Faculty Exit Clearance Form
Personal Information
Full Name
Employee ID Number
Department
Position/Title
Last Working Day
Clearance Checklist
Department/Office
In-charge Name
Signature
Date
Remarks
Library
Laboratory
Finance
HR/Personnel
Department Chair
Reason for Leaving
Forwarding Contact Information
Address
Email
Phone
Declaration
I hereby declare that all University assets/records under my responsibility have been duly cleared.
Signature
Date