Internal form no. / revision (optional): e.g. HR/EXIT-18 ya state labour form jo bhi lagta hai — yahan edit kar lo.
Heads-up: India में हर राज्य / हर employer का “Form 18” same नहीं होता। Ye page universal relieving + dues clearance + short experience paragraph ka shell hai — अपनी policy या mandator template se replace करें।
| Departmental clearance (tick / date / initials) | |
|---|---|
| Reporting manager — handover / assets | Cleared ______ · Sign ______ |
| IT / ID / access | Cleared ______ · Sign ______ |
| Finance — advances / imprest | Cleared ______ · Sign ______ |
| Admin / security — ID card, locker | Cleared ______ · Sign ______ |
| HR — policy / FnF timeline advised | Cleared ______ · Sign ______ |
Relieving statement
This is to certify that Mr./Ms. ________________ worked with us from ____ to ____ (last working day) as ______________. Based on clearance as above and subject to final settlement / statutory dues as per policy, his / her relieving is acknowledged for the stated LWD.
Conduct / character may be certified as “satisfactory / to the best of our knowledge” — phrase company policy से लें।
This is to certify that Mr./Ms. ________________ worked with us from ____ to ____ (last working day) as ______________. Based on clearance as above and subject to final settlement / statutory dues as per policy, his / her relieving is acknowledged for the stated LWD.
Conduct / character may be certified as “satisfactory / to the best of our knowledge” — phrase company policy से लें।
For ____________________ (Employer)
Name & designation ________ · Date ________ · Company seal