8/17/2019 HR Certificate of Clearance
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Certificate of ClearanceName
NRIC No Staff ID
Position Department
Resignation Flow - To be fill up by HRD
Date JoinRemarks :
Date of Tender of Resignation
Date of Last Contractual Day
Date of Last Day of Service
A. HANDOVER/CLEARANCE CHECKLIST YES NO NAME SIGN & DATE
1 Computer (Laptop/Desktop) with complete accessories
2 Staff ID Card
3 Medical/Insurance Card
4 Company Car c/w Parking Card
5 Handphone
6 Staff House/Office Keys
7 On Progress Documents(for Project Purposes)*
8 Others (to be stated)
i)
ii)
* if necessary, please use separate paper for details.
B. BONDED COURSES FEES CLEARANCE (IF APPLICABLE)
1 NAME OF COURSE A. B.
2 EFFECTIVE DATE
3 EXPIRY DATE
4 BONDED PERIOD
5 DATE OF LAST CONTRACT DAY
6 TOTAL COUSES FEES (RM)
7 CHARGEABLE AMOUNT (RM)
refer to formula *
8 WAIVER (YES/NO)
9 MODE OF PAYMENT
*formula:
(Bonded period (in days)) - (no of days from effective date to
last contract day)
Use separate paper if there are more than 2 bonded courses
HR & ADMIN DEPARTMENT
ACKNOWLEDGE RECEIPT BY
Bonded period (in days) X Total Course Fees
HR CERTIFICATE OF CLEARANCE Page 1
8/17/2019 HR Certificate of Clearance
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C. CLEARANCE ACKNOWLEDGEMENT SIGN NAME DATE
1 Immediate Supervisor
2 HR And Admin Department
3 Account Department
4 HSE Department
NOTE
1. You are advised to check with Account Department on your
outstanding advance or claims at least 1 week before your last
day.
2. For item B, please check with HSE Department and HR
Department for details.
D. DECLARATION
I hereby confirm that all amount due to, including all benefits
due to me, except the items as mentioned hereunder, have been
duly paid or settled and I have no further claims against the
Company.
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2
3
4
5
Employee's Signature
Date
Contact number
HR CERTIFICATE OF CLEARANCE Page 2
