HGS RESIGNATION CHECKLIST

Instructions to Complete the Checklist

 This is a mandatory form to be completed by the resigned/terminated employee on/before

their last working day in the company.
 On completion, the form must be duly signed by the concerned Reporting authority. Un-
signed forms will not be accepted.
 The Original completed and signed form must be submitted to Human Resources at
Hinduja Global Solutions Limited. Address : 7/A, 7th Floor, Summerville Bld ,Jnct of 14th & 33rd
Road, Bandra (W), Mumbai 400050
 Full and Final Settlement will be processed only on receipt of this form and the supporting
documents.

Employee Details

Employee Code 42466

Ayushi Satish Shah

Name

24/7/2023
Date of Joining
Anjali Parab
Reporting to
08/12/2023
Last Working Day

BORIVALI
Office Location

041801515435
Staff Salary Account number

Kavita CHS, Main carter rd, Borivali East , Mumbai 400066

Contact Address

8828286408
Contact Number
Shah.ayushi77@gmail.com
Alternate Email ID

Prepared by HGS HR
 Sr. No. Particulars Submitted (Yes / No) Receiver’s Name &
Signature
1 Resignation Letter/Email - Original
yes

2 Identity Card Not provided

3 Notice Period served / waived

(In case of waiver – please mention reason)
Waived

4 Any Salary to be adjusted FNF for December

ND th
22 November 23 to 8
December
14161 /-

5 Any other loans / advances recoverable

NA

6 Laptop/Desktop returned
Yes

7 Login and System Passwords

Yes

8 PF Form – Transfer / Withdrawal

Yes

9 Investment Proofs
NA

I confirm that I do not have any pending dues towards the Company and I have
provided
the correct information to be able to process my Full & Final Settlement.

Ayushi Satish Shah 08/12/23

Signature of Date
Employee

Prepared by HGS HR
Signature of Reporting Date
Authority