FULL & FINAL SETTLEMENT STATEMENT
Settlement Date: [Date]
- Company Name
- Employee Name
- Employee ID
- Designation
- Date of Joining
- Last Working Day
| Description | Amount (INR) |
|---|
| Basic Salary (Pending Days) | |
| Earned Leave Encashment | |
| Gratuity | |
| Performance Bonus | |
| Description | Amount (INR) |
|---|
| Income Tax / TDS | |
| Provident Fund | |
| ESI | |
| Loan/Advance | |
| Other Deductions | |
| Total Deductions | |
SETTLEMENT SUMMARY:
- Total Gross Amount Payable
- INR
- Less: Total Deductions
- INR
- NET AMOUNT PAYABLE
- INR
- Bank Account Number
- Bank Name
- IFSC Code
The net amount payable will be transferred to the above bank account within 7 days of the last working day, subject to all statutory requirements and compliance.
- The employee hereby acknowledges receipt of full and final settlement of all dues.
- The employee confirms that all company property, documents, and access cards have been returned.
- The employee releases the company from all claims, demands, and liabilities arising from the employment relationship.
- All statutory benefits have been calculated in accordance with applicable laws.
This statement is issued in accordance with the Payment of Gratuity Act, 1972, and other applicable employment laws.