Template EmployeeSeparation

Employee Separation Form
Employee Separation Form
Please fill in the form and submit to HRG along with a copy of the Resignation Letter /
Email
Employee Information
Name: _________________________________ Emp. No: ______________Date: ___________
Designation: ____________________________ Location: _____________Division:__________
Date of Joining: __________________________ Date of Relieving________________________
Immediate Manager: ______________________ Signature______________________________
Note: Associates are requested not to send parting/farewell emails to others.
Separation Information
Separation Status: Resignation Transfer Termination
Date of notice: ________________ Notice period: _____________ Date of relieving__________
Immediate Technical Manager/ Group Head
Program(s) Templates / Documents / Checklists

Test Reports Software – CD’s
Certificate of Submission IP Protection
E-Mail ID Required for Client Purpose – Yes No

Knowledge Transfer Done – Yes No
Comments:
Approved for relieving: Yes No
IT Administrator: _____________________ Date: ____________________________
HR Page 1 of 3
TAMADA MEDIA
TAMADA MEDIA-HRG-V1.0 Employee Separation Form
Infrastructure Support Services
Date for removal of access: ___________________
Hardware Diagrams
Software Manuals
Dial-up Email IDs
Passwords Others
Comments:
IT Administrator: _____________________ Date: ____________________________
Finance Group
Travel Advances Loans

Bank Clearance Certificate Guarantor Clearances
ESOP Formalities Incentives due
Bond clearances others/Tax Related Documents
Comments:
Group Manager: _____________________ Date: ____________________________
Administration Services Group
Cell phones / Pagers Access Card

Cafeteria Outstanding clearance Library Books
Page 2 of 3
TAMADA MEDIA
TAMADA MEDIA-HRG-V1.0 Employee Separation Form
Club Outstanding Company vehicle

Stationery Laptop
Phone at residence Company leased accommodation
Tour kits / Equipment Organizational Memberships.
Keys Others
Comments:
Human Resources Group
Leave record adjustment Employee Handbook
Comments:
Page 3 of 3

Template EmployeeSeparation

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Template EmployeeSeparation

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Employee Separation Form

Employee Separation Form

Name: _________________________________ Emp. No: ______________Date: ___________

Designation: ____________________________ Location: _____________Division:__________

Date of Joining: __________________________ Date of Relieving________________________

Immediate Manager: ______________________ Signature______________________________

Note: Associates are requested not to send parting/farewell emails to others.

Separation Status: Resignation Transfer Termination

Date of notice: ________________ Notice period: _____________ Date of relieving__________

Immediate Technical Manager/ Group Head

Program(s) Templates / Documents / Checklists

E-Mail ID Required for Client Purpose – Yes No

Approved for relieving: Yes No

IT Administrator: _____________________ Date: ____________________________

Infrastructure Support Services

Date for removal of access: ___________________

Approved for relieving: Yes No

IT Administrator: _____________________ Date: ____________________________

Travel Advances Loans

Approved for relieving: Yes No

Group Manager: _____________________ Date: ____________________________

Administration Services Group

Cell phones / Pagers Access Card

Club Outstanding Company vehicle

Approved for relieving: Yes No

Group Manager: _____________________ Date: ____________________________

Human Resources Group

Leave record adjustment Employee Handbook

Approved for relieving: Yes No

Group Manager: _____________________ Date: ____________________________

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Name: _____________________ Emp. No: Date: _

Designation: ______________________ Location: _Division:____

Date of Joining: __ Date of Relieving

Immediate Manager: Signature________

Date of notice: __________ Notice period: _ Date of relieving____

IT Administrator: _ Date: ________

IT Administrator: _ Date: ________

Group Manager: _ Date: ________

Group Manager: _ Date: ________

Group Manager: _ Date: ________