SOS
TACLOBAN
DESCIPLINARY
HEARING FORM
DISCIPLINARY HEARING FORM
NAME & NUMBER OF EMPLOYEE: BRYAN AMBRAY
DEPARTMENT: _______________________________________
DATE: _________________
PRESENT: _________________________________________________________________
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ALLEGED OFFENCE:
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SUMMARY OF DEFENCE:
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DISCIPLINARY
ACTION:__________________________________________________________________
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EMPLOYEE: __________________________________
DATE: ______________________________________
CHAIRPERSON: _______________________________
DATE: ______________________________________
INITIATOR: __________________________________ DATE: _________________
REPRESENTATIVE: ____________________________ DATE: _________________
FIRST WRITTEN WARNING
(Valid for 6 months)
NAME OF EMPLOYEE:
BRYAN CHRISTOPHER AMBRAY
JOB TITLE: TECHNICIAN
DETAILS OF MISCONDUCT:
JANUARY 23, 2019 (UNDER-TIME)
JANUARY 24, 2019 (ABSENCE WITHOUT OFFICIAL LEAVE))
EMPLOYEE'S COMMENTS (if any)
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WARNING ISSUED BY:
JOMAR Z. CORTEZ
SIGNATURE:
DATE ISSUED: JANUARY 24, 2019
POSITION: SALES MANAGER
EXPIRY DATE: 6 (SIX) MONTHS of warning
ACKNOWLEDGEMENT BY EMPLOYEE OR REPRESENTATIVE;
REPRESENTATIVE
SIGNATURE_______________________________________________________________
WITNESS SIGNATURE
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EMPLOYEE
SIGNATURE_______________________________________________________________
(SHOULD EMPLOYEE REFUSE TO SIGN RECEIPT HEREOF TWO WITNESSES SHALL
SIGN ATTESTING TO THE FACT THE EMPLOYEE HAS BEEN WARNED)
WITNESS SIGNATURE__________________ DATE _______________________
WITNESS SIGNATURE__________________ DATE _______________________
DISMISSAL FORM
TO:
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Following the outcome of a disciplinary enquiry, your services are terminated with effect
from _________________ on the grounds of
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In terms of the employment policy, you are to leave our premises immediately. Attached
please find details of remuneration due.
SIGNED:
(for the Conference)
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ACKNOWLEDGEMENT:
(by former employee)
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AUTHORISED BY: __________________________________________
CONFIDENTIAL
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2ND OFFENSE 3-6 DAYS SUSPENSION
(VALID FOR 6 MONTHS)
NAME OF EMPLOYEE
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DEPARTMENT______________________________________________________________
JOB TITLE_________________________________________________________________
DETAILS OF MISCONDUCT
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EMPLOYEE'S COMMENTS (if any)
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ISSUED BY:
SIGNATURE: ______________________________ DATE: ______________________
POSITION IN CONFERENCE: __________________ EXPIRY DATE_________________
ACKNOWLEDGEMENT BY EMPLOYEE OR REPRESENTATIVE:
REPRESENTATIVE SIGNATURE_______________________________________
WITNESS SIGNATURE _____________________________________________
EMPLOYEE SIGNATURE_____________________________________________
(SHOULD EMPLOYEE REFUSE TO SIGN RECEIPT HEREOF TWO WITNESSES SHALL
SIGN ATTESTING TO THE FACT THE EMPLOYEE HAS BEEN WARNED)
WITNESS SIGNATURE____________________ DATE________________________
WITNESS SIGNATURE ____________________ DATE _______________________
SOS TACLOBAN
BRGY. 77, FATIMA VILLAGE, MARASBARAS, TACLOBAN
CITY
2nd OFFENSE 7 DAYS SUSPENSION
(VALID FOR 6 MONTHS)
NAME OF EMPLOYEE: HELEN T. BENCITO
DEPARTMENT: ACCOUNTING
JOB TITLE: CASHIER
DETAILS OF MISCONDUCT: ABSENCE WITHOUT OFFICIAL LEAVE (AWOL)
EMPLOYEE'S COMMENTS (if any)
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ISSUED BY:
NAME: JOMAR Z. CORTEZ EFFECTIVITY: MARCH 14, 2019
POSITION: SALES MANAGER EXPIRY DATE: MARCH 20, 2019
NOTE: You are allowed to work this company on March 21, 2019, this suspension will give
you enough time to think and don’t hesitate to ask more if needed. This will serve as your
last warning.
ACKNOWLEDGEMENT BY EMPLOYEE OR REPRESENTATIVE:
REPRESENTATIVE SIGNATURE_______________________________________
WITNESS SIGNATURE _____________________________________________
EMPLOYEE SIGNATURE_____________________________________________
(SHOULD EMPLOYEE REFUSE TO SIGN RECEIPT HEREOF TWO WITNESSES SHALL
SIGN ATTESTING TO THE FACT THE EMPLOYEE HAS BEEN WARNED)
WITNESS SIGNATURE____________________ DATE________________________
WITNESS SIGNATURE ____________________ DATE _______________________
