___________________

Division/Branch/Unit/Office

CHECKLIST FOR RELEASE FROM SERVICE

Date: _______________
Emp #:___________Name of Employee: __________________________ Grade: _________

Department: _______________________ Date of Separation: ________________________

Nature of Separation: 1. Resignation 2. Retirement 3. Dismissal 4. Termination

Please confirm that following formalities have been completed before release of an employee
and forwarded to Human Resource Division.
YES NO NA

1. Submission of Separation Form.………………….…….…….…….…….…….……

2. Retrieval of Bank’s ID card……………………………………………………….
3. Ex-Employee Feedback Obtained………………………………………………….
4. Retrieval of Laptop…………………………………………………………………
5. Retrieval of any other Assets/IT Equipment……………………………………….
6. Adjustment of O/S Liabilities:
a. House Building Finance…………………………………………………….
b. Transport Finance……………………………………………………………
c. Personal Finance…………………………………………………………….
d. Executive Car Loan ………………………………………………………..
e. Consumer Banking Loans…………………………………………………..
f. Credit Cards………………………………………………………………….
g. Service Agreement’s Surety Amount……………………………………….
h. Club Membership Fee ………………………………………………………
i. WDV of Mobile Phone …………………………………………………….
j. Advance House Rent………………………………………………………..
k. Notice Pay…………………………………………………………………...
l. IBP Incentive………………………………………………………………..
m. Excess Salary/Bonus etc. ….………………………………………………..
n. Any Other (Please Specify________)………………………………………
7. Cancellation of Power of Attorney………………………………………………..
8. Cancellation of User IDs…………………………………………………………...
9. Cancellation of Official E-mail…………………………………..………………..
10. Adjustment of Furniture/Fixture and Electric Appliances Allowance …...…...…
11. Provident Fund Paid ………………………………………………………………
12. Gratuity Fund Paid…………………………………………………………………
13. Last Salary Paid…………………………………………………………………..
14. No Claim Certificate obtained…………………………………………………….
15. Release Letter Issued………………………………………………………………
16. Service Certificate Issued………………………………………………………….

_______________________ _________________________
Authorized Signature Authorized Signature
Name: __________________ Name: ___________________
Designation: _____________ Designation: ______________

Note: This form is to be forwarded to HRD after incorporating the required information along with
No Claim Certificate, No Liability Certificate and copy of release letter issued to separated employee.