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HRDF-0007

For : All Concerned


From : HR Department
Re : Clearance

This is to inform you that _____________ ceased connection as Driver under RAVAGO EQUIPMENT
RENTALS, INC. effective at the close of office hours on ___________ . Your signature appearing
hereunder will certify that the above employee has been cleared of all obligations and/ or accountability
with your corresponding department/ division.

Accountability/ Remarks Authorized Signature/


Date
1. IMMEDIATE SUPERIOR _____________________
As to turn over of _____________________
Assistant _____________________
Pending works _____________________ _____________________________
BLANK
General Manager

ADMIN DEPARTMENT
As to office supplies and turned over to
Equipment accountability ____________________

Issued communication
Equipment ________________________________

Check the issued computer


(Software and hardware)

HUMAN RESOURCE DEPARTMENT


{ } Company ID
{ } Monthly Pass
{ } Uniforms
{ } Exit interview _________________________________
_________________________________________ ROWENA M. ROJERO
HRD
TREASURY/ CASHIER/ FINANCE/ ACCOUNTING
(as to qualified cash advance/ financial accountabilities)
Accountabilities _______________________
Cash Advance(s) _____________________
Salary Loan _________________________
Uniform (bal.) ________________________
Cash bond __________________________ ________________________________
Others ______________________________ CLEOFE GO-CHUA
Accounting
BREAKDOWN OF COMPENSATION DUE TO EMPLOYEE
(to be accomplished by the Accounting Department)
1. Unpaid wages for payroll period ___________________ P _________________________
2. 13th Month Pay _________________________
3. Commission (if theres any) _________________________
4. Others _________________________
Total Amount Payable to Employee P _________________________
Less: Accountabilities _________________________
Net Amount Due to Employee P ___________________

_____________________
Employees Name
(Signature over Printed Name)

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