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Counseling Form

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10 views

Counseling Form

Uploaded by

ZulaihaMelahi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HRM02/2016(017)ECF

IN-HOUSE MULTIMEDIA ACADEMY SDN BHD


Human Resources & Administration Department Date : 06.12.2024

EMPLOYEE COUNSELING / RECOMMENDATION FOR DOMESTIC INQUIRY FORM

This statement is used to provide uniform document of progressive disciplinary action (s) reflecting an
employee's conduct or job performance.
Please tick ( x ) where appropriate

X Counseling Domestic Inquiry

Reason : X Absenteeism Job Performance

: Tardiness Safety Issue

: Misconduct Issues Violation of Company Policy


(e.g, Sexual Harrasment, neatless, Drug, etc)
Others

SECTION A : EMPLOYEE DETAILS

Name : Nor Azlin Binti Abdullah Date Joint : 03.10.2022

Position : HOD ODL Program Service Year : 2 Years 2 Months

Grade Level : Executive Total Experience :

Highest Qualification : Bachelor Age : 27 Years Old

SECTION B : DISCIPLINARY RECORDS

Number of Counseling Provided 1 No. of Warning Letters Received

Period of Problem Happened : From Jan 24 until Nov

SECTION C : FOR COUNSELING PURPOSE ONLY

Type of Action

/ Verbal Counseling Final Counseling

Written Counseling Suspension # no. of days __________

Situation/Problem to be discussed :

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HRM02/2016(017)ECF
Corrective Action To Be Improved :

Consequences If Fail To Improve

/ Further Disciplinary Action Dismissal Will Be Recommended

Domestic Inquiry Others

Remarks :

Acknowledgement by Employee

I have read this report and fully understand that failure on my part to comply with the above
recommendations may result in further disciplinary action up to and including termination.

Employee Signature : Name & Date : Nor Azlin & 06.12.2024

Superior's /Counselor :
Signature Name & Date : Dr. Shuhel & 06.12.2024

HR Dept/Witness : Name & Date : Nurasyikin & 06.12.2024

SECTION D : RECOMMENDATION FOR DOMESTIC INQUIRY

Remark by HR Dept :

Prepared by Recommended by Approved by,


Not Approved by,

Name : Nurasyikin Mahadi Name : Mr. Peter Ting Kiet Teck BOD : Mr. Harith Akma
Date : 06.12.2024 Date : 06.12.2024 Date : 06.12.2024

Page 2 of 2

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