CLG | Online Clearance Form

Online Exit Clearance Form
This Online Clearance Form must be accomplished within five (5) days from the effective date of separation from the Company. Failure to submit this form within the prescribed timeline may restrict submission.

BEFORE YOU START, ensure that you have a clear photo/scanned copy of your Company ID and HMO Cards. All of which must be cut in half and photos should reflect the ID or serial number clearly. You also need to have a scanned/photo of your signed Resignation Letter ready.

DATA PRIVACY NOTICE AND CONSENT

This notice is for all former employees of Circa Logica Group, Co. It explains the purposes for which we hold information about you (your personal data). All data is held and processed in line with CLG Data Protection Policy and in compliance with the requirements of the Data Privacy Act of 2012.

What data does CLG collect and why? We collect and retain your personal data when you complete this online clearance through JotForm. We will collect and keep your personal data such as name, email address, and telephone/mobile contact numbers. This information is collected for the purpose of CLG’s fulfillment of its obligations as your previous employer under the law for processing your full and final pay benefits.

Retention Periods. Your data will be retained as set out in the company’s records retention schedule. Jotform will store your data for a maximum of 120 days.

Your Rights. Under the privacy laws, you have a right to request a copy of your personal data held by the company.

For inquiries, email HR here.

BY PROCEEDING, I confirm that I read and understood the Data Privacy Consent.

Employee Information
Employee Name*

First NameMiddle NameLast Name
Employee Number*
This form only accepts one entry per employee number.
Contact Number*
Email Address*
Date Hired*

MonthDayYear
Date Separated*

MonthDayYear
Center*
Line of Business*
Immediate Manager*

Clearance & Accountability

Corporate Finance
Unliquidated Cash Advances (if any)
Including Partner Loans. This will be double-checked and deducted accordingly.

Clearance & Accountability

People Experience - Payroll
HMO Card*

Attach photo of HMO Card cut in half
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I confirm that my HMO card is cut IN HALF using a scissor or any cutting device.
None12
YesNo
YesNo

Post-Employment Accountability

Legal and Compliance
NON-DISCLOSURE OF CONFIDENTIAL INFORMATION. I agree that any and all non-public and/or proprietary information pertaining to the Company or its clients, including, but not limited to the Company’s trade secrets, technical data, marketing techniques, human resources, training materials, customer lists, location selection, pricing, client contracts, methods of doing business and other similar information of its clients and its clients’ customers, including, without limitation, credit card, business card, address, telephone number or other personal information, is confidential and the sole and exclusive property of the Company. I agree that any breach, violation, or evasion of this provision will result in immediate and irreparable injuries and harm to the Company, and I agree that the Company’s officer seeking to enforce this agreement will have recourse to the remedies of injunction and specific performance, or either of such remedies, as well as all other legal or equitable remedies to which such company may be entitled.*

Clear
NON-COMPETITION. I agree that for two (2) years after the date of the termination of my employment, I must not and must not prepare to, within the Philippines: participate in; assist with; or otherwise be directly or indirectly involved as a member, shareholder (other than a shareholding of less than five percent (5%) in a company listed on any recognized stock exchange), unit holder, director, consultant, adviser, contractor, principal, agent, manager, employee, beneficiary, partner, associate, trustee or financier of, any business or activity that is the same or similar to a part or parts of a business: (a) carried on by a member or members of Circa Logica Group Co.; and (b) in which I have engaged at any time during the 12 months prior to the date of the termination of my employment; or for any person, company or other entity that competes with any member of Circa Logica Group Co. I agree that any breach, violation, or evasion of this provision will result in immediate and irreparable injuries and harm to the Company, and I agree that the Company’s officer seeking to enforce this agreement will have recourse to the remedies of injunction and specific performance, or either of such remedies, as well as all other legal or equitable remedies to which such company may be entitled.*

Clear
NON-SOLICITATION. I agree that during and for twenty (24) months after my separation with the Company ends, regardless of the reason that it ends, I must not solicit, canvass, approach or accept any approach from directly or indirectly, either alone or in concert with others (a) any existing or potential customer, client, supplier, vendor, or contractor of the Company or any other member of the company with whom I worked, had material dealings, or gained knowledge of within the twenty-four (24) months prior to the termination of my employment; or (b) any employee or consultant of the Company who is employed in a senior, managerial, technical, supervisory, sales or marketing capacity. I agree that any breach, violation, or evasion of this provision will result in immediate and irreparable injuries and harm to the Company, and I agree that the Company’s officer seeking to enforce this agreement will have recourse to the remedies of injunction and specific performance, or either of such remedies, as well as all other legal or equitable remedies to which such company may be entitled.*

