Sample Employee Clearance Form for companies, schools, colleges, universities, and office to get the in writing clearance from employees, students, and clients.

Employee Clearance Form Page 1

AH Foundation

Clearance Certificate

Certified that there is nothing outstanding against Mr./Ms. __________________________

Designation___________________ who is leaving the Job as (Manager) from (AH Foundation)

With Effect From___________________  Head Office DHA, LHR

Section/Signatures………………………

Store Section _______________________

Vocational Department _______________________

Canteen _______________________

Secretarial Department ________________________

Section Head _______________________

Manager Human Capital Development _____________________

Assistant Manager Administration __________________________

Manager Administration ________________________________

Accounts Department ______________________________

Marketing Department _____________________________

Employee Clearance Form Page 2

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AH Foundation

FULL AND FINAL SETTLEMENT

Name ________________________ Father Name_____________________

Designation ____________________________

1. Payable Salary for the Month of (if any)     ______________________
2. Refundable Security Deposit                           ______________________
3. Leave En-cashment (if any)                              ______________________

Total _________________________________________________

Deductions/Less:

1. Outstanding Loans (if any)                              ______________________

Advance Salary                                                    ______________________

Tax                                                                            ______________________

Net Payable                                                           ______________________

Figures in words. _________________________________________

Acknowledgement:

I acknowledge the receipt of my full, and final settlement of dues including outstanding salary to date & security deposit etc. I certify that nothing is due against (AH Foundation) on my behalf. Total amount received Rs. ______________

Signature of Employee ________________________

 

Accounts Manager                    HCD Manager                        Director                            President