EXIT INTERVIEW FORM
(To be completed by resigning staff)
Employee Name: __________________________ Supervisor: ___________________________
Level: ___________________________________ Dept / Branch: _________________________
D.O.E:__________________________________ Resignation Date: ______________________
Tel No: _________________________________ New Employer: ________________________
Current Contact Address_______________________________________________________
E-mail Address ______________________________________________________________________
Reason (s) for resignation
Personal Reasons Better Prospects/Greener pasture
Dissatisfaction with PZLI organization Relocation
Demotivated with specific job function Others (Please specify):
_____________________________________________________________________________________
Give details for reason(s) stated above
_______________________________________________________________________________________
___________________________________________________________________________________
What did you find most satisfying about your job?
_______________________________________________________________________________________
___________________________________________________________________________________
What did you find most frustrating about your job?
_______________________________________________________________________________________
___________________________________________________________________________________
What suggestions do you have to make Prudential Zenith Life Insurance a better place to work?
_______________________________________________________________________________________
___________________________________________________________________________________
_____________________________________________________________________________________
HRD/ Management comments
_____________________________________________________________________________________
________________________________ _____________________________
Receipt ant Employee Name / Signature/Date
Name/Signature/Date
The management of Prudential Zenith Life Insurance Ltd appreciates your honest contribution to the continuous
improvement of the organization even as you withdraw your services. We wish you the best of luck in your future
endeavors.