Employee Clearance Form for Resigning and Termination

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

AH Foundation

FULL AND FINAL SETTLEMENT

Name ________________________ Father Name_____________________

Designation ____________________________

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

Total _________________________________________________

Deductions/Less:

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