Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
FORM OF ACKNOWLEDGEMENT
Date: {{date}}
Employee Details
I, {{employee_name}}, employee number {{employee_number}}, hereby acknowledge receipt of the following document(s) / information:
Department: {{department}}
Job Title: {{job_title}}
Document(s) / Information Acknowledged
Please tick the relevant box(es) and provide details where necessary:
{{checkbox_employee_handbook}} Employee Handbook (Version: {{handbook_version}})
{{checkbox_company_policy}} Company Policy on {{policy_name}} (Date: {{policy_date}})
{{checkbox_code_of_conduct}} Code of Conduct (Version: {{code_version}})
{{checkbox_job_description}} Job Description (Date: {{job_description_date}})
{{checkbox_performance_review}} Performance Review (Period: {{performance_review_period}})
{{checkbox_other_document}} Other (Please specify): {{other_document_details}}
Understanding and Agreement
I confirm that I have received, read (or had read to me), and understood the contents of the above-mentioned document(s) / information.
I understand that it is my responsibility to adhere to the policies, procedures, and guidelines outlined in these documents, where applicable to my role and conduct within the company.
Confidentiality Clause
I acknowledge that some of the information provided may be confidential and I agree to maintain the confidentiality of such information in accordance with the company's policies and applicable laws.
Declaration of Independent Review (Optional)
I declare that I have had the opportunity to seek independent advice regarding the contents of the document(s) / information, if I deemed it necessary.
Signature
_____________________________
{{employee_name}}
Employee Signature
Date: {{signature_date}}
_____________________________
{{witness_name}}
Witness Name (if applicable)
Witness Signature
Date: {{witness_signature_date}}
Related templates
Training Record Form
Track all training and development undertaken.
Affidavit Statutory Declaration
This template is a statutory declaration in the form of an affidavit, used when an individual needs to formally affirm the truth of certain facts or statements for legal or official purposes within a Southern African business context.
Medical Aid Election Record
Professional record for Medical Aid Election Record.
Waiver and Consent
This template provides a standard waiver and consent form for employees, to be used when an employee needs to waive certain rights or provide consent for specific actions or disclosures within a Southern African business context.