COMPANY LETTERHEAD

Works address

BY HAND/
Date: 10th APRIL 2015

Ref. No.: 001/15-16

Name :_____________________________________________________________________
S/o , D/o:____________________________________________________________________
Address:____________________________________________________________________
City_________________________________________________________________________
Subject:

PAYMENT OF FULL & FINAL SETTLEMENT

Dear Mr.,
Attached please herewith a Cheque No dated
of
Rs.
(Rupees) according to the following detail as payment of your Full & Final Settlement.
The detail of your full and final settlement is as under;
PARTICULARS
Gratuity inclusive of Ex-Gratia
Total Amount Payable Rs.
Deductions
Net Payable Amount Rs.
In words: RUPEES

AMOUNT (Rs.)

For Company
DIRECTOR
Received Cheque No.
(Rupees)

dated

Full Name ____________________

of

Rs.

Signature______________ Date_______