EMPLOYEE CLEARANCE FORM
TO ALL CONCERNED
PLEASE BE INFORMED THAT:
NAME : Anita Intan Safitri
____________________________ DEPARTMENT : Finance
________________________________
ID NUMBER : 23071010398
____________________________ DIVISION : Operational Site
________________________________
HAVE CEASES TO BE AN EMPLOYEE OF TRANS ENTERTAINMENT 15 Februari 2025
: __________________________
SINCE, DATES
KINDLY CLEAR HIM/HER OF FINANCIAL AND/OR PROPERTY OBLIGATION(S) AS FAR AS YOUR OFFICE/DEPARTMENT IS
CONCERNED.
A. DEPARTMENT HEAD B. HUMAN RESOURCES
RETURNED RETURNED
PARTICULARS ITEMS PARTICULARS ITEMS
YES NO YES NO
KEYS: LOCKERKEY NO :_________
OFFICE EQUIPMENT ID CARD
MANUALS EMPLOYEE HANDBOOK
OTHERS UNIFORM
OFFICE EQUIPMENT NAME TAG
______________________ INSURANCE CARD
OTHER REMARS : OTHER REMARS :
Tidak Ada Pendingan
______________________________________________ Tidak Ada Pendingan
______________________________________________
Atok Urrohman
________________ 15 Februari 2025
________________ Anita Intan Safitri
________________ 15 Februari 2025
_________________
NAME/SIGNATURE DATE NAME/SIGNATURE DATE
C. ACCOUNTING D. IT DEPARTMENT
RETURNED RETURNED
PARTICULARS ITEMS PARTICULARS ITEMS
YES NO YES NO
PETTY CASH / HOUSE FUND LOG-ON PASSWORD
LOAN/OC/EN LAPTOP/PC
OTHERS OTHERS
OTHER REMARKS : OTHER REMARKS :
Tidak Ada Pendingan
______________________________________________ Tidak Ada Pendingan
______________________________________________
Anita Intan Safitri
_________________ 15 Februari 2025
_______________ Atok Urrohman
_________________ 15 Februari 2025
_________________
NAME/SIGNATURE DATE NAME/SIGNATURE DATE
I FURTHER ACKNOWLEDGE THAT I HAVE COMPLETED ALL OF
MY CLEARANCE PROCESS
Anita Intan Safitri
______________
EMPLOYEE
TRANS ENTERTAINMENT | HR FORM 08 – EMPLOYEE CLEARANCE V /2019 / PAGE 1 OF
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