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!
Question | Answer |
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Form Name | Moi University Clearance Form |
Form Length | 3 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 45 sec |
Other names | how 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 |
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This officer is under my immediate supervision and I confirm that he/she has no liabilities with |
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the department |
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Verified by…………………………………………….........Sign…………………………. |
PART C: |
DEAN OF SCHOOL/ DIRECTOR OF INSTITUTE |
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I confirm that this officer has/has no liabilities with the Faculty |
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Verified by…………………………………..Sign……………………… |
PART D: |
LIBRARY |
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All books returned/not returned…………………….Charge Kshs:………..……………… |
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Verified by………………………………… Sign………………………Date…….………. |
PART E: |
BOOKSHOP |
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Outstanding amount Kshs:……………………………………………….……………… |
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Verified by……………………………. Sign……………………..…Date……………… |
PART F: |
UNIVERSITY FARM |
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Outstanding amount Kshs:……………………………… Sign…………..………………. |
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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 |
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Loans Balance Kshs:……………………………………………………………………… |
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Verified by…………………………Sign…………….…………Date…………………… |
PART I: |
EXPENDITURE SECTION |
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Medical and other outstanding bills Kshs:…………………….……………..…………….. |
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Verified by……………………………….……………… Sign…………………………… |
PART J: |
PERSONAL CLAIMS SECTION |
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Outstanding amount of imprest Kshs:………………………………………….………… |
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Verified by……………………………..Sign………………………Date…………..…… |
PART K: |
REVENUE SECTION |
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Outstanding Invoices Kshs:………………………..………………………………………. |
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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
………………………......………………………… …………………………….
Signature |
Date |
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