal
Backup Data
Format Data
Others Name/Date
D FINANCE DEPARTMENT Check Note PIC Signature
Cash Advance
Petty Cash
Corporate Credit Card
Employee Loan
Lost of Company's Assets
Others Name/Date
E GA DEPARTEMENT Check Note PIC Signature
ID Card
Building Access Card
Parking Card
Poloshirt
Uniform
Operational Transportation (Car/Motorcycle)
Corporate Online transportation
Others Name/Date
F HC DEPARTEMENT Check Note PIC Signature
Inactive Intranet System
Inactive SAP
Inactive Talenta
Insurance Card
Business Card
Inactive BPJS (if any)
Inactive Equity (if any)
Others Name/Date
This form is to declare that this employee has cleared for resignation.