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Fireflink NDC1

This document is a no dues clearance form for exiting employees. It requires the employee's name, employee code, date of joining, date of resignation, relieving notice period, and resignation submission method. It then lists departments like reporting manager, admin, IT team, HR, payroll, accounts, and asks them to confirm if the employee has cleared all duties like client assets, timesheets, knowledge transfer, returning equipment, email deletion, loans/advances, and other specified items. The employee and HR signatures are required to confirm no outstanding dues.

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vijay.bv
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129 views2 pages

Fireflink NDC1

This document is a no dues clearance form for exiting employees. It requires the employee's name, employee code, date of joining, date of resignation, relieving notice period, and resignation submission method. It then lists departments like reporting manager, admin, IT team, HR, payroll, accounts, and asks them to confirm if the employee has cleared all duties like client assets, timesheets, knowledge transfer, returning equipment, email deletion, loans/advances, and other specified items. The employee and HR signatures are required to confirm no outstanding dues.

Uploaded by

vijay.bv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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No Dues Clearance

(for Exiting employees)


Date Of
Name: Emp Code:
joining:
Date of
Designation: Client
Resignation:
Date of
Branch: Location:
Relieving
Resignation Notice period
Online / E-Mail / Hard copy
submitted: Days:
Due status
Department Activity Remarks Signature, Name & Emp Id
Cleared/ Due / NA

Resignation Accepted? Yes / No

Full Notice period served? Yes / No

Client Asset cleared/ Handed Over? Yes / No


Reporting Manager
Approved Timesheet Received Yes / No

Knowledge Transfer Yes / No

If there,any other dues, Specify Yes / No

Cell Phone, SIM Collected Yes / No

Draw Keys Collected Yes / No

ID card Collected Yes / No


Admin Dept
Visiting Card Collected Yes / No

Bio metric Deleted Yes / No

If there,any other dues, Specify Yes / No

Laptop Collected Yes / No / NA

Charger & Adopter Collected Yes / No / NA

IT Team Tab & Charger Collected Yes / No / NA

E-Mail Id deletion Yes / No / NA

If there,any other dues, Specify Yes / No

LWD/Relieving date Confirmed ? Yes / No

HR HR clearence Yes / No

If there,any other dues, Specify Yes / No


Approved Timesheet Received Yes / No

Income Tax Clearence & Docs Yes / No

Payroll Loans / Advances Clearance Cleared/ Due/NA

Family Health Insurance Yes / NA

If there,any other dues, Specify Yes / No

Loans / Advances Clearance Yes / NA

Accounts Any recovery Pending Yes / No

If there,any other dues, Specify Yes / No

1. I hereby declare that I have handed over all documents, assets & financial dues to company if I found anything to be returned or payable by
me, I shall return/ pay equalent amount by cheque/Cash in favour of Company.
2 No dues form should be handed over to your HR coordinator with all clearances on your last working day.

Date: Employee Signature

Date: HR Signature

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