V5 GLOBAL SERVICES PRIVATE LIMITED
B1, H5 Second Floor, Deutsche BMW Showroom, Mohan Co-operative Industrial Area, Near Haldiram Pin Code - 110044
Website: [Link]. CIN-U72300DL2005PTC140952
Full & Final Settlement Form
Name of the Employee: _____________________________
Designation: ____________________________ Location: __________________
Project: __________________ Date of Joining: ___________________
Emp. Code: ________________________ Date of resignation: _ ____________________
Notice period served: _____ Days. Date of leaving: _____________________
Reason for Leaving: (Please Tick) a) Counter/ Store Issue b) Location issue c) Salary/Incentive issue
d) RPM/TL/AM issue e) Better opportunity
Submission of Laptop (If any): ______________
Submission of ID card: _________________
Submission of Demo Unit: ________________
Payment of Full Final Settlement:
Full & Final Settlement (if any due from Company) to be transferred in existing bank account with V5, kindly tick inside the
box
Else fill the new bank account details in below format:
I ……...………….……..S/o …….………………………hereby request you to transfer my Full & Final Settlement.
(if any due from Company) in my Bank Account No ……….……………………..…………IFS Code …………………
Name of Bank…………..…………..……..... or Dispatch DD/ Cheque of my Full & Final to my address as below :
I hereby also authorize the Company to adjust/recover notice pay (if any payable by me as per the terms of my appointment letter)
and any shortfall thereto may please be forwarded/intimated to me for my kind perusal/action.
I hereby acknowledge that this amount of Full and Final Settlement (if any payable by the company) shall be treated as my full and
final payment.
Current Postal Address:
Employee’s Signature: __ ________________
Date: ____________________
Contact No: ____________________
Note: Duly signed letter to be sent back to below mentioned address along with copy of cancel cheque.
Kind attention: Name of Respective HR
V5 Global Services Pvt. Ltd
D-13/5 Okhla Phase-2
New Delhi- 110020
(Scanned copy is also acceptable)