TO BE COMPLETED BY MANAGER:
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NAME: |
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EMPLOYEE NO: |
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IDENTITY NO: |
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DEPARTMENT: |
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BRANCH: |
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COST CENTRE: |
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MANAGER/SUPERVISOR: |
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DATE JOINED: |
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DATE TERMINATED EMPLOYMENT: |
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ITEM SERIAL NUMBER YES NO
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Access Tag |
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Desktop Computer |
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Notebook |
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Printer |
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Petrol Card |
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Parking Bay/Tag |
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Office Keys |
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Credenza Keys |
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Other (specify) |
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I.T. Department |
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Remove from Domain |
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Telephone Ext. Deleted |
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Group HR: Employee Benefits |
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Certificate of Service issued |
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Payroll Termination Completed |
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Study Loan |
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Housing Loan |
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Medical Aid |
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Other: |
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Signatures |
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Employee Signature |
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Date |
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Manager Signature |
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Date |
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IT Department |
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Date |
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HR Department |
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Date |
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