Moi University Clearance Form PDF Details

Navigating the transition from an academic institution such as Moi University involves various clearances to ensure all responsibilities and obligations between the staff member and the institution are settled. The Moi University Clearance Certificate, needing to be filled out in duplicate, embodies this comprehensive process. It encompasses multiple sections detailing various departments and areas within the university with which an individual may have had interactions or responsibilities. From accountability for library books in Part D to financial obligations with the university farm in Part F, and even housing-related dues in Part L, the form methodically covers a broad spectrum. Each section requires verification and sign-off by the responsible authority, confirming whether any liabilities exist. Additionally, it delves into personal financial responsibilities, including loans from the MUSCO SACCO in Part H and salary advancements in Part N. The clearance process culminates in an official validation by higher administration that all parts have been appropriately completed. This diligent approach ensures that both the staff member and the university have a clear record of any outstanding commitments, marking a crucial step in the transition out of the university's employment or association.

QuestionAnswer
Form NameMoi University Clearance Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other nameshow to do clearance online for moi university, moi clearance certificate, moiuni clearance, moi university staff clearance forms

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MOI UNIVERSITY

CLEARANCE CERTIFICATE

(TO BE FILLED IN DUPLICATE)

PART A:MEMBER OF STAFF CLEARING

(i)Name of Officer leaving……………………………………………PF. No………………...

(ii)Signature:………………………………………………Date………………………………

(iii)Designation…………………………………………………………………………………

(iv)Reason for leaving University………………….…………………………………………..

…………….……………………………………………………………

PART B:

HEAD OF DEPARTMENT/SECTION/UNIT

 

This officer is under my immediate supervision and I confirm that he/she has no liabilities with

 

the department

 

Verified by…………………………………………….........Sign………………………….

PART C:

DEAN OF SCHOOL/ DIRECTOR OF INSTITUTE

 

I confirm that this officer has/has no liabilities with the Faculty

 

Verified by…………………………………..Sign………………………

PART D:

LIBRARY

 

All books returned/not returned…………………….Charge Kshs:………..………………

 

Verified by………………………………… Sign………………………Date…….……….

PART E:

BOOKSHOP

 

Outstanding amount Kshs:……………………………………………….………………

 

Verified by……………………………. Sign……………………..…Date………………

PART F:

UNIVERSITY FARM

 

Outstanding amount Kshs:……………………………… Sign…………..……………….

 

Verified by………………………………… Sign………………………Date…….……….

PART G:

ESTATES STORE

PART (I):

Verified by………………………………………………. Sign………………….………

(ii)Inspection of House No…………………….……… Date………………………….……..

(Inspection Report attached)

We consider that the occupant be surcharged a sum of Kshs:………….…………………

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Verified by…………………………… Sign ………………………Date……..………

PART H:

MUSCO SACCO

 

Loans Balance Kshs:………………………………………………………………………

 

Verified by…………………………Sign…………….…………Date……………………

PART I:

EXPENDITURE SECTION

 

Medical and other outstanding bills Kshs:…………………….……………..……………..

 

Verified by……………………………….……………… Sign……………………………

PART J:

PERSONAL CLAIMS SECTION

 

Outstanding amount of imprest Kshs:………………………………………….…………

 

Verified by……………………………..Sign………………………Date…………..……

PART K:

REVENUE SECTION

 

Outstanding Invoices Kshs:………………………..……………………………………….

 

Verified by:…………………………… Sign………………………Date…………………

PART L:

HOUSING

(i)Outstanding House Rent Kshs:………………….……………………………….………..

(ii)Outstanding Electricity Bill Kshs:…………………………….…….…………………….

(iii)Outstanding Water Bill Kshs:………………………..………….………………………… Verified by:……………………………… Sign……………..……Date……….…………

REGISTRY: M Number of leave days balance…………………….………………………………..

Staff Identification Card Returned/Not Returned…….………Charge Ksh…….………….

Verified by…..…………………..Sign………………………Date:………………….

PART: N: SALARY SECTION

(i)Outstanding salary advance………………………………………………….……………

(ii)Salary has been stopped with effect from……………………………………….………..

(iii)Salary overpayment amounts to Kshs………………………………………………….... Verified by………………………… Sign………………………Date……….………..

PART O:AUTHORISED/APPROVED

Both certificates received

DVC-Administration, Planning & Development

………………………......………………………… …………………………….

Signature

Date

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