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    SBP - Clearance Form (Muhammad Iqbal)

    Uploaded by

    fitrah jaya
    The document is an employee clearance form for Muhammad Iqbal from the CHP Department at PT. SRIWIJAYA BARA PRIHARUM. It lists the procedures for completing the form before his separation date of December 31st, 2020. The form details the clearance status from various departments, including returning his ID card, completing an exit interview and clearance from Finance, Administration, IT, Safety and other departments. Muhammad Iqbal signed the form on January 23rd, 2021 and it requires his Department Head's signature before being returned to HRD.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    SBP - Clearance Form (Muhammad Iqbal)

    Uploaded by

    fitrah jaya
    35 views1 page
    The document is an employee clearance form for Muhammad Iqbal from the CHP Department at PT. SRIWIJAYA BARA PRIHARUM. It lists the procedures for completing the form before his separation date of December 31st, 2020. The form details the clearance status from various departments, including returning his ID card, completing an exit interview and clearance from Finance, Administration, IT, Safety and other departments. Muhammad Iqbal signed the form on January 23rd, 2021 and it requires his Department Head's signature before being returned to HRD.

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    SBP - Clearance form (Muhammad Iqbal)

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    The document is an employee clearance form for Muhammad Iqbal from the CHP Department at PT. SRIWIJAYA BARA PRIHARUM. It lists the procedures for completing the form before his separation date of December 31st, 2020. The form details the clearance status from various departments, including returning his ID card, completing an exit interview and clearance from Finance, Administration, IT, Safety and other departments. Muhammad Iqbal signed the form on January 23rd, 2021 and it requires his Department Head's signature before being returned to HRD.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views1 page

    SBP - Clearance Form (Muhammad Iqbal)

    Uploaded by

    fitrah jaya
    The document is an employee clearance form for Muhammad Iqbal from the CHP Department at PT. SRIWIJAYA BARA PRIHARUM. It lists the procedures for completing the form before his separation date of December 31st, 2020. The form details the clearance status from various departments, including returning his ID card, completing an exit interview and clearance from Finance, Administration, IT, Safety and other departments. Muhammad Iqbal signed the form on January 23rd, 2021 and it requires his Department Head's signature before being returned to HRD.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    PT.

    SRIWIJAYA BARA PRIHARUM


    EMPLOYEE CLEARANCE FORM
    INSTRUCTIONS:
    1. Employee completes at least one week prior to separation, completes, signs, and obtains Department Head’s or Authorized
    Person signature.
    2. It is the employee’s responsibility to circulate the form to the departments listed below. In the event clearance cannot be
    given by a department, the reason(s) should be given under “Notes”.
    3. This Clearance Form must be completed and returned to the HRD Department before your last work day.

    I. EMPLOYEE INFORMATION

    Name : MUHAMMAD IQBAL Department : CHP


    ID Number : 03-2003166 Work Location: TANJUNG LALANG
    Job Title : FOREMAN QC Date of Separation: 31 DESEMBER 2020

    II. GENERAL CLEARANCE

    Department Date Returned Initial Note


    Yes No
    ID Card X
    HRD X CAN’T BOOK
    Company Regulation
    Exit Interview 23/01/21 X

    Cash Advance X
    FINANCE
    Personal Loan 27/11/20 X

    Business Card X
    ADM.
    Keys 27/11/20 X

    Vehicle X

    Mobile Phone X
    IT
    SIM Card X

    Computer X
    SAFETY Safety Equipment 27/11/20 X

    Kartu Akses Gedung APL X


    OTHER

    Employee signature : …Muhammad Iqbal Date : 23/01/2021

    Dept. Head signature : …………………………. Date : ……/……/………

    HRD Dept. Comments :

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