HRM02/2016(017)ECF
IN-HOUSE MULTIMEDIA ACADEMY SDN BHD
Human Resources & Administration Department Date : 06.12.2024
EMPLOYEE COUNSELING / RECOMMENDATION FOR DOMESTIC INQUIRY FORM
This statement is used to provide uniform document of progressive disciplinary action (s) reflecting an
employee's conduct or job performance.
Please tick ( x ) where appropriate
X Counseling Domestic Inquiry
Reason : X Absenteeism Job Performance
: Tardiness Safety Issue
: Misconduct Issues Violation of Company Policy
(e.g, Sexual Harrasment, neatless, Drug, etc)
Others
SECTION A : EMPLOYEE DETAILS
Name : Nor Azlin Binti Abdullah Date Joint : 03.10.2022
Position : HOD ODL Program Service Year : 2 Years 2 Months
Grade Level : Executive Total Experience :
Highest Qualification : Bachelor Age : 27 Years Old
SECTION B : DISCIPLINARY RECORDS
Number of Counseling Provided 1 No. of Warning Letters Received
Period of Problem Happened : From Jan 24 until Nov
SECTION C : FOR COUNSELING PURPOSE ONLY
Type of Action
/ Verbal Counseling Final Counseling
Written Counseling Suspension # no. of days __________
Situation/Problem to be discussed :
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HRM02/2016(017)ECF
Corrective Action To Be Improved :
Consequences If Fail To Improve
/ Further Disciplinary Action Dismissal Will Be Recommended
Domestic Inquiry Others
Remarks :
Acknowledgement by Employee
I have read this report and fully understand that failure on my part to comply with the above
recommendations may result in further disciplinary action up to and including termination.
Employee Signature : Name & Date : Nor Azlin & 06.12.2024
Superior's /Counselor :
Signature Name & Date : Dr. Shuhel & 06.12.2024
HR Dept/Witness : Name & Date : Nurasyikin & 06.12.2024
SECTION D : RECOMMENDATION FOR DOMESTIC INQUIRY
Remark by HR Dept :
Prepared by Recommended by Approved by,
Not Approved by,
Name : Nurasyikin Mahadi Name : Mr. Peter Ting Kiet Teck BOD : Mr. Harith Akma
Date : 06.12.2024 Date : 06.12.2024 Date : 06.12.2024
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