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SP-HR-F-011 - Clearance Certificate

The document is a Clearance Certificate for an employee, detailing their return of company materials and clearance status. It includes sections for verification by various departments, outstanding dues, and the collection of medical insurance and employee ID cards. The certificate requires signatures from the employee, department heads, and HR to confirm the clearance process is completed.

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Carol Sandoval-Sagum

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0% found this document useful (0 votes)

15 views1 page

SP-HR-F-011 - Clearance Certificate

Uploaded by

Carol Sandoval-Sagum

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

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Description:

Clearance Certificate

Employee No.: Date:

Name:

Nationality

Designation :

Last Working Day:

Official Mobile Number: Official Mail ID:

Reason for requesting

Clearance Certificate LEAVE END OF SERVICE OTHERS

Verified and certified hereunder that the above mentioned employee has returned the following materials that belong to the company and
that he/she has been cleared, as detailed below:
ITEM STATUS RETURN TO (Name) SIGNATURE
1. Documents
2. STORE -Tools / materials / accessories
3. HSE-Personal Protective Equipments
4. IT-Mobile / Walkie-Talkie /SIM
5. IT-Desktop /Laptop
6. PMV- Company Vehicle
7. Salik / VIP Fuel Tag
7. Any others (Specify):
Head of Dept. / Division / Project Signature ______________________ Date:______________

IT Department : Signature ________ Date:

Accommodation/utilities/etc. Returned / Settled YES NO

HR Executive Signature ________ Date:

All outstanding dues payable to the company Settled YES NO

Finance Controller Signature __________ Date: _

Medical Insurance Card / Employee ID CARD Collected/not Collected ______________________

End of Service Undertaking by the Employee:

Signature of the employee :

Date :

HOD - HR & Admn. Signature __________ Date: _

Issue No:03 Rev:02 F.R.D: 01.08.2017 Form No: SP-HR-F-011

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SP-HR-F-011 - Clearance Certificate

Uploaded by

SP-HR-F-011 - Clearance Certificate

Uploaded by

Description:

Employee No.: Date:

Last Working Day:

Official Mobile Number: Official Mail ID:

Reason for requesting

IT Department : Signature ______________________ Date:______________

Accommodation/utilities/etc. Returned / Settled YES NO

HR Executive Signature ______________________ Date:______________

All outstanding dues payable to the company Settled YES NO

Finance Controller Signature ______________________ Date: _____________

Medical Insurance Card / Employee ID CARD Collected/not Collected ______________________

Signature of the employee :

HOD - HR & Admn. Signature ______________________ Date: _____________

Issue No:03 Rev:02 F.R.D: 01.08.2017 Form No: SP-HR-F-011

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IT Department : Signature ________ Date:

HR Executive Signature ________ Date:

Finance Controller Signature __________ Date: _

HOD - HR & Admn. Signature __________ Date: _