Clearance Form
Clearance Form
Clearance Form
________________________ is being relieved with the closing hours of ______________ Please fill the details in this form to enable us to process the papers at the earliest. Clearance From Items Remarks / Recovery Amount
Manuals/Tapes/Diskettes handed over Knowledge transition done Completed the Performance appraisal/ feedback for juniors
Terminal/Key Board/Mouse/Internet and E-mail id / LAN id / Diskettes Drawer/ storage keys/Stationery items Personal Telephone Calls (ISD/STD) Identity Card and name plate Other dues, if any Air - Tickets Other dues, if any
Human Resources
Exit Interview done by Leave Encashment Recovery for excess leave Other dues, if any
Accounts
Advances / Loans Onsite Travel Advance Medical reimbursement / Bonus Taxes Other dues, if any:
P.T.O.
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CLEARANCE FORM
YES / NO YES / NO
Leave Details : Updated Leave records : Current Leave Balance: Total leaves available
Leaves to be encashed: Recovery against excess leaves:
Yes /
No
Remarks by HR:
Declarations by the Employee: 1. I wish the following action to be taken in respect of my PF: Withdraw Transfer
Please fill up the PF account withdrawal form available with Finance dept. Withdrawal usually takes 4-6 months. Please fill up the PF account transfer form available with Finance dept. Transfer usually takes 3-5 months.
3. My contact Address, Telephone number & E-mail Id for future correspondence regarding any remittances, etc. :
4. I agree to reimburse the total amount against my personal bills that may be received by the company after my relieving.
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