No dues certificate or clearance certificate

I have Attached No dues certificate or clearance certificate in word format.

NO DUES CERTIFICATE / CLEARANCE CERTIFICATE

YOUR COMPANY NAME

 

Name         : E.ID:
Unit\Deptt. : Reporting to:
Date of Joining: Date of Leaving:

Please √

Dept. / Section

Dues

No Dues

Initials

Remarks

Employee’s Department: –

  • To handover files handled by him/her (soft & hard copies) (List should be attached)
  • Keys for drawers, Cabinets, etc.,

·         Floppies & CDs used

  • Others: –
  •  
  •  
IT Section: – (PC & any other tools provided)

HRD: –

  • Books borrowed, if any
  • Educational Declaration, if any
  • Others: –
  •  

Administration: –

  • Mobile
  • ID Card
  • Company Car
  • Loans _______________________
  • Loans________________________
  • Others:
 Signature of the P&A Manager/Asst Manager/Executive: ————————–Date
 Signature of the Employee leaving: ———————————– Date:
 Signature of the GM of the Employee: ———————————– Date:

Payroll: –

Total Payment (Salary, Termination Benefits, Balance Leave, etc.,) Detailed worksheet shall be attached)
Remarks on Final Clearance: – 

Signature of Payroll-in-charge: ———————————– Date:

  

GM-ACCTS

  

GM-HR

  

ED-BU/CORPORATE

Note: –  

  • This certificate is required to be processed within two days from the date of leaving of the employee.
  • Departmental Head is only authorized to give certificate.
  • Settlement will have to be made to the leaver only after obtaining this certificate duly approved by all concerned.

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