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Employee Settlement Clearance Form

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Ashish Lanjewar

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0% found this document useful (0 votes)

36 views1 page

Employee Settlement Clearance Form

Uploaded by

Ashish Lanjewar

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

CLEARANCE FOR FULL & FINAL SETTLEMENT

Date: __________________

HOD :

You are requested to complete this form and send it back to Administration in order to complete the
settlement of Accounts of the following employee:

Employee Name:

Payroll Code:

Date of Resignation:

Reason of Leaving:

Last working date/ Relieving Date:

Please ensure the return of the following items return by the above employees

Authorized Name & Designation of Signature of Receiver

Item
Department Receiver

IT Clearance (Cell Phone/ Email ID/ AD IT – Respective IT

Account/ Laptop / Desktop/ Data Card, person
TIPS, Invoicing Module, ITS Feedback,
WM data input, etc basis applicability)

Identity Card HR – Respective HR

business Partner

Mediclaim Cards HR – Respective HR

business partner

Accounts Clearance Finance – Respective

Finance person

Credit Card (Corporate) Finance – Respective

Finance Person

Office Files and Documents Manager

Reports etc. (Hard copy and Soft copy) Manager

Financial Systems Finance – Arvind

Prajapati

__________________ _______________________

Signature of HOD Signature of Employee

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Employee Settlement Clearance Form

Uploaded by

Employee Settlement Clearance Form

Uploaded by

CLEARANCE FOR FULL & FINAL SETTLEMENT

Last working date/ Relieving Date:

Authorized Name & Designation of Signature of Receiver

IT Clearance (Cell Phone/ Email ID/ AD IT – Respective IT

Identity Card HR – Respective HR

Mediclaim Cards HR – Respective HR

Accounts Clearance Finance – Respective

Credit Card (Corporate) Finance – Respective

Office Files and Documents Manager

Reports etc. (Hard copy and Soft copy) Manager

Financial Systems Finance – Arvind

Signature of HOD Signature of Employee

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