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Clearance Form

This document is a clearance form for an employee leaving Seal Infotech Pvt. Ltd. It requires the employee to provide their name, designation, department, dates of joining and resignation. It also requires the HR and various other departments to sign off, confirming the return of any company property and that there are no outstanding payments or dues. The form also captures the employee's leave details, notice period served, PF account instructions and contact information after relieving from the company.

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selvamuthukumar
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2K views2 pages

Clearance Form

This document is a clearance form for an employee leaving Seal Infotech Pvt. Ltd. It requires the employee to provide their name, designation, department, dates of joining and resignation. It also requires the HR and various other departments to sign off, confirming the return of any company property and that there are no outstanding payments or dues. The form also captures the employee's leave details, notice period served, PF account instructions and contact information after relieving from the company.

Uploaded by

selvamuthukumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CLEARANCE FORM

Seal Infotech Pvt. Ltd


Name : Designation : Department : Date of Resignation : Employee No. : Date of Joining : Team /Assignment: Date of Release : .

________________________ 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

Signature & Name

Department Head/ Reporting Manager

Manuals/Tapes/Diskettes handed over Knowledge transition done Completed the Performance appraisal/ feedback for juniors

Networking & System Support (IS) Administration

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

Seal Infotech Pvt. Ltd


Notice Period Details : Notice Period to Serve
Notice Period Served Shortfall in Notice Period Shortfall in Notice Period to be adjusted against leave balance Shortfall in Notice Period to be waived

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.

2. The following amounts are due against my name:

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.

Employees Signature Date

Approved by Human Resources Date

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