NO DUES CERTIFICATE / CLEARANCE CERTIFICATE YOUR COMPANY NAME
Name : Unit\Deptt. : Date of Joining: Dept. / Section Employees 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
Note: -
DuesNo
Dues
E.ID: Reporting to: Date of Leaving: Please Initials
Remarks
GM-HR
ED-BU/CORPORATE
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.