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No Due Clearance Form

This no dues clearance form is to be completed by an employee leaving the company and forwarded to HR. It collects information about the departing employee like name, ID, position, project, date of resignation, separation, address, bank details, email, contact number, and any amount owed to the employee. It then requires sign off from the reporting project manager, IS team, library, admin, HR, accounts, and finance to confirm return of items like hardware, software, keys, cards, clearance of loans, advances, and taxes. The managing director provides the final signature.

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CAE Coreel
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322 views2 pages

No Due Clearance Form

This no dues clearance form is to be completed by an employee leaving the company and forwarded to HR. It collects information about the departing employee like name, ID, position, project, date of resignation, separation, address, bank details, email, contact number, and any amount owed to the employee. It then requires sign off from the reporting project manager, IS team, library, admin, HR, accounts, and finance to confirm return of items like hardware, software, keys, cards, clearance of loans, advances, and taxes. The managing director provides the final signature.

Uploaded by

CAE Coreel
Copyright
© © All Rights Reserved
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
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NO DUE CLEARANCE FORM

NO DUES CLEARANCE FORM (To be completed by employee & forwarded to HR)

Employee Name & Id :


Position :
Project/Group :
Date of Resignation :
Date of Separation :
Address where Cheque
:
can be Sent
Bank Name and A/C
:
Number
Personal E-mail ID :
Contact No. :
Amount Voucher Reason of Claim :
Any Amount CoreEL has Details : Submitted on:
:
to pay to employee : Date -

Authorized Signatory
Department Name of
Remarks Signature
Signatory
1. Reporting Project Manager
 Handover Form completed
 Knowledge Transfer
 Documents / Passwords
 H/W /S/W/applications
 Notice Period Waiver
If No, Retain email id for
 Delete email ID____(Yes/No)
_____days and to be forwarded
to email id_________________

 Data Backup (Yes/No)


Reporting Manager Comments:

2. IS Team
 Email ID deleted/ aliased
 Domain ID
 FTP / VPN ID
 Hardware
 Software
 Laptop
 Mobile Broadband Device
 Employee Access Card

Doc ID: CRL-TMP-036 Ver: 3.06 For CoreEL Internal Use Only Page 1 of 2
NO DUE CLEARANCE FORM
3. Library (CD’s, books,
magazines etc)

4. Admin
 Lock and keys
 ID cards
 Company SIM card
5. Human Resources
 NP Computation
 Amount due from _________
 Data Updation
 Soft Loans
6. Accounts and Finance
 Loans & advances
 Foreign Travel Advance
 Inland Travel Advance
 I.O.U:
 Tax Liability:
 LTA
 Others if any

Employee
(Name/Sign/Date):

Group Head
(Name/Sign/Date):
Head – HR
(Name/Sign/Date):
Managing Director
(Name/Sign/Date):

Doc ID: CRL-TMP-036 Ver: 3.06 For CoreEL Internal Use Only Page 2 of 2

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