CEASEFIRE INDUSTRIES PVT. LTD.

EXIT CLEARANCE FORM

[Release Procedure]
Routing : Employee > Reporting Authority > Branch Accountant> IT > Finance >Sales Admin> HR
I : To be completed by the Employee

Name: Emp. Code:

Address: Department:
[Future Correspondence]
Location:

Personal email id: Telephone & Cell no.:

Reason for Seperation: Alternate Contact No.

Signature: Date:

II : To be completed by Reporting Manager Remarks

Outstanding matters completed Yes / No

Materials returned if any - [Specify amount if any recovery] Yes / No

Passwords and Documents handed over Yes / No

Date of Resignation (dd/mm/yy)

Last Working Day (dd/mm/yy)

Notice Period served ( No. of Days--------------- ) Yes / No

All Expense Sheets Completed Yes / No

Name: Signature:

III : To be completed by Branch Accountants / HOL Remarks

Debtors Outstanding (Specify amount) Yes / No

Car / Accessories / Keys / Registration / Insurance returned Yes / No

Access card/ID card returned - Specify amount, if No Yes / No

Keys to workstation drawers/lockers returned - Specify amount, if No Yes / No

Mobile expenses / SIM Card Yes/No

Ceasefire Badge Yes/No

Business cards returned Yes / No

C FORM Pending (Specify amount) Yes / No

Other Deductions (Specify amount) Yes / No

Name: Signature:

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 CEASEFIRE INDUSTRIES PVT. LTD.

IV : To be completed by IT Remarks

PC / Laptop - Specify Amount if any for Damages/Lost Yes / No

Data card /returned - Specify amount if No Yes / No

Name: Signature:

V: To be completed by Finance Remarks

Outstanding travel & other advances - Settle before Last Working Day Yes / No

Corporate Credit Card Outstanding dues [Specify amount]

Personal expenses on credit card cleared - Specify amount if No Yes / No

Value of Short received Fixed Assets Rs.

Value of Short received Inventory Rs.

Total Value of Shortage Rs.

Name: Signature:

VII : To be completed by HR Remarks

E-mail Id/ Login ids disabled Yes / No

Pending Salary Reimbursement Claims (to be attached) Yes / No

Form A - Proof of investments (to be attached) Yes / No

PF / Pension Withdrawal Form Yes / No

Gratuity Withdrawal Form Yes / No

Outstanding Salary Loans / Advances - Specify amount Yes / No

Training Costs recoverable - Specify amount Yes / No

Relocation / Notice Reimbursement Costs recoverable - Specify amount Yes / No

Confirmed Employee Yes / No

Balance Leave Yes / No

Notice Period - Recovery Days______, Amount_________________ Yes / No

Name: Signature:

Original will be retained by HR

Please attach the below documents with this Clearance Form:

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