Moi University Clearance Form PDF Details

Are you a student of Moi University? Are you looking to start classes, but can't find the clearance form? No need to worry! In this blog post, we will be providing an important guide containing information on where and how to access the official Moi University clearanceform. We'll provide instructions, tips and tools required for completing the process in no time. Get ready to take your first step towards fulfilling your university dreams - let's get started with downloading and filling out the clearance form from Moi University!

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

Form Preview Example

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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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