PT Andiarta Muzizat

Menara Bidakara 2 Lantai 5

Jl. Jenderal Gatot Subroto Kav,
71-73 Kel. Menteng Dalam, Kec.
Tebet, Jakarta Selatan
Telp. +622129181777

CLEARANCE FORM

Full Name / Nama Lengkap :

Employee Number / NO. ID :
Department / Bagian :

No Procedure should be completed Remark Authorized Signature

Prosedur yanf harus diselesaikan Keterangan Tanda tangan yang berwenang

1 Job and Duty Transfer

Serah terima tugas dan Jabatan dan Departement Head
melakukan pemeriksaan terhadap hutang Kepala Department
COD, Rute bermasalah dan lainnya (IC Station)

2 Company ID Card HRD

Kartu Tanda Pengenal Perusahaan

3 Health Insurance Card HRD

Kartu Asuransi Kesehatan

4 Vest IC Station
Rompi

5 Delivery Bag IC Station

Tas Antar Barang

6 Rain Coat IC Station

Jas Hujan

Note :
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After all of the administration completed, this form must be submitted by employee on the last work day
Setelah semua proses administraasi diselesaikan, formulir ini harus diserahkan oleh karyawan pada hari terakhir
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