Clear

Final Pay Payment Method
I confirm that all information submitted on this page will be used for crediting of my final pay.I confirm that the below bank details are active and are able to receive PESO deposits.I confirm that CLG will not be held liable if incorrect information is submitted or the bank account is inactive.
Bank*
Name on Account*
Account Number*
Account Type*
YesNo

Acknowledgement & Confidentiality
Printed Name*
By signing this clearance form, I acknowledge that I remain responsible for all financial obligations accrued during my tenure, including those not captured on this form, I hereby grant, remise, and authorize CLG to deduct any due and demandable amount, whether from the government or with CLG from my final pay. I understand that the deduction made would be in full and not partial. Should the amount not be enough to pay off the obligation, I pledge to pay the amount due without any demand from Circa Logica Group, Co.

CONFIDENTIALITY CLAUSE

Without the prior written consent of CIRCA LOGICA GROUP, except to the extent required by an order of a court having jurisdiction or under subpoena from an appropriate government agency, in which event, I shall use the best effort to consult with CIRCA LOGICA GROUP prior to responding to any order or subpoena, I shall not disclose any confidential or proprietary trade secrets, customer lists, drawings, designs, programs, software, protocols, information regarding product development, marketing plans, sales plans, manufacturing plans, management organization information, operating policies or manuals, business plans, financial records, packaging design or other financial, commercial, business or technical information (a) relating to CIRCA LOGICA GROUP or any of its affiliates or (b) that CIRCA LOGICA GROUP or any of its affiliates may receive belonging to suppliers, customers or others who do business with CIRCA LOGICA GROUP or any of its affiliates (collectively, “Confidential Information”) to any third person unless such Confidential Information has been previously disclosed to the public or is in the public domain.

I further agree that the terms of this Agreement, and the negotiations leading up to it shall not be disclosed by the parties to any person, other than in a proceeding to enforce the terms of this agreement or pursuant to a valid subpoena or court order.
Signature*

Clear
Date Processed*

MonthDayYear
ResignationOthers
Signed Separation Document*

Cancelof

Rows	Agree	Somewhat Agree	Somewhat Disagree	Disagree
I am sufficiently empowered to do my job well.
This organization does an excellent job of keeping employees informed about matters affecting us.
My work gives me a sense of personal accomplishment.
The goals and objectives against which I am evaluated are clearly defined.
I think my performance on the job is evaluated fairly.
My work schedule allows sufficient flexibility to meet my personal/family needs.
Overall, the physical working conditions at my location are satisfactory (e.g., ventilation, temperature, space to work).
I have a reasonably good idea of my possible career paths in this company.
My job is matching what was described to me during the hiring process.
Employees are treated with respect here, regardless of their job.
The computer systems and tools provided support help me do my job effectively.
I would recommend this company as a good place to work.
I think I am rewarded fairly for the work I do.
I am generally able to take work breaks at the scheduled times.
This company has established a climate where one can challenge our traditional ways of doing things.
The training I have received has adequately prepared me for the work I do.
My manager gives me recognition for a job well done.
The computer systems and tools provided by CLG help me do my job effectively.
I believe senior management decisions are consistent with the company's core values.
My work area is a safe place to work.
There are no substantial obstacles at work that hinder me from doing my job well.
Sufficient effort is made to get the opinions and thinking of CLG employees.
This organization's benefit program fits my needs.
My work schedule and actual hours worked align with my expectations at the time of hire.
Regarding the company's core values, I believe my manager's decisions are consistent with the values.
I believe I have the opportunity for personal development and growth in this company.
Within my department, assignment of working hours is made fairly.
The information I need to do my job is readily available.
I understand how my work contributes to the company's business objectives.
The transportation options that I have available for my daily commute are sufficient and satisfactory.
Senior management is interested in the well-being of employees.
My manager provides me with helpful coaching to improve my performance.
I receive sufficient notice about any extra work hours I am required to work.
I am often bothered by excessive pressure on my job.
Taking everything into account, how satisfied are you with this company as a place to work?

Online Exit Clearance Form

Employee Information

Clearance & Accountability

Clearance & Accountability

Clearance & Accountability

Clearance & Accountability

Post-Employment Accountability

Final Pay Payment Method

Acknowledgement & Confidentiality

Partner Exit Questionnaire