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Clearance Form

Clearance Form for exit employee

Uploaded by

Muhammad Sakib Hasan

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0% found this document useful (0 votes)

8 views

Clearance Form

Clearance Form for exit employee

Uploaded by

Muhammad Sakib Hasan

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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(Employee Service Form)

Name:

Date of Joining: Date of Release:

Employee Designation:

Employee ID: Adress:

Email id: Mobile No:

S.No Clearance Details Clearance By: Signature

Administration Department

1 Employee ID Card/Access Admin

Card
2 Drawers cleared and keys Admin
returned
3 Mobile Handset Admin
4 Balance Visiting Cards Admin
5 Sims Cards Admin
Remarks Admin:

IT Department

1 Laptop / Desktop and IT Dept.

Accessories
2 Pen drive IT Dept.
3 Deactivation from Mailing IT Dept.
List
4 Gadget Item IT Dept.
Remarks IT Department:

Accounts Department

1 Loans Account
s
2 Company Bank card Account
s
3 Settlement of all dues Account
s
4
Submission of all expense Account
vouchers due. s
Remarks by Accounts Department:

1
Acceptance Letter subject to HR
clearance of dues. Person
2 Termination of record in HR
software if any Person
3 Notice period to be HR ________days;
recovered Person
Remarks by HR:

Employee Given Document Given Date Received Date

Remarks:

Note: * This form should be returned to HR- Department, on or before the last
working
day

**Please do not keep any of the field empty, as incomplete form will not
be
entertained

***Some of the fields may not be applicable to all, in such case please
mention N/A

**** Please submit the balance reimbursement and Income Tax proof
documents
along with the clearance form

Employee Signature: __________________________

Date: _________________________________

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Clearance Form

Uploaded by

Clearance Form

Uploaded by

(Employee Service Form)

Date of Joining: Date of Release:

Employee ID: Adress:

Email id: Mobile No:

S.No Clearance Details Clearance By: Signature

1 Employee ID Card/Access Admin

1 Laptop / Desktop and IT Dept.

Employee Given Document Given Date Received Date

Employee Signature: __________________________

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