Record of Disciplinary Action

Employee Name Employee Title Manager Name Manager Title Today’s Date Incident Date

Câu lạc bộ Giám đốc nhân sự- Trụ sở: CT4.1001, Đô thị Sông Đà - Mỹ Đình, Từ Liêm, Hà Nội - Điện thoại: 04. 7855518 - Fax: 04. 7855518- Website: www.cpoclub.net - Email: contact@cpoclub.netRecord of Disciplinary ActionEmployee Name Employee TitleManager Name Manager TitleToday’s Date Incident DateIncident Time Incident LocationDescription of the incident that occurred:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Witnesses to the incident (if applicable):___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Names of those in attendance at current disciplinary action meeting:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Corrective or disciplinary action to be taken:  Verbal  Written  Probation  Suspension  Other (explain below)________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(If on probation, period begins ___________________ and ends ___________________.)Goals to be Achieved:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Consequences for failure to improve performance or correct behavior: Câu lạc bộ Giám đốc nhân sự- Trụ sở: CT4.1001, Đô thị Sông Đà - Mỹ Đình, Từ Liêm, Hà Nội - Điện thoại: 04. 7855518 - Fax: 04. 7855518- Website: www.cpoclub.net - Email: contact@cpoclub.net_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Prior discussions or warnings on this subject, whether oral or written: ________________________________________________________________________________________________________________________________________________________________________Employee statement: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________I acknowledge that I have read and understand the above information and consequences._______________________________ ______________________Employee Signature Ngày _______________________________ ______________________Supervisor Signature Ngày . 7855518- Website: www.cpoclub.net - Email: contact@cpoclub.netRecord of Disciplinary ActionEmployee Name Employee TitleManager Name Manager TitleToday’s. applicable):___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Names of those in attendance at current disciplinary action meeting:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Corrective