FULL AND FINAL SETTLEMENT AND NO-DUES DECLARATION
Starter template — review and adapt before use
This declaration records the final settlement between the Employee and the Company named below on the end of the Employee's employment.
1. Details
Company Name:
Employee Name:
Employee ID and Designation:
Date of Joining:
Last Working Day:
2. Settlement
Salary Due up to the Last Working Day (Rs.):
Leave Encashment (Rs.):
Gratuity, if eligible (Rs.):
Bonus or Incentive Due (Rs.):
Other Amounts Due, with Details (Rs.):
Deductions, with Reasons (notice shortfall, advances, recoveries) (Rs.):
Net Amount Paid (Rs.):
Date and Mode of Payment (bank transfer reference):
3. Return of Company Property
The Employee confirms that all Company property (devices, access cards, documents, files and accounts) has been returned or handed over, except as listed here:
Exceptions, if any:
4. Declaration by the Employee
1.I confirm that I have received the net amount stated above in full settlement of my pay and dues from the Company, and I have no further money claim against the Company for the period of my employment, except for any right that the law does not allow me to give up.
2.I understand that my duties of confidentiality and any other duties that are meant to continue after employment continue to apply.
3.I have signed this declaration freely, and have read and understood it.
5. Confirmation by the Company
The Company confirms that it has paid the net amount above, that it has no claim against the Employee other than those stated here, and that it will give the Employee the relieving and experience letters and the tax and provident fund papers the law requires.
6. Signatures
Employee
Signature:
Printed Name:
Date:
For the Company
Signature:
Printed Name:
Title:
Date:
This is a general starting point provided by SignNinja, not legal advice. Some employee rights, such as statutory payments, cannot be waived by signing a declaration, and rules on gratuity, notice and recoveries differ by state and by role. Have the amounts and wording checked by someone who knows the labor law that applies before relying on this.