IIFL : Employee Separation FormEmp. Name: ___________________________________________ Emp. Code: ________________________ Date of Joining: ________ / _____ / __________ Provident Fund: I would like to withdraw my PF. Form 10C & 19 enclosed List of Handover:Sr. No 1 2 3 4 5 6 7 8 9 10 11 a b c d e f g i j 12 Particulars Exit Interview Handover of Job responsibilities Access of documents either in hard or soft format Mail ID / system access deactivated. IOU / Salary Advance Loan Cleared Handover of office keys/floppies etc Company Lease Transfer Returned book to Kwench Library Sign off Client Ledger(AVP & Above Sign) Handover of Company Assets Mobile Sim Card Laptop Pen drive Printer Desktop ID Card Blackberry Keys if any Corp. credit card Any Other (Specify :______________) Applicable (Yes/No) Name Responsibilities Signature Remarks

Date of leaving: _______ / _____ / __________

I would like to transfer the PF to new job

Employee Undertaking:I hereby declare that I am resigning from the company and above information is true and correct. I shall be personally responsible for any false information. I also undertake to inform credit card, bank and cell phone Company for discontinuation of my services and also undertake that payment of any outstanding in this regards will be my personal responsibility. I further declare that I have not violated any confidentiality conditions and shall comply with them even after leaving the company. I confirm that I do not have any document or information related to the companys business, customers etc. (I also confirm that all my dues have been fully settled and there is no outstanding payable from the company to me after receipt of this F&F.)

Signature Of Employee

Place: ___________

Date: _________

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For Official Use Only.A. IRA (Immediate Reporting Authority) Comments:

Particulars Notice Period Served - Yes/No Notice Period Deduct days Leaves in exit month Releasing Full & Final Settlement - Yes /No Issuing Relieving Letter - Yes/ No

Comments

Approval for

IRA Name ______________________________ IRA Designation_________________________

IRA Emp. Code: ______________________ IRA Signature________________________

B. Dept Head Comments (Should be minimum VP & Above):

HOD Name ____________________________ HOD Designation_______________________

HOD Emp. Code_______________________ HOD Signature________________________

(**Note: HR will process F&F and Relieving letter based on receipt of this Exit form duly signed by all, HOD can Intimated to HR on mail in case there is requirement to stop F&F or Relieving letter before Credit date as per HR process of Full and Final settlement payment cycle.) C. Regional HR Comments: Form Received on:____________ DOL:_______________ Reason for leaving:_____________________

Particulars for Final Payroll Purpose Notice Period Served - Yes/No Notice Period Deduct days Leaves in exit month Exit Mark Yes / No

Comments

Approval for Releasing Full & Final Settlement - Yes /No Issuing Relieving Letter - Yes/ NoRegional HR Comments: ____________________________________________________________________

HR Name____________________ HR Emp. Code________________ HR Signature_____________________

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IIFL: Employee Exit Interview FormName: Date of Leaving: Emp. Code: Exit Interview Date:

A. Reason for Leaving (Please tick minimum 3 reasons in order of applicability) Sr. No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 B. Reason of Leaving Absconding Absenteeism Fraudulent Activity Indiscipline Non-Performance Growth Opportunities Health of Family Member Higher Study Job Environment Job Profile Marriage Medicals Own Business Relocation Salary Any Other Tick

Please rate the following job related statements Parameters My skills were used effectively I was given due recognition for the work I was able to manage the work given to me My knowledge for the job was sufficient Always Sometimes Rarely Never

Sr. No 1. 2. 3. 4. C. Sr. No 1. 2. 3. 4. 5. D.

Please rate of the Working with your Superiors Parameters Provides effective coaching Roles and responsibilities were clearly defined Provided fair and equal treatment Regular performance feedback was provided Discussed career advancement opportunities Please rate the working of your subordinates. Parameters There was knowledge sharing and transfer There was team work and synergy Responsibilities were shared Unbiased counseling and support was provided Shared recognition for good work. Always Sometimes Rarely Never Always Sometimes Rarely Never

Sr. No 1. 2. 3. 4. 5.

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E.

General comments

1. What are the good practices regarding work/ environment you want us to strengthen? __________________________________________________________________________________________

__________________________________________________________________2. Would you recommend IIFL to your friends outside, if yes, pls. gives reasons. _________________________________________________________________________________________ _________________________________________________________________________________________ 3. What have been your most frustrating moments with IIFL? __________________________________________________________________________________________ _________________________________________________________________________________________ Any other comments __________________________________________________________________________________________ __________________________________________________________________________________________ Official Use Only:

Interviewers Comments:____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________

New Company Name: ___________________________ Alternate Contact No: _________________________ Personal Email ID: ______________________________________ Residential Address: ________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Exit Category for HR Database: (Tick as per HR Process): Voluntary / Company Initiated / Other Exit Exit Reason for HR Database: ___________________________________________________ Interviewers Name / Emp. Code: __________________________ / ________ Designation: ______________

Signature of Interviewer: ___________________________

Date: _________________________

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