HUMAN RESOURCE DIVISION
PERSONNEL DEPARTMENT
RESIGNATION FORM
SECTION 1 – TO BE COMPLETED BY THE EMPLOYEE
(Please write in BLOCK letters)
SECTION 1
 Mr.  Mrs.  Miss
First Name _______________ Middle Name _______________ Last Name_________________
Job Title: _______________________________ Employment Status:  University employee  Temporary employee
Faculty / College / Institute / Center : __________________________ Department: ____________________________________
Final salary: ______________: month / day / hour
Effective date of resignation: ____________________________________
(Your last day of employment)
Reason for leaving: _________________________________________________________________________________________
__________________________________________________________________________________________________________
I certify that this resignation is executed voluntarily, and that I wish to end my employment with Mahidol University.
_____________________________________
Employee’s Signature
____________________
Date
SECTION 2 – TO BE COMPLETED BY THE SUPERVISOR/ DIRECTOR
SECTION 2
SUPERVISOR 1
 Approve
 Disapprove
Signature: ______________
Job Title: _______________
SUPERVISOR 2
 Approve
 Disapprove
Signature: ______________
Job Title: _______________
DIRECTOR/ DEAN
 Approve
 Disapprove
Signature: ______________
Job Title: _______________
Resignation Procedures
1. Submit your original resignation to your supervisor 30 days prior to your last working day.
2. Contact HR department immediately for information on health insurance, welfare and benefits
3. The resignation can be restrained by a maximum of 90 days by the approver.