Employee Clearance Form

LEAVE APPLICATION FORM

DESIGN&ENGINEERING SYSTEM PVT. LTD

Doc. & Ref #: DES/HR/F/09/01CLEARANCE CERTIFICATE

Dated:__________________

Employees Name :_______________________ S/O: __________________________________Designation:_____________Duty Location. _____________________________________ Date of Resignation sent:__________________ Date of Clearence : _________________________________Notice Period Served days: _____________________ In Case of Notice Period not served,

Resign without notice period: __________________ Termination of Services ______________________ Clearance from;

In-charge: _____________________________Sign: _____________________Workshop Incharge : _____________________Sign: _____________________Store Incharge : _________________________

Sign: _____________________

Site Incharge : ___________________________

Sign: _____________________Accounts Deptt. : ______________________

Sign: _____________________(Final & Mobile dues to be paid): ___________________________________________________Other Pending/Advance Charges: ___________________________________________________Admin / HR. Mgr.: _____________________

Sign: _____________________Remarks:________________________________________________________________________Approved By

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