2 dt$ir ICSA (INDIA) LIMITED PORMAT NO: ICSA/HR/POLICY/0083.02 Name; NO DUE CERTIFICATE E.Code. D.03: Desig. : D.O, Relieving: S.No. Department Dues with the Dept, Signature Remarks 4.0.0 (to whom he/ she Is reporting) L Finance & Accounts HR Department a) EL Balance b) Attendance ©) 1D Card d) Visiting Cards ) Cell Phone f) Data card g) Desk Keys nh) Notice pay ) HRMS Database Active/Inactive Ext Interview Done [25 7 no) Completed 6 rONERS | Cres 7 No) Tf No Source of Recruitment: R&D -1 R&D - TT TF Department 8 Business Development 9 Production Employee Latest Present & Permanent Address with Telephone Nos. Employee Signature and Date.