You are on page 1of 4

NO DUES CLEARANCE CERTIFI

Emp. No.

Emp. Name

Date of Resign / Date the emp not reporting to


work

HUMAN RESOURCES Date of Separation

Notice Period Days

Notice period Served

Email Account

HOD Necessary Handover

EXCELITY Leave Encashment Days

Any other Company owned asset

Laptop/Tablets/Mouse Recovery

Data Card Recovery

ADMIN Car Lease Outstanding

House Lease Outstanding

ID Card

Workstation Keys

Other Deduction

Any Advance
Laptop/Tablets/Mouse Recovery

Any other Company owned asset

Data Card Recovery


FINANCE
Car Lease Outstanding

Mobile Devise Outstanding

House Lease Outstanding

Company Credit Card/Pre-paid Cards

Pending Reimbursements

Approvals Resignation Accepted By

Resignation Acceptance Date

Final Approval by Client/Company


NO DUES CLEARANCE CERTIFICATE

Remarks Signatures

TRSREN014

Gonela Surendhar

11-Dec-21

----

----

----

----

----

----

----

----

----
----

----

----

----

----

----

----

----

You might also like