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.