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NO DUES FORM

Date: 13-Apr-2016
Mr.

Bijen

Moktan

Lama

(Sr.Barman)

has

submitted

his

resignation on Date. 1-Mar-2016 and same was accepted by the


management on Date. 2-Mar-2016.
Kindly confirm the dues, advances, office belongings, if any in his /
her possession.

S l No

Departments

Accounts Dept

HR Dept.

3
4

Administration Dept.
Others

Authorised Signatory

Details

Signature

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