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PT.

KOKUYO FURNITURE INDONESIA


The Plaza Office 28th Floor, Jl. M.H. Thamrin Kav. 28-30, Jakarta 10350
TEL : 021-2992-2875 FAX: 021-2992-2876

FORMULIR EXIT CLEARANCE


Name : ___________________________________ NIK : 190054
Address (According to ID Card) : ______________________________________________
______________________________________________________
Dept. : ______________________________________________________
Position : ______________________________________________________
Join Date : ______________________________________________________
Resign Date : __________________________________________________

Remarks to be filled : (give sign ) Exit Mutation


The matters that must be submitted / submitted to the relevant Departments are as follows:

CHECKED / SIGN / INITIAL


THINGS THAT MUST BE GIVEN / COMPLETE REMARKS RECEIVED BY
A. Job & Responbility
Manual book /SOP HRGA
Data ( Softcopy ) SUPERIOR
Document ( Hardcopy/filling) SUPERIOR
Work Report SUPERIOR
Pending Item SUPERIOR
Company Regulation HRGA
B. Work supporting Equipment
PC HRGA
Computer Name : IDN0005 HRGA
Laptop Model : HP PROBOOK 430 G5 HRGA
Serial No: 5CD8412WW9 HRGA
Adapter / Charger HRGA
Mouse HRGA
Travel bag HRGA
iPhone / iPad / Phone HRGA
Charger / Adapter HRGA
Sim card HRGA 08119194400
Sim Card Opener HRGA
Wired Stereo Headset HRGA
USB Cable HRGA
Apple info with key HRGA
Calculator / Stationery HRGA
Office Telephone HRGA
Drawer including lock HRGA
Chair HRGA
Desk HRGA
C. ACCESSIBILITY
PC
Username : HRGA
Password : HRGA
D. MEMBERSHIP
ID Card HRGA
Insurance Card HRGA
E. LOAN
Loan to the company HRGA
F. OTHER
………………………………………………………………………..
………………………………………………………………………

Prepared by,
Name
Date of Submission

Sign/Initial
PT. KOKUYO FURNITURE INDONESIA
The Plaza Office 28th Floor, Jl. M.H. Thamrin Kav. 28-30, Jakarta 10350
TEL : 021-2992-2875 FAX: 021-2992-2876

Checked by Approved by

Arief Budiman Tanjaya Yusuke Kasahata Shigeo Minamisono


HRGA MANAGER PRESIDENT DIRECTOR
Date : Date : Date :

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