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Employee No Due Clearance Form Page 1 of 1

Reason for Clearance:  EOS /Exit  Vacation  Transfer


Employee Name:
Employee ID: Position:
SBU: Department:
Project: Site Location:
Iqama / National ID: Date:
Site / Warehouse Department
Remarks:  Test Equipment / Tools
 Spare Parts
 Others:

Approver Signature:
Approver Name: Date:
Information Technology Department
Remarks:  Email / Logon Account
 Cellphone Line
 Laptop
 System / Web Tools

Approver Signature:
Approver Name: Date:
Project / Site Clearance
Remarks:  Tools
 Handover of Tasks
 Documentation
 Site Clearance / Gate Pass
 Vehicle (Keys / Docs)
Approver Signature:
 Other:
Approver Name: Date:
Finance Department
Remarks:  Loan
 Outstanding Documents
 Invoices
 Other:
Approver Signature:
Approver Name: Date:
Human Capital Department
Remarks:  Housing
 Iqama /Medical Insurance
 Mobile Phone
 Site / Gate Pass / Seder ID
 Vehicle (Keys / Docs)
 Others
Approver Signature:

Approver Name: Date:

SG-HC-F-048, REV: 00