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To,

Head of People Services


K-Electric, Karachi.

Subject: Application for Final Settlement

Respected Sir,

This is to request you to kindly process my full & final settlement dues as per company policy and issue me the service certificate.
I hereby confirm that all outstanding medical claims (if any) have been submitted to K-Electric Medical department prior
submission of this application.

Employee Particulars:

Name ________________________________Employee No. _____________________ Designation________________________

Department _________________________ Contact No._______________________ Alternate Contact No._________________

CNIC No. ______________________Personal Email Id________________________ Line Manager’s Email Id________________

Home Address: ______________________________________________________________________________________

Information Technology’s (IT) clearance remarks


______________________________________________________________________________________________________

Name & Signature (IT Official) ________________________________________________

1. Mandatory Documents Required:


a. Original K-Electric Card/(FIR copy in case of missing KE card with security payment voucher) and Parking Stickers (if any)
b. All KE Medical cards (self & Family), Allianz card (if any) and RFID Card
c. Copy of Last Paid Residential KE Bill
d. Zakat Declaration CZ-50 form along with two witnesses’ signature mentioning their CNIC (Dated: Before March 12, 2021 or
before that for current year)
e. Last Updated Attendance sheet from Biometric system signed by HOD

1.1 Additional documents required (In case of deceased Employee):


f. Copy of (Employee) Death Certificate issued by NADRA.
g. Succession certificate issued by court. (Heirs can submit later)
h. CNIC Copy of Legal Heirs.

2. Variable Requirements:
i. Fuel card surrender Portal ID (if any) __________________________
j. Vehicle for Manager & above (if any)
Car buy back
Surrender
Lease Transfer

k. Company vehicle surrender Portal ID (if any) ___________________


l. IP/Computer & Laptop receiving by IT _________________________

Employee’s signature _______________________________________


In case of employee’s death:
Relation with Employee _____________________________________

Signature of Legal Heirs _____________________________________

Ground Floor, OTB Block E, Elendar Road Complex , Off I.I Chundrigar Road Karachi
www.ke.com.pk 92-21-3263-7133, 92-21-3870-9132, UAN: 111-537-211

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