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Name: - Position: - Employee No.: - Department

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marc santos
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0% found this document useful (0 votes)
61 views1 page

Name: - Position: - Employee No.: - Department

Uploaded by

marc santos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name:_________________________ Position: __________________

Employee No.:__________________ Department: _______________

I hereby apply for clearance from money, property and accountabilities for purpose of:

____ RESIGNATION _____ INDEFINITE LEAVE _____ RETIREMENT

____ TRANSFER _____ OTHER MODES (Please specify): ________________

EFFECTIVITY/ INCLUSIVE PERIOD: _________________

__________________________
Name and signature of Employee

CLEARANCE FROM MONEY AND PROPERTY ACCOUNTABILITIES


Not
Cleared Cleared Name of Clearing Officer Signature

Human Resource Department

Financial Services

Payroll Department

Security Services

Legal Affairs Office

CLEARANCE FROM WORK RELATED ACCOUNTABILITIES

We hereby certify that the applicant ________________________is CLEARED of any work-related


accountabilities from this Office/Company .

_____________________ ____________________
Immediate Supervisor Head of Office

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