Separation Checklist

To be filled by associate

Name: ANMOL A JAIN

Employee No: 1620644

Project HR: ABHISHEK SHARMA

Exit Interview completed (Y/N): Yes

SEEPZ Pass / SEZ pass: -

Timesheet to be filled till last Yes

working date:
Any leave availed during the No
Notice Period:
MMT Request No.

All GESS Claims raised and Y

approved (Y/N):
Night Shift allowance rostered -
till Date of Release
Personal details for future correspondence

Contact no: 9409276376

Alternate contact no: 9067591969

Personal e-mail-id: Anmol_dx@yahoo

Residential address 8 hina apartment chunibhai colony nr football ground

(Permanent / present): kankaria ahmedabad-380022
 For Office Use Only (Not to be filled by resigned employees)

Notice Period Shortfall days (if

any)
Service agreement

Overseas agreement

Onsite Resignation

Resignation letter received on

Departmental Clearance

Client Assets – Clearance from

project
TCS ID – Card Submitted

Provident Fund form

Gratuity

Superannuation

SO Remarks

Do you have valid visa / work

permit processed by TCS:

Dues Amount

Amount received against

Mode of payment (Online)

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