No Dokumen F-IFT-HRD-20
CLOSING FORM Revisi 00
Tanggal Efektif
Halaman 1 dari 2
To :
HR Department
PT. Infratech Indonesia
Report of employee withdrawal, absence, resignation, or termination (*choose one) :
Name : --------------------------------------------------------------------------------------------
Department : --------------------------------------------------------------------------------------------
Location : --------------------------------------------------------------------------------------------
End Date : --------------------------------------------------------------------------------------------
Justification :
A. Financial Statement
Financial Cost Fin &
No. Advance Ending Balance
Statement Control Acc
B. Tools & Equipment
Sign of
Date of Return Date of Loss Sign of GA
Employee
Tools
ID Card
Name
Card
Insurance
Card
No Dokumen F-IFT-HRD-20
CLOSING FORM Revisi 01
Tanggal Efektif
Halaman 2 dari 2
C. Access User
End of Date Sign of GA Sign of Employee
PIN for Phone
E-mail
Finger Print
COP
ACCPAC
D. Handover Data/Document
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E. Other
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Prepared By, Approved By, Acknowledge By,
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Employee Head of Department HR & GA