This document is a checklist for an employee resigning from a company. It lists assets and documents to be returned or cleared. Departments like administration, IT, finance, payroll are listed with assets to be returned or dues to be cleared. Signatures are required from heads of departments to confirm clearance.
This document is a checklist for an employee resigning from a company. It lists assets and documents to be returned or cleared. Departments like administration, IT, finance, payroll are listed with assets to be returned or dues to be cleared. Signatures are required from heads of departments to confirm clearance.
This document is a checklist for an employee resigning from a company. It lists assets and documents to be returned or cleared. Departments like administration, IT, finance, payroll are listed with assets to be returned or dues to be cleared. Signatures are required from heads of departments to confirm clearance.
This document is a checklist for an employee resigning from a company. It lists assets and documents to be returned or cleared. Departments like administration, IT, finance, payroll are listed with assets to be returned or dues to be cleared. Signatures are required from heads of departments to confirm clearance.
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No Dues Checklist
Mr./Ms. Emp Code: Location:
Designation Department has resigned from service of company and he /she will be relived from the services of company with effect from ___/____/_______. (after closing hours). Please indicate dues, if any in his / her name from your department to enable us to settle his /her final dues.
Date: HR Department
ADMINISTRATION S No Documents/Assets Returned/ Vacated/ Not Authorized Department Returned/N.A Signatory Head Name: 1 Work station keys 2 Access/ID card 3 Company Telephone 4 Mobile Phone/Sim card 5 Company Leased House 6 Company Car /Hypothecated Vehicle with papers 7 Library Books / Journals Signature: 8 Technical Documents 9 General / Special Power of Attorney document given by the Company 10 Any other (Pl Specify)
IT MAINTENANCE & SECURITY
S No Documents/Assets Returned/ Deactivated Authorized Department /Not Returned/N.A Signatory Head Name: 1 Laptop & Accessories 2 Printer 3 Data card 4 HDD/PEN/USB drives Signature 5 E mail Id/Desktop Password
FINANCE S No Documents/Assets Cleared /Not Authorized Department Cleared/N.A Signatory Head Name: 1 Travel advance claims 2 Outstanding loans/advances Signature: 3 Any Other (Pl specify)
PAYROLL/HR S No Documents/Assets Cleared /Not Authorized Department Page 1 of 2 Cleared/N.A Signatory Head Name: 1 Salary advance Recovery 2 LTA Payable/Recovery 3 Notice Pay Recovery 4 Gratuity Payable 5 Leave Balance Signature: 6 Training related bond 7 Any other (Pl specify)
FUNCTIONAL DEPARTMENT NAME:
I, hereby certify that Mr/Ms. ______________________ is being releived w.e.f ___/___/_______ and his/her duties & responsibility is being handed over to Mr/Ms. ______________________ till further notification. He/She has no dues outstanding as from his/her department.
HOD/Plant Manager Name: Signature:
Address for communication (for all future correspondence i.e. Full & Final Cheques, Relieving letter etc.)
Contact Number:
Declaration I hereby agree and acknowledge that all Intellectual Property (including but not limited to copyrights, designs, trademarks, patents, logos) whatsoever in my possession or created by me for STEAG Energy Services (India) Pvt. Ltd during the course of my employment are exclusive property of STEAG Energy Services (India) Pvt. Ltd and I shall not, at any time, assert or claim any right or interest thereto. I also agree that if proof of investment is not given at the time of final settlement of dues, the entire income will be taken as taxable.
