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No Dues Checklist (NDC)
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DUES CHECKLIST OF SEPARATING RETAINER / TRAINEE
It is the responsibility of the Retainer/Trainee leaving the organization to personally get the NDC (No Dues Checklist) completed
and send this to the concerned HR authority 7 working days prior his/ her last working day and thereafter HR shall forward to
Employee Services for calculating the full and final settlement. If any column is not applicable please indicate (N.A.). Please do
not leave any column blank)
Part A : (To be filled in by the Retainer/Trainee)
1. Retainer/Trainee Details:
Name Date of Joining
Employee No. Date of Resignation
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(if any)
Designation Last Working Day
Entity/ Location
Reason for
leaving
Correspondence Address: where Company can Courier the Settlement Cheque/Experience letter etc.
___________________________________________________________________________
___________________________________________________________________________
Personal e-mail ID :
. Provident Fund Accumulations:
PART – B: (To be filled in by the Reporting Manager)
1. Has handing over been completed to your satisfaction (Inclusive of Files) : Yes / No / Not Applicable
a. Operational Manual : Yes / No / Not Applicable
b. Policy Manual : Yes / No / Not Applicable
c. Equipment Manual : Yes / No / Not Applicable
d. Marketing Kit : Yes / No / Not Applicable
e. Academic Kit : Yes / No / Not Applicable
f. MIS Details : Yes / No / Not Applicable
2. If the Notice Period has to be waived off, if yes, attach the approval from HOD : Yes / No
___________________________________ ___________________________
(Signature & Name of Reporting Manager) (Date)
PART- C (To be filled in by Finance)
1. Foreign Exchange : Rs._______________________
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2. Travel Advance : Rs._______________________
3. Tour Claims : Rs._______________________
4. Imprest (forex) Taken : Rs._______________________
5. Any other outstandings (pls specify) : Rs._______________________
_____________________________________ ___________________________
(Signature & Name of the Manager- Finance) (Date)
PART - E (To be filled in by Administration Department)
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1. Official Telephone : Yes / No / Not Applicable
2. Official Mobile : Yes / No / Not Applicable
3. Blackberry returned : Yes / No / Not Applicable
4. Sim Card(s) : Yes / No / Not Applicable
5. Co. Telephone / fax at home : Yes / No / Not Applicable
6. Clearance letter from landlord for CLA received from Retainer/Trainee : Yes / No / Not Applicable
7. No Dues from employee to Landlord or from Landlord to Co : __________________
8. Deposit for CLA (returned or not: If not then recoverable) : Rs._______________
9. ID card Surrender : : Yes / No/ Not provided
____________________________________________ ________________________
(Signature & Name of the Manager - Administration) Date
PART- F (To be filled in by Employee Services)
1. Amount recoverable in lieu of notice period to previous company (if the employee leaves the company within 1 year of
joining): Rs. _________________________________
2. Leave balance till date of Relieving / Last Working Day : ______ No of Days
3. Excess Leave availed by the employee (Nos of days__________________)
4. Car Lease Arrears payable/ recoverable for the period : __________Amount_______________
5. Reimbursement (Med, LTA, Car, Fuel, Helper, Books & Per) : Rs.___________________________
6. Any Loans to be recovered, if any : Rs.___________________________
7. Any Joining Bonus to recovered, if any : Rs.___________________________
8. Car EMIs for current month : Rs.___________________________
9. Others (if any) : Rs.__________________________
_____________________________________ _____________________________
(Signature & Name of Employee Services) Date
PART- G (To be filled in by HR)
1. Whether the Investment Declaration Proofs have been submitted? If yes, pls attach the same in original.
2. Has the exit interview been conducted ________if yes, pls attach the copy of the same.
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_____________________________________ _____________________________
(Signature & Name of HR Manager) Date
PART- H (To be filled in by IT)
1. Handover of Computer/ Laptop & other hardware items : _____________________
2. Email ID Deletion : _____________________
3. Access rights to Company Intranet etc : _____________________
4. Data Card : _____________________
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5. Projector, Mimio, Printer, Softwares (if any) : _____________________
_____________________________________ _____________________________
(Signature & Name of IT Manager) Date
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3. Declaration:
Date :
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I_______________________________holding the designation___________________ at IndianCan Education Pvt. Ltd.
(hereinafter “Company”) hereby declare that I have duly submitted and returned to the Company all the Confidential
Information and Proprietary Information belonging to the Company and its Customers that were made available to
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me by the Company in the course of discharge of my duties to the Company and its Customers.
For the purposes of this Declaration, Confidential Information and Proprietary Information shall have the same definition as
defined in the employment letter that I had executed out of my own volition and had submitted to the Company during the time of
my joining the Company.
I further declare that I have duly handed over to the Company all property belonging and owned by the Company or of its
customers, including books, files, reports, sales literature, correspondence, notice(s) and any other materials in any tangible form
that were in my possession for the meaningful discharge of my duties.
I agree and understand that if at any time any Confidential Information, Proprietary Information or any other property of the
Company or its customers is found in my possession and/or if such Confidential Information, Proprietary Information or any other
property of the Company or its customers is/ has been misused by me at any point of time, then the Company can charge
suitable damages, which will be decided at the discretion of the Company after taking into consideration the nature and extent of
the violation and the Company also reserves the right to institute appropriate legal proceedings against me.
I have made this Declaration out of my free volition and to the best of my knowledge.
Signature of the Retainer/Trainee _____________________
Name of Retainer/Trainee __________________________________________________________
Employee Code No. (if any)_________________________________________________________
Place : ___________________________________________________________________
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