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Corporate Office:

House-04, Road-6/B, Sector-12


Uttara Model Town, Dhaka-1230.
025-5087-060
+88 01874-045101
hr.admin@hardgroup.org
www.HARDgroup.org

CLEARANCE FOR RELEASE


Name: ..................................................................................... Designation: ..........................................................
ID No. ..................... Department: ............................................ Workplace: ...........................................................
Date of Release: ...................... Date of Joining: ....................... [ ] Resigned / [ ] Terminated / [ ] ......................

ADMININTEATIVE DEPARTMENT:
0Identity Card : Retuned [ ] Received [ ] Not Issued [ ]
10Seal : Retuned [ ] Received [ ] Not Issued [ ]
20Office Stationeries : Retuned [ ] Received [ ] Not Issued [ ]
30Files/Paper & Other : Retuned [ ] Received [ ] Not Issued [ ]
40Mobile : Retuned [ ] Received [ ] Not Issued [ ]
50Sim Card : Retuned [ ] Received [ ] Not Issued [ ]
60Laptop : Retuned [ ] Received [ ] Not Issued [ ]
70Modem : Retuned [ ] Received [ ] Not Issued [ ]
80Pen drive : Retuned [ ] Received [ ] Not Issued [ ]
91Other IT Equipment : Retuned [ ] Received [ ] Not Issued [ ]
01Other Obligations : Retuned [ ] Received [ ] Not Issued [ ]
1
H.R: ........................................................................................................................................................................................
G.M/AGM: ...............................................................................................................................................................................
ACKNOWLEDGEMENT OF CONERNED INDIVIDUAL:
I hereby acknowledge my acceptance to the foregoing and confirm that I have leered all dues payable by me to the
company and returned all properties belonging to the company and that I have no other claims whatsoever payable to me
by the company except as show below:

Signature: .......................................... Date: .........................................


ACCOUNTS DEPARTMENT:
Under Probation [ ] Confirm [ ] Gross Salary Tk................................
S.L. Particulars of Settlement Duse Total Remarks
01 .................. Days Wages/Salary for the month of........................................
02 Total amount of unpaid wages/Salary for previous months.........................
03 Payable Amount of security money
04 Other benefits/Allowance
06 PF (Organization Part)
07 PF (Employment Part)
Total Payable Amount
Less
08 Adjustment of staff loan/Advance
09 Adjustment of Audit Claim
10 Adjustment of other
Total Adjustment Amount
Net Payable:
Amount in word: ............................................................................................................................................................... only

PREPARED BY HR Dept. CHECKED BY APPROVED BY


Note: This form to be completed in all respect and up with the personal file of individual final settlement of dues.

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