You are on page 1of 1

FORM 7

END OF SERVICE ENTITLEMENT


Company Name & Address

____________________________
____________________________

Employee's Name
Basic Salary
X 12 / 365
Allowance Accm.
Food
Job Allowance

Dh.
Dh.
Dh.
Dh.
Dh.

Other Allowance

Dh.

/ month
/ day
/ month
/ month

Joined Date
Left Date
Service

License No.
Date
CEC No.

_____________________________
_____________________________
_______________Years__________
_____________________________

Termination Type:

A. DUES
Dirhams
Salary
Overtime
Leave Pay
Gratuity
Retention's Repaid
Other Credits

From ___________ To _________


@ Dhs. __________________ PM
__________________________
_______ Days. @ Dhs. _____ /day
_______ Days. @ Dhs. _____ /day
_____________________________
_____________________________

GROSS DUE
DIRHAMS

B. DEDUCTION
Dirhams
Advances
Tel / Telex
Air Fare to
Others

_____________________________
_____________________________
_____________________________
_____________________________

TOTAL
DEDUCTION
DIRHAMS

DIRHAMS

C. NET AMOUNT PAYABLE (A-B)

Received :- ______________________________________
________________________________________________
________________________________________________

As full & final settlement of all my dues from the company

_____________________________
Authorised Company Signatory

________________
Date

_____________________________
Employee Signature

You might also like