No Demand Certificate Form
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1
2FORM OF NO DEMAND CERTIFICATE
ADMINISTRATION BRANCH-l
Shri/Smt/Ms________________________________________(Employee ID_____________) is retiring from service on attaining the age
of superannuation/voluntarily/ has been permitted to resign his/her post in this Secretariat/transferred to/repatriated to his parent
department/whose service has been terminated ________________________________________with effect from the forenoon/afternoon of
the____________________________.
OR
*Shri/Smt/Ms.______________________________________ (Employee ID_____________) passed away on______________.
2.
In this regard, he/she may, therefore, please be relieved of his/her duties and all office property in his/her possession may be taken
from him/her.
3.
Particulars of the Person and a 'No Demand Certificate' may please be furnished to Administration Branch-I on the form appended
below:-
_________________________
*concerned supervisory officer(s) are requested to take necessary action.
Signature_________________________________
Name & Designation________________________
(AN-I Branch)
PARTICULARS OF THE PERSON
Permanent Address_____________________________
Address for correspondence______________________________
______________________________________________
______________________________________________________
_____________________________PIN-_____________
________________________________PIN-___________________
Phone No.___________Mob. No.__________________
Phone No._________________Mob. No.____________________
NO DEMAND CERTIFICATE
Certified that-
1.
Shri/Smt./Ms.____________________________________has been relieved of his duties by me/by this Branch on the
forenoon/afternoon of___________________and all office property in his/her possession has been taken from him/her and there is now
nothing outstanding against him/her.
Signature________________________________
Name & Designation_______________________
(Relieving Officer/Branch)
2.
Shri/Smt./Ms._____________________________________has surrendered all office property in his/her possession and there is now
nothing outstanding against him/her in so far as this Branch is concerned.
Signature________________
Signature_________________
Signature__________________
Name & Designation________
Name & Designation_________
Name & Designation__________
General Works Branch
General Procurement Branch
General Store Branch
3.
Shri/Smt./Ms._____________________________________has surrendered all computers/accessories issued to him/her.
Signature_________________
Signature__________________
Name & Designation_________________________
Name & Designation______________________
Computer (H&S) Management Branch (Hardware)
Computer (H&S)Management Branch (Software)
4.
Shri/Smt./Ms.____________________________________has surrendered Identity Card/Temporary Pass No. ____________/Laminated
Pass No. ____________and there is now nothing outstanding against him/her in so far as CPIC is concerned.
Signature___________________
Name & Designation_____________________
(CPIC)
5.
Shri/Smt./Ms. ___________________________________has surrendered all books etc. issued to him/her by Parliament Library and
Staff Library and there is now nothing outstanding against him/her.
Signature_________________
Signature__________________
Signature__________________
Name & Designation________
Name & Designation_________
Name & Designation__________
(Parliament Library)
(Staff Library)
(Acquisition Section)
6.
Shri/Smt./Ms._________________________________has surrendered all books etc. issued to him/her for the training course and
there is now nothing outstanding against him/her.
Signature______________________
Name & Designation______________________
(B.P.S.T.)
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