EMPLOYEE EXIT CLEARANCE FORM
Please complete this clearance form and submit to the HR department before your last working day. Do note
that monies due to you will not be paid unless all items (where applicable) have been cleared.
Acknowledged By
Department / Office
(Please ensure that all items issued are
(Obtain Clearance and authorised signature from the following departments)
retuned)
Department
Department Manuals
Uniforms ______________________
Cab Vouchers (Signature)
Others: ______________________ Name:
Designation:
Date:
General Information
Email Password: ______________________
Laptop ______________________
Desktop/Laptop Password: ______________________ (Signature)
Mobile Phone Name:
Mobile Phone Password: ______________________ Designation:
Others: ______________________ Date:
Finance
House Account Balance
Petty Cash Fund ______________________
Bank access (Signature)
Legal Document Name:
Purchasing Document Designation:
Others: ______________________ Date:
HR
Employee Handbook
Security Access Card
Insurance Card ______________________
Work Pass (Signature)
Exit Interview Form Name:
Tax Clearance Designation:
Others: ______________________ Date:
Employee Name & Signature: __________________________
Department: _____________________
Date: _____________________