Valuconnex_F_F_form_2024

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F&F from TO BE USED ONLY FOR INTERNAL OFFICE DOCUMENT PURPOSE (Fill up in CAPS letter)

Please write in below space

Employee Full Name: Mr./Ms.

Designation:

Circle:

CMP/ Location:

DOJ:

Valuconnex Employee VC ID:

Valuconnex Mail id if any: YES/NO/NA

Client/ PPRJ ID:

1. a. Work Responsibilities Handover to


Mr._________________________________ & Cell No._______________________

Mention Responsibilities Handed over in Details:

b. Supervisor Name Mr._________________________________ & Cell


No._______________________

c. Signed with Date & Approved by ZTM/Supervisor:

d. Assets (Tools/PPE/Others) in possession:

Hand Over Details to Mr._______________________________ &


Cell No.________

e. Valuconnex I-Card Handed Over YES/NO/NA

f. Client I-card Handed Over YES/NO/NA

g. i) Ware house Inventory Handed over –Attach List Separately YES/NO/NA


ii) Material Reconciliation YES/NO/NA

h. Any Other Company Asset Like Billing and Material related documents Please
YES/NO/NA
Mention

Valu Connex Telecom Services Private Limited


CIN: U64204MH2011PTC218599
703, Haware InfoTech Park, 39/3 Sector 30A, Vashi, Navi Mumbai 400703
web: valuconnex.co.in | Phone: 9372785464 | 9372785474
2 a. Advance Taken from company for expense (if any) pending to be accounted
YES/NO/NA
for: INR.______________

3. Signed with date & Approved by Circle Head: Mr.________________

4. Signed with date & Approved by Accounts Departments(Name)

5. Signed with date & Approved by Admin Department(Name)

I-card ,Tool Kit & PPE submission, JBTH Training


6. I hereby accept that no dues are payable to me and accept charges, Notice Period or any other criteria for
INR._______________towards full and final settlement of my dues and have no deduction as mentioned in Form
objection towards the same

4. Employee signature with Date:

a. Resignation Date: Mail/ Verbally: Mail/Verbally

b. Notice Period:30/60/90 Days YES/NO/NA

c. Last Working date in Valu Connex

Valu Connex Telecom Services Private Limited


CIN: U64204MH2011PTC218599
703, Haware InfoTech Park, 39/3 Sector 30A, Vashi, Navi Mumbai 400703
web: valuconnex.co.in | Phone: 9372785464 | 9372785474
MANDATORY for PF transfer or Withdrawal by GOI:

Please share PF portal details : Employee needs to update these details by log in to Employee PF Portal
and Share or Update if not these details; without this PF withdrawal or process may get delayed

Date of Birth

DD-MMM-YYYY

Date of Join

DD-MMM-YYYY

Father's/Husband's Full Name in CAPS as per Aadhaar

Relation

Marital Status

Mobile

Email ID

AADHAAR No.

PAN No.

Bank Account No, in CAPS as per Aadhaar

IFSC Code

Nomination details

Valu Connex Telecom Services Private Limited


CIN: U64204MH2011PTC218599
703, Haware InfoTech Park, 39/3 Sector 30A, Vashi, Navi Mumbai 400703
web: valuconnex.co.in | Phone: 9372785464 | 9372785474

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