KELD ELLENTOFT INDIA PRIVATE LIMITED

Full & Final Settlement Statement Date of Joining:

Name: T.K. Vijayalakshmi Date of Leaving:
Designation: Officer, Market Support Years of Service: 0.00

EARNINGS: Days Amount (Rs.)

Salary for the month of March 2009 0.00
Travel Advance reimbursement 0.00
PL Encashment 0.00
Leave Travel Allowance 0.00
Notice period 0.00
Medical Expenses 0.00

TOTAL EARNINGS (A) 0.00

DEDUCTIONS:
Provident Fund March 2009 0.00
ESIC 0.00
Travel Imprest 0.00
Travel Expenses Disallowed by company 0.00
Loans / Advances recovery 0.00
Prorata Premium on Mediclaim Policy 0.00
Recovery excess claim in Medical Expenses 0.00
Recovery excess claim in LTA 0.00
Recovery of Company belongings (Calculator, Materials etc) 0.00
Recovery due to short-fall in notice period 0.00
Income Tax Recovery 0.00
TOTAL DEDUCTIONS (B) 0.00

NET AMOUNT TO BE PAID / (RECOVERED) (A-B) 0

____________ ______________ _____________ ________________

Dept Head GM - (F&A) ED MD

I confirm that the above is the correct statement of my full

and final settlement in respect of my services with the
company and that on payment of Rs./- (Rupees
) Company has to pay me
Their will be no amount due from the company to me. Signature