GURU NANAK ENGINEERING COLLEGE

IBRAHIMPATNAM

NO DUES CERTIFICATE

Name of the staff : Designation :

Department :

Reason for leaving :

Teaching Load : T L
Subject Details : 1.

2.

3.

4.

Dues details

Department Designation Signature

CSE Dept. HOD
IT Dept HOD
ECE Dept. HOD
EEE Dept. HOD
Mech Engg Dept HOD
H & S Dept HOD
Library Librarian
Admin Admin Officer
Accts Superintendent
Academics Superintendent
Establishment Superintendent
Maintenance Supervisor

HOD concerned – Check list (for taking charge)

Sl.No Item Charge Taken

(Whatever applicable)

1. Attendance Registers _____________________________

2. Lab : Stock Registers _____________________________

 -2-

3. Almirah Keys

a) Office _____________________________

b) Lab _____________________________

4. Feedback/Mentor/ _____________________________
Special file, if any

5. Stationery Items :

a) Punching Machine _____________________________

b) Stapler _____________________________

c) Dust bin _____________________________

d) Paper Weight _____________________________

6. Departmental Files _____________________________

7. Handing over charge of _____________________________

Additional duties.

8. Course file (s) _____________________________

(To be submitted in Principal’s Office)

Signature of the candidate

Signature of concerned HOD

Signature of Principal

Vice-Chairman