XYZ Company ltd

Visakhapatnam Andhrapradesh Pin.code:5300XX

Sr.No Code Empl Name Dept Designation Date of Joining Date of leav
D D M M Y Y D
1 ES1130 P.SURESH MARKETING SALES MANAGER 15 7 0 1 1 2 1
0XX
Date of leaving working CTC
D M M Y Y days
5 0 5 1 8 15 35,000
 XYZ Company ltd
Visakhapatnam Andhrapradesh Pin.code:5300XX

FULL AND FINAL SETTLEMENT FORM

D D M M Y Y
Date: 1 9 0 1 1 8

NAME P.SURESH DESIGNATION SALES MANAGER

D D M M Y Y
EMP NO:- ES1130 Date of Joining 15 7 0 1 1 2

D D M M Y Y
DEPT:- MARKETING Date of Leaving 1 5 0 5 1 8

No. OF WORKING DAY:- 15 No. OF DAYS IN CURRENT MONTH:- 31

Cost to Company:- Rs. 35,000

EARNING AMOUNT DEDUCTION AMOUNT

Basic Salary 16,935 PT -
HRA LOP -

Total Earning 16,935 Total Deduction -

Net Payable 16,935

Net Payable in Rupees

Rupees in words:- Err:511

PREPARED BY:- Ch.Hareesh Singnature:-

Receipt

CERTIFIED THAT I HAVE RECEIVED MY FULL & FINAL SETTLEMENT FROM THE ORGANISATION ON
THIS DAY 19/01/2018 BY WAY OF CASH FOR Rs.3677/- ONLY BEING THE FULL & FINAL SETTLEMENT
OF MY DUES AND I HAVE NO FUTHER CLAIM OF WHATSOEVER NATURE IN FUTURE.

I, Received

Signature

Name:- P.SURESH

Designation:- SALES MANAGER

 American NRI College of Nursing
Sangivalasa (V), Bheemunipatnam (M), Visakhapatnam - 531162

FULL AND FINAL SETTLEMENT FORM

D D M M Y Y
Date: 1 1 0 4 1 5

NAME P.SURESH DESIGNATION SALES MANAGER

D D M M Y Y
EMP NO:- ES1130 Date of Joining 15 7 0 1 1 2

D D M M Y Y
DEPT:- MARKETING Date of Leaving 1 5 0 5 1 8

No. OF WORKING DAY:- 15 No. OF DAYS IN CURRENT MONTH:- 31

Cost to Company:- Rs. 35000

EARNING AMOUNT DEDUCTION AMOUNT

Basic Salary 16,935 PT -
TA - LOP -
Special Allowance - Others -

Total Earning 16,935 Total Deduction -

Net Payable 16,935

Net Payable in Rupees

Rupees in words:- Rupees Eight Thousand Only

PREPARED BY:- VA.Raju Singnature:-

Receipt

CERTIFIED THAT I HAVE RECEIVED MY FULL & FINAL SETTLEMENT FROM THE ORGANISATION ON
THIS DAY 01/04/2015 BY WAY OF Rs.8,000/-(Rupees Eight Thousand Only) BEING THE FULL & FINAL
SETTLEMENT OF MY DUES AND I HAVE NO FUTHER CLAIM OF WHATSOEVER NATURE IN FUTURE.

I, Received

Signature

Name:- P.SURESH
Designation:- SALES MANAGER