No Dues Form
No Dues Form
No Dues Form
No Dues Form
Employee Details
Employee Name
Emp Code
Designation
Date of Joining
Department / DU
Location
Date of Resignation
Date of Relieving
Personal Details
Personal Email ID
Alternate Email ID
Mobile No.
Alternate No.
Address for
communication
No Dues
(to be conducted as per the approved list)
Department
Particulars
Time Sheets Submitted
Reporting
Manager
Facilities &
Admin
IT Support
Mail ID Deleted
System De allocated In
the Asset Register
Paybooks
Requests Closed
Paybooks credentials
Deactivation-verified
Conducted By
Signature
Remarks
Department
Re-Solute
Particulars
Login Credentials
Deleted
Conducted By
Signature
Remarks
Accounts &
Personnel
Leave Balance
Yes
No
Final Settlement
A. Company Owes
B. Employee
Owes
Amount
Amount
Advances
Dues
Any other:
Notice Pay
IT deductions
Gratuity, if Applicable
Leave Encashment
Any Other
Deductions
______ days
Total(B)
Total(A)
Final Amount Settlement
Signature (payroll dept)
(A-B)
Name:
Date:
Signature:
Details
Provident Fund
Final settlement
Options
Transfer
Withdraw(please mention)
Cheque
Transfer to the Bank Account
Employee Comments