No Due Clearance Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

NO DUE CLEARANCE FORM

NO DUES CLEARANCE FORM (To be completed by employee & forwarded to HR)

Employee Name & Id :


Position :
Project/Group :
Date of Resignation :
Date of Separation :
Address where Cheque
:
can be Sent
Bank Name and A/C
:
Number
Personal E-mail ID :
Contact No. :
Amount Voucher Reason of Claim :
Any Amount CoreEL has Details : Submitted on:
:
to pay to employee : Date -

Authorized Signatory
Department Name of
Remarks Signature
Signatory
1. Reporting Project Manager
 Handover Form completed
 Knowledge Transfer
 Documents / Passwords
 H/W /S/W/applications
 Notice Period Waiver
If No, Retain email id for
 Delete email ID____(Yes/No)
_____days and to be forwarded
to email id_________________

 Data Backup (Yes/No)


Reporting Manager Comments:

2. IS Team
 Email ID deleted/ aliased
 Domain ID
 FTP / VPN ID
 Hardware
 Software
 Laptop
 Mobile Broadband Device
 Employee Access Card

Doc ID: CRL-TMP-036 Ver: 3.06 For CoreEL Internal Use Only Page 1 of 2
NO DUE CLEARANCE FORM
3. Library (CD’s, books,
magazines etc)

4. Admin
 Lock and keys
 ID cards
 Company SIM card
5. Human Resources
 NP Computation
 Amount due from _________
 Data Updation
 Soft Loans
6. Accounts and Finance
 Loans & advances
 Foreign Travel Advance
 Inland Travel Advance
 I.O.U:
 Tax Liability:
 LTA
 Others if any

Employee
(Name/Sign/Date):

Group Head
(Name/Sign/Date):
Head – HR
(Name/Sign/Date):
Managing Director
(Name/Sign/Date):

Doc ID: CRL-TMP-036 Ver: 3.06 For CoreEL Internal Use Only Page 2 of 2

You might also like