7/23/2019 Form Exit Interview Hgs

http://slidepdf.com/reader/full/form-exit-interview-hgs 1/2

HOTEL GRAN SENYIUR 

BALIKPAPAN

EXIT INTERVIEW

Employee Name : _________________ Position : __________  

Section/Department : _________________ Date of Hire : __________  Termination Date : _________________ Date of Interview : __________ 

Your reason for leaving : ___________________________________________________ 

CLEARANCE ITEMS :

ITEMS DEPT.HEAD TIME/DATE REMARKS

! "niform #y __________ Date ________ ____________  

  $%aun&ry Dept'

(! Name Tag  %oc)er *ey #y __________ Date ________ ____________  

  INHE+%T ,ar&

  #oo) -f .ule  $H.D Dept'

! 0inancial .ecor& #y ___________ Date ________ ____________    $+ccounting Dept'

1! Dept!Hea& ,oncern #y___________ Date _________ ____________  

I am agree !"# "#e H$"e%&' ($%!)* "#a" +,r!-g m* re'!g-a"!$-. I am -$" a%%$e+ "$

g$ ar$,-+ $ "#e H$"e%&' area ,-"!% *ear %a"er.

  +c)nowle&ge

2222222! 2222222222

  $Employee' H.D In ,3arge

S"44+.Y

$Human .esources Department use only'Employee5s reason for leaving : ________________________________________ 

.esponse Employee5s ,omments : ________________________________________ 

.e6Hire7 Yes No

+&&itional .emar)s : ________________________________________  -riginal 6 Human .esources Department

st ,opy 6 8eneral 4anager(n& ,opy 6 Department ,oncerne&

7/23/2019 Form Exit Interview Hgs

http://slidepdf.com/reader/full/form-exit-interview-hgs 2/2

HOTEL GRAN SENYIUR 

BALIKPAPAN

EXIT INTERVIEW

Employee Name : _________________ Position : __________  

Section/Department : _________________ Date of Hire : __________  Termination Date : _________________ Date of Interview : __________ 

Your reason for leaving : ___________________________________________________ 

CLEARANCE ITEMS :

ITEMS DEPT.HEAD TIME/DATE REMARKS

! "niform #y __________ Date ________ ____________  

  $%aun&ry Dept'

(! Name Tag

  %oc)er *ey #y __________ Date ________ ____________  

  +S*ES ,ar&

  #oo) -f .ule  $H.D Dept'

! 0inancial .ecor& #y ___________ Date ________ ____________    $+ccounting Dept'

1! Dept!Hea& ,oncern #y___________ Date _________ ____________  

I am agree !"# "#e H$"e%&' ($%!)* "#a" +,r!-g m* re'!g-a"!$-. I am -$" a%%$e+ "$

g$ ar$,-+ $ "#e H$"e%&' area ,-"!% *ear %a"er.

  +c)nowle&ge

2222222! 2222222222  $Employee' H.D In ,3arge

S"44+.Y$Human .esources Department use only'

Employee5s reason for leaving : ________________________________________ 

.esponse Employee5s ,omments : ________________________________________ 

.e6Hire7 Yes No

+&&itional .emar)s : ________________________________________