This document is an exit clearance form for an employee resigning from their position. The form lists items and equipment that must be returned or accounted for before the last day of work. These include IT equipment, financial advances, company vehicles or keys, ID cards, uniforms, and safety equipment. The resigning employee and their supervisors must sign the form to acknowledge the return or status of each item.
This document is an exit clearance form for an employee resigning from their position. The form lists items and equipment that must be returned or accounted for before the last day of work. These include IT equipment, financial advances, company vehicles or keys, ID cards, uniforms, and safety equipment. The resigning employee and their supervisors must sign the form to acknowledge the return or status of each item.
This document is an exit clearance form for an employee resigning from their position. The form lists items and equipment that must be returned or accounted for before the last day of work. These include IT equipment, financial advances, company vehicles or keys, ID cards, uniforms, and safety equipment. The resigning employee and their supervisors must sign the form to acknowledge the return or status of each item.
This document is an exit clearance form for an employee resigning from their position. The form lists items and equipment that must be returned or accounted for before the last day of work. These include IT equipment, financial advances, company vehicles or keys, ID cards, uniforms, and safety equipment. The resigning employee and their supervisors must sign the form to acknowledge the return or status of each item.
NIK / Empl No. : Atasan / Immediate Superior : Jabatan / Position Title : Lokasi Kerja / Work Location : Level / Grade : Tgl. Bergabung / Date of Joining : Department / Division : Tgl. Terakhir Kerja / Last Date : Perusahaan / Company : Tgl. Efektif / Effective Resign :
PIC No. Descriptions Y/N Remarks Signature Date IT Department Hardware 1 Desktop/Notebook/Monitor/Docking* Communication 2 IP Phone/Mobile Phone/SIM Card/ Telkom Flash Modem* 3 Access - Email 4 Access - Active Directory Network 5 Access - Axapta 6 Access - Pit-to-Port* Others 7 Camera/Portable HD/Printer/Scanner/Speaker/Tablet* Finance/Payroll Department 1 COP 2 Personal Advance/Cash Advance* 3 Housing Loan 4 Koperasi 5 Reimbursement 6 Others General Affairs Department 1 Business Card 2 Keys (door, cabinet, box) 3 Company Car/Operational Car* 4 Apartment 5 Handy Talky/Radio Com. (in car) 6 Others Human Resources Department 1 ID Card/Access Card/Sticker Parking* 2 SOS/Club Card Membership* 3 Company Regulation Book 4 Library (Books/Fine) 5 Others Health & Safety Department 1 Helmet/Safety Shoes* 2 Uniform 3 Mine Permit/Mining Driving License* 4 Reflector Vest 5 Ear Plug/Headphone* 6 Safety Glasses/Mask 7 Life Jacket 8 Others *Coret yang tidak perlu Disiapkan Oleh / Prepared by, Diketahui Oleh / Acknowledged by, Diketahui Oleh HR/HR Acknowledgement Date: Date: Date:
Karyawan Resign / Resignee : Atasan / Immediate Superior: Nama / Name :
Jabatan / Position Title: Jabatan / Position Title: Jabatan / Position Title:
