Designation: Department: DOJ: Business Email ID: Resignation date: Relieving Date:
Stage – I: To be filled by the concerned departmental in charge
1. Supervisor / Team Leader
❑ All files/keys/documents returned ❑ All password protected files opened ❑ Assignments reallocated to: _______________________ Project Data in User’s Machine: ❑ Back-up required ❑ Transfer Data to: _________________________❑ Delete / Format the system Client Offboarding Applicable ❑ Yes ❑ No If Yes; Client Offboarding Completed ❑ Yes ❑ No Comments; if any ______________________________________________________________________________________________________ Name: ____________________________________ Signature: _____________________________________ Date: __________________ All official E-mails to be forwarded to the following id(s) for 30 days: __________________________________________________ 2. Division Head: ______________________________________________________________________________________________________ Name: ____________________________________ Signature: _____________________________________ Date: __________________
Stage – II: FINANCE
Advances; if any ❑ Yes ❑ No if Yes; Amount to be recovered (in INR) ______________________________________
❑ PC Returned / Transferred to ___________________________ ❑ Laptop/Multimedia/CDs returned ❑ Computer at residence returned ❑ Internet / Domain Access Rights revoked ❑ VSS/Timesheet/VPN Client Login rights revoked ❑ ______________________ Login Revoked
Earned Leave Balance (as on LWD) ______ Encashable Leave: ______ Total no. of days to be paid with FFS ______ Bonus Recoverable; if any: ______ Notice Period Served: ❑ Yes ❑ No Notice Pay Recoverable; if any: __ ___ Relocation Expenses Recoverable; if any: ______ Shift Allowance payable, if any: ______ Certification/Training cost Recoverable; if any: ______ IT Proofs Submitted: ❑ Yes ❑ No