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ONCQUEST EMPLOYEE NO DUES CERTIFICATE FORM - Annexure B

NAME DESIGNATION
ADDRESS(new ) E-MAIL ID
EMPLOYEE CODE NUMBER CONTACT/PHONE NO
NAME OF THE SUPERIOR DATE OF RESIGNATION
DEPARTMENT & DIVISION LAST SALARY PAID
DATE OF JOINING LAST WORKING DAY
NAME FOR F&F CHEQUE
SUPERVISOR/DEPARTMENT/DIVISION HEAD REMARKS
MANUAL,DOCUMENTS/FILES
DRAWER KEYS
BOOKS/EXTERNAL DOCUMENTS
Date & signature
COMPUTER/LAPTOP
HANDOVER OF RESPONSIBILITIES (KT
etc.) COMPLETED
HR /ADMIN DEPARTMENT/SUPERVISOR REMARKS
RESIGNATION LETTER
EXIT FORM/s
EMPLOYEE ID CARD
VISITING CARDS
Date & signature
MOBILE PHONE
MEDICARE CARD
LEAVE ENCASHMENT
NOTICE PERIOD RECOVERY
SALES & MARKETING REMARKS
UNUSED AIRTICKETS
TRAVEL ADVANCE
SALARY ADVANCE
LTA ADVANCE
UNCLAIMED DUES
Date & signature
ANY OTHER RECOVERY
TELEPHONE RECOVERY
COURIER CHARGES
ANY PERSONAL EXPENSE
VAB
OTHER CLEARANCES REMARKS
IMPREST AMOUNT AMOUNT
TRAVEL BILLS (ALL BILS)
SUBMITTED AS ON DATE
Date & Signature
TOTAL BILLS SUMITTED AMOUNT
(AUTHORISED APPROVER)
Telephone Bills: If any
IT
Purchase

Declaration by Employee.

I ______________hereby declare that I have submitted all my pending bills & dues to Oncquest Laboratories Ltd.
and no further bills are pending from my side to the Oncquest Laboratories Ltd.

Employee: Signature:______________________.Date:____________

FINAL CLEARANCE
HUMAN RESOURCE Date & Signature

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