DEPARTMENTAL CLEARANCE FORM

                                          (To be completed by the Employee and submitted to HR atleast 3 days before the date of relieving)

Employee Name: _________________________ Emp.No.____________    UHID No._____________________

Designation _________________________ Date of Joining: ____________ Date of Resignation: _________ Notice Period requirements as per Appointment terms:__________________ Date of relieve sought by Employee : ________________ Date of relieve agreed by HOD ___________________Charge to be given to Mr./Ms./Dr.__________________________ Designation __________________________

Date: ________________                                                                         Department Head _______________