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Employee Clearance Form Template

The document is a clearance form for employees of Dongkwang Precision India Pvt. Ltd. to be completed before their relieving date. It outlines various clearance details that need to be signed off by different departments, including HR, IT, and Administration. The form must be returned to the HR department by the last working day, and it includes instructions for completion and submission of necessary documents.

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Mangesh Deshmukh
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107 views2 pages

Employee Clearance Form Template

The document is a clearance form for employees of Dongkwang Precision India Pvt. Ltd. to be completed before their relieving date. It outlines various clearance details that need to be signed off by different departments, including HR, IT, and Administration. The form must be returned to the HR department by the last working day, and it includes instructions for completion and submission of necessary documents.

Uploaded by

Mangesh Deshmukh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Dongkwang Precision India Pvt. Ltd.

CLEARANCE FORM
(To be completed before Relieving)

Mr./ Mrs./ Ms.: UPI Code :

Date of Resignation : Date of Relieving :

Business Unit: Date of Joining :

Business Title : Location :

Email id: Tel No.

Address For Future Communication :

[Link] Clearance Details Clearance Name of Signature


By: the
Employ
ee
BU / Functional Head
1 Business Unit Head’s clearance Business
for relieving. Unit Head
2 Exit Interview Form Supervisor
3 All official Supervisor
documents/CDs/Process handed
over
4 Personal Disk space cleared on Supervisor
Computers.
Remarks :

Administration Department

5 Employee ID Card/Access Card Admin


6 Drawers cleared and keys Admin
returned
7 Mobile handset and Sims Cards Admin
8 Data Card Admin
9 Balance Visiting Cards Admin
10 Telephone connection (if any) Admin
Remarks Admin :

IT Department

11 Lap Top / Desktop and Local IT


Accessories
12 Authorization Code for STD/ISD Local IT
13 Deactivation from Mailing List Local IT
14 Calling Cards Local IT
Remarks IT Department :

CFO

15 Loans / Deposits CFO


16 Company credit card CFO
17 Settlement of all dues CFO
18 Submission of all expense CFO
vouchers due.

Remarks by CFO :

HR

19 Intimation for deactivation of HR Person


access card
20 Acceptance Letter subject to HR Person
clearance of dues.
21 Balance leave status HR Person ________d
ays;
22 Notice period to be recovered HR Person ________d
ays;
Remarks by HR :
HR Team :
Termination of record in HRSC Team
23 software if any

Stores

Equipment (if any) Store in


24 charge

Note: * This form should be returned to HR- Department, on or before the last
working
day

**Please do not keep any of the field empty, as incomplete form will not
be
entertained

***Some of the fields may not be applicable to all, in such case please
mention N/A

**** Please submit the balance reimbursement and Income Tax proof
documents
along with the clearance form

Employee Signature: __________________________

Date : _________________________________

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