CONTRACT EXIT CHECKLIST
Name of Consultant:______________________________ Client :_____________
Position:_________________________________ Department :___________
Employee Work Site Status Remarks
1. Drawer/Office Keys returned ( ) Yes ( ) No
2. All Department documents returned ( ) Yes ( ) No
3. Access Card returned ( ) Yes ( ) No
4. Pager/Handphone returned ( ) Yes ( ) No
5. Code/Project Work returned ( ) Yes ( ) No
6. Laptop/Notebook returned ( ) Yes ( ) No
7. Last Working Date
8. Cancellation of email-id
9. Leave Balance
This is to confirm that we have No Objection to Mr/Ms_________________________
being releived on the above mentioned last working date.
CLIENT'S NAME, SIGNATURE & SEAL
DATE :______________________________
Employees Declaration :
I____________________________________hereby confirm that I have returned the above items in good condition.
My full & final settlement (if any), I wish to be paid :
( ) Bank to A/c # ____________________________Name______________________________
( ) Cheque to be sent to my address :
__________________________________________________________
__________________________________________________________
__________________________________________________________
Signature Date
The email ID to which future communications to be sent : ______________________________________________