POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMITED
PLOT No - 119, SECTOR - 44, GURGAON-122001
FULL AND FINAL SETTLEMENT SHEET
Emp ID : PW54023 Employee Name: Ankit Kumar
Location : Gurgaon Grade : E
Designation : Senior Technical Associate Department : Technology
Bank A\C No. :
Bank Name :
Date Of Joining: 02-01-2024
PAN :
Date Of Leaving: 15-01-2024
UAN :
Full and Final Settlement Month: Feb 2024
ESIC No. :
Days Present: 0 Leave Encashment Days : 0.72 Notice period recovery days :
Earnings Rate Amount Arrear Deductions Rate Amount
Salary for the month Jan 2024 59484.00 Provident Fund 0.00 0.00
ESI 0.00 0.00
LWF 0.00 0.00
Income Tax 0.00 0.00
Professional Tax 0.00 0.00
Notice period 0.00 0.00
Basic Salary 82500.00 0.00 0.00 Admin Related Recovery 0.00 0.00
Finance Recovery 0.00 0.00
HRA 41250.00 0.00 0.00
IT Related 0.00 0.00
Special Allowance 11950.00 0.00 0.00
Other Deduction 0.00 0.00
Transport Allowance 0.00 0.00 0.00
PPH Payout 0.00 0.00 0.00
Other Arrears 0.00 0.00
Other Earning 0.00 0.00
Adhoc 0.00 0.00
Bonus Payout 0.00 0.00
Leave Encashment 0.00 1980.00
Total Earnings : 61464.00 0.00 Total Deductions : 0.0
Net Payable / Recovery 61464.00
Demand Draft Received 0.00
Total Net Payable 61464.00
Amount in Word SIXTY ONE THOUSAND FOUR HUNDRED SIXTY FOUR ONLY
Declaration
I, Ankit Kumar S/o,D/o,W/o Shri Sanjay Kumar Singh, designation Senior Technical Associate do hereby declare that I have received Rs.61464.00 in
full & final settlement of my account upto i.e.from M/s POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMITED in Full & Final Settlement of all
my dues including my Wages/Salary. Compensation, Allowance, Leave money & Incentive etc. I hereby declare &
solemnly affirm that I have no claim or dues of any kind of nature or benefit which is capable of being computed in terms of money or any amount
whatsoever. I further declare that I have no dispute and /or industrial dispute of any kind with the company or any individual of the company.
I also undertake that if any amount is payable by me as dues to the Company, and as specified in my full and final statement, then I shall promptly
and within fifteen (15) days of the receipt of my full and final statement, settle this outstanding amount to the Company, failing which the Company
shall have a right to initiate appropriate legal actions against me including instituting a recovery suit.
I have no claim for re-employment or re-instatement and I am leaving the services on my own accord and without any pressure or provocation from
anybody whatsoever.
Cheque No.: Dated:
Cheque Amount:
Date: EMPLOYEES SIGNATURE
Prepared by: Checked by.: Approved by.:
Digitally signed by
EMPLOYEES COPY
VIVEK VIVEK AUDICHYA
TO BE SIGNED & RETURNED BY THE AUDICHYA Date: 2024.02.09
21:34:43 +05'30'
