NU TEK INDIA LIMITED

B-27, Infocity, Sector 34,

Gurgaon-122001
NO DUES CERTIFICATE
Mr. has resigned from our organization and his resignation has
been accepted on date ... In consequence to the above he is being
relieved on date . All concerned are hereby requested to sign /issue No due
Certificate in respect of the above, facilitating smooth relieving of the above named
person.
Employee No/Code.......
Function/Project Name
S.No ITEMS
1
Draw keys
2
Computer Discs/floppies
3
Files/Correspondence documents
4
Registers/Manuals
5
Calculator/Test & measuring Instruments
6
Cell Phone
7
Laptop/ Desktop
8
Cell Phone Usage outstanding
Human Resources/Administration & Finance
9
Outstanding Bills
10
Advances
11
Telephone (Basic)
12
Personal cell phone no.

Date: ..
Location
DUE

Address for Communication:

__________________________
__________________________
__________________________
Date :________________

________________________
Signature of Supervisor/Manager

________________________
Signature of Project Manager
**please forward this form duly signed to Human Resources Function, one day before
relieving the employee.