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Employee Exit Form: Reason/s For Leaving

The employee exit form documents an employee's departure from their role, including their name, department, employee ID, notice period, reason for leaving, and signatures. Key details are the employee selecting either voluntary resignation or involuntary termination as their reason for leaving, and space for both the employee and their head of department to provide statements explaining the reason for departure. The form also indicates if the employee is eligible for re-hire in the future.

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HAMZA ABBAS
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0% found this document useful (0 votes)
209 views

Employee Exit Form: Reason/s For Leaving

The employee exit form documents an employee's departure from their role, including their name, department, employee ID, notice period, reason for leaving, and signatures. Key details are the employee selecting either voluntary resignation or involuntary termination as their reason for leaving, and space for both the employee and their head of department to provide statements explaining the reason for departure. The form also indicates if the employee is eligible for re-hire in the future.

Uploaded by

HAMZA ABBAS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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EMPLOYEE EXIT FORM

Name of Employee #N/A


Department & Designation #N/A
Employee ID
HOD’S Name & Designation #N/A
Notice Period From – To (if given) to
Service Period
Reason/s for Leaving:
Voluntary Resignation Involuntary Termination
(Check applicable) (Check applicable)
� Secured better position � Absenteeism or Tardiness
� Dissatisfied (type of work) � Failure to Meet Performance Expectations
� Dissatisfied (salary) � Insubordination
� Dissatisfied (supervisor) � Not qualified for the position
� Dissatisfied (working conditions) � Gross Misconduct
� Generally dissatisfied � Dishonesty or Theft
� Retirement � Job abandonment
� Recall for Duty (Army Man) � Death
� Moving out of area � Behavioral Issues
� Family or personal circumstances � Other
� Other reason

Reason/s for leaving (Employee’s Statement in case of voluntary


resignation)__________________________________________________________________
____________________________________________________________________________

Reason/s for leaving/termination (HOD’s statement) __________________________________

Eligible for Re-hire! ____Yes ____No HOD Signature:____________

If NO, Explain: ________________________________________________________________

Exit Interviewer’s Comments:

HRBA Signature Employee Signature

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