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    Exit Clearance Form

    Uploaded by

    Athar Asif
    This document contains an employee exit and clearance form with four parts: (1) an exit questionnaire for the departing employee, (2) a handing/taking over form to transfer responsibilities, (3) a clearance form to confirm no outstanding issues, and (4) a handing/taking form for equipment, documents, and other items. The exit questionnaire asks the employee about their reasons for leaving and their satisfaction and frustrations with their job, policies, returning to the company, and recommendations. The handing/taking over form requires signatures to confirm responsibilities have been transferred.

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    © All Rights Reserved
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    Exit Clearance Form

    Uploaded by

    Athar Asif
    102 views6 pages
    This document contains an employee exit and clearance form with four parts: (1) an exit questionnaire for the departing employee, (2) a handing/taking over form to transfer responsibilities, (3) a clearance form to confirm no outstanding issues, and (4) a handing/taking form for equipment, documents, and other items. The exit questionnaire asks the employee about their reasons for leaving and their satisfaction and frustrations with their job, policies, returning to the company, and recommendations. The handing/taking over form requires signatures to confirm responsibilities have been transferred.

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    This document contains an employee exit and clearance form with four parts: (1) an exit questionnaire for the departing employee, (2) a handing/taking over form to transfer responsibilities, (3) a clearance form to confirm no outstanding issues, and (4) a handing/taking form for equipment, documents, and other items. The exit questionnaire asks the employee about their reasons for leaving and their satisfaction and frustrations with their job, policies, returning to the company, and recommendations. The handing/taking over form requires signatures to confirm responsibilities have been transferred.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    102 views6 pages

    Exit Clearance Form

    Uploaded by

    Athar Asif
    This document contains an employee exit and clearance form with four parts: (1) an exit questionnaire for the departing employee, (2) a handing/taking over form to transfer responsibilities, (3) a clearance form to confirm no outstanding issues, and (4) a handing/taking form for equipment, documents, and other items. The exit questionnaire asks the employee about their reasons for leaving and their satisfaction and frustrations with their job, policies, returning to the company, and recommendations. The handing/taking over form requires signatures to confirm responsibilities have been transferred.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

    EMPLOYEE EXIT AND CLEARANCE

    Part A: Exit Questionnaire

    Name: _______________________________ File #: ______________________________

    Department:__________________________Job Title: _____________________________

    Date of Leaving: _______________________

    (Please indicate reason, which applies to your situation.)

    1. What are your primary reasons for leaving?


    Relocation Family/personal needs Retirement

    Further Education Heath Issues Pay Dissatisfaction

    Lack of recognition of work working environment Quality of Supervision

    Lack of advancement opportunities Work-hours Benefit Dissatisfaction

    Discontinuation of funding Workload Non-renewal of contract

    Other ___________________________________________________________

    2. What did you find most satisfying about your job?


    ______________________________________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

    3. What did you find most frustrating about your job?


    ______________________________________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

    4. Were there any PITB policies or procedures that made your work more difficult?
    ______________________________________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

    5. Would you consider returning to PITB in the future?


    _______________________________________________________________________________
    EMPLOYEE EXIT AND CLEARANCE

    _______________________________________________________________________________

    _______________________________________________________________________________

    6. Would you recommend PITB to a friend as a good place to work?


    _______________________________________________________________________________

    _______________________________________________________________________________

    _______________________________________________________________________________

    7. Is there anything PITB could have done to prevent you from leaving?
    _______________________________________________________________________________

    _______________________________________________________________________________

    8. Additional Comments:

    Thank you for your cooperation.

    Employee
    EMPLOYEE EXIT AND CLEARANCE

    Part B: Handling / Taking Over

    EMPLOYEE

    Employee Name: __________________


    File #: _______________________

    Department: ______________________ Designation: ____________________

    Date of Leaving: __________________

    SUCCESSOR

    Successor Name: __________________ File #: _________________________

    Department: ____________________ Designation: _____________________

    It is hereby certified that a formal Handing-Taking over has been completed by the employee
    and successor. All documents and necessary data pertaining to the job responsibilities have
    been handed over by the employee and the successor.

    Job Responsibility:
    ___________________________________________________________________________
    ___________________________________________________________________________
    ___________________________________________________________________________

    Handed Over to: ________________________ File#: ______________________________

    Soft and Hard Copies of the Following have been handed over to the successor:

    1. Detailed documentation of all existing process.


    2. A list of all reports/ project concept papers/ presentations/ PCIs/ contracts/ manuals/
    SRS/ RFPs etc. made by the employee during his tenure in PITB.
    3. Equipment issued and handed over to the successor. (List attached as Annexure A).

    EMPLOYEE________________________
    SUCCESSOR _______________________
    EMPLOYEE EXIT AND CLEARANCE

    Part C: Clearance by other Departments

    Employee Name: ____________________ File #: ______________________

    Department:_____________________

    Designation: ____________________

    Date of Leaving: ______________________

    It is certified that nothing is outstanding against the above mentioned employee.

    Finance Dept ______________________________________ Senior Account Officer

    Admin Dept_______________________________________ Director (Admin)

    Store Dept________________________________________ Programme Manager

    Technical Dept ____________________________________ Programme Officer

    HR Dept _________________________________________ Director (HR)

    Transport _________________________________________ AD (Transport)

    Security Dept_______________________________________ AD (Admin)

    FCC/ASTP ________________________________________

    Note:
    1. Only officer in charge can sign this document.
    2. It is the responsibility of employee’s Parent department to complete this document
    and submit it to HR Department.
    EMPLOYEE EXIT AND CLEARANCE

    Part D: Clearance by Concern Departments

    Employee Name: ________________________ File #: ____________

    Department: __________________________

    Designation: __________________________

    Handing-Taking Documents

    Sr. No Documents Project Name


    Soft Copy Hard Copy
    01 SRS
    02 Project Proposal
    03 Request for Proposal
    04 Request for Bids
    05 PC1
    06 Terms of Reference
    07 Proposal Evaluation Sheets
    08 Manuals
    09 Tenders
    10 Contracts
    11 Presentations
    12 Deliverables

    Handed Over By Taken Over By

    __________________________ ____________________________

    Mr. / Ms. Mr. /Ms.

    Verified By

    ____________________________

    Mr. / Ms.
    EMPLOYEE EXIT AND CLEARANCE

    Handing-Taking Equipment

    Date: ___________________________________

    Department: _____________________________
    S/NO Item Qty Brand Serial No Remarks
    01
    02
    03
    04
    05
    06
    07

    Handed Over By Taken Over By

    ________________________ __________________________

    Mr./Ms. Mr./Ms.

    Verified By

    __________________________________

    Mr. / Ms.

    Handing-Taking Others

    Sr./No Item Qty Meter Reg No Remarks


    Reading
    01
    02
    03

    Handed Over By Taken Over By

    _______________________________ _________________________

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