Employee Clearance Form
Name:
Emp Code:
Date of Resignation: Date of Relieving:
Designation: Date of Joining:
Department: Location:
Email id: Tel No.
Address For Future Communication:
CLEARANCE FROM FUNCTIONAL HEAD
Sr. No. List of activities Status (Pending/ Completed)
1
2
3
4
5
Handing Over done to :
Employee Signature: Date:
Signature of person to whom handing over was done: Date:
Reporting Manager Date:
Employee Clearance Form
CLEARANCE FROM FINANCE/ACCOUNTS
Sr. No Item Name Remarks Signature
1 Loans/Advance
2 Travel/ Imprest fund
Name: Finance /Accounts: - Date:
CLEARANCE FROM IT (On behalf of Bizallen)
Sr. No List of items Status (Returned/ Not returned)
1.
Assets (S/W, H/W, manuals, Laptop) handled by employee
2.
Mail Access
3.
Internet Access
4.
Other Applications
5
Data Back Up
6
Mail Back Up
Name (IT) Rohit Kumar Date:
CLEARANCE FROM ADMIN
Sr. No. List of items Status (Returned/ Not returned)
1.
Identity card
2.
Mobile / Data card
3.
Other Asset If any)
Delete employee from all official groups
4.
5.
Inform Payroll Team for F & F
Name (Admin):
CLEARANCE FROM HR :
Tax investment Proofs submission :……………………………..
CLEARANCE FROM HR (to be given only after obtaining all the above clearances)
Signature: (HR) Date: