XYZ Ltd.

EXIT INTERVIEW
DATE :
Name : ________________________________________________________________________________________
CTC while joining : Rs. ______________________________________________________________________
Present CTC: Rs._____________________________________________________________________________
Department :
Branch /Location _______________________________________
You Were Reporting To :________________________________________________________________________
Date of Relieving : _____________________
Date of Resignation : _______________________________
1.
2.
3.
4.

Do you have a new job ?

[YES] [NO]
Do you Consider your new job a promotion from your current status:
[YES] [NO]
Compare your new pay with the job you are leaving
[ABOVE] [SAME] [BELOW]
Reasons for Leaving
A. Sizable increase in pay package
[YES] [NO]
B. Inability to adjust with the organizational culture
[YES] [NO]
C. Transfer of family member / change in city / plans to settle abroad
[YES] [NO]
D. Pursue Higher Studies
[YES] [NO]
E. Dissatisfaction with Management / Boss / Colleagues / Staf
[YES] [NO]
F. Disagree with terms & conditions of Employment, Working hours etc. [YES] [NO]
G. Other : ______________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
5.

Could anything have been done to stop you leaving?

Probably Yes [
]
Probably No [
]

Uncertain

6.
What could have been done to stop you leaving? ________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
7.
Do you think you give us your Best ?
[YES] [NO]
8.
How was your relationship with your immediate Boss?
[GOOD][BAD]
9.
Your achievement / s when you were a part of Prudent? _________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
10.
11.
12.

The Behavior of your Colleagues / Subordinates with you.

[GOOD][BAD]
Did you have a problem with any of Prudents Employees
Other than your Team Mates) ?
[YES] [NO]
Did you have a problem with any Work Process / System of Prudent ?
[YES] [NO]

13.
Where do you think Prudent should focus for improvement ?_____________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
14.
Which of your Expectations were not fulfilled by us ? ____________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
15.

If we can resolve your problem, Would you like to rejoin ?

[YES] [NO]

16.

Remarks (HOD) : _______________________________________________________________________

________________________________________________________________________________________________
________________________________________________________________________________________________
17.
OBSERVATION OF EXIT INTERVIER_____________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

RELIEVING LETTER

Date: 11 Dec -08

To,
Dear Mr. With reference to your letter of resignation dated 24 Nov -08 that your resignation has been
accepted and you will be relieved from our services with effect from the close of working
hours of 24 Nov -08.
You are requested to kindly handover charge to your Head of Department
Mr. and get the clearance certificate completed which will be forwarded to
Accounts Department to enable them to settle your dues.
We take this opportunity to wish you success in all your future endeavors.
Thanking You.
Yours faithfully,
For XYZ Ltd
_______________
Authorized Signatory

XYZ Ltd.
NOC form for various departments.
To,
Department Heads,
Prudent CAS Ltd,
Ahmedabad.
Name

___________________________

Designation ______________

Branch

___________________________

Reporting to ______________

Resignation Date___________________________

Relieving Date _____________

He / She has settled all my dues with the company and finished all formalities required by HR.
ACCOUNTS DEPARTMENT:_________________________________________________
Advance Settled: Yes/No : ____________Loan Settled: Yes/No : ______________________
Account Dept heads comment:_________________________________________________
Sign:___________________________________ Date:________________________________
Name Account Dept head _______________________________________________________
HRD DEPARTMENT:_____________________ ___________________________________
Mobile card surrendered: Yes/No/ N.A.: ________ Leave encashment done:_______________
Notice period salary settled: ______________________________________________________
Sign:___________________________________ Date:_________________________________
Name HR Dept head ____________________________________________________________
IT DEPARTMENT:

Email Id Cancelled (Sales / Support): Yes/No/ N.A.:___________________________________

Email Id password Change : Yes / No/ N.A.:
____________________________________
Laptop surrendered: Yes/ No/ N.A. _____ Any IT assets possessed is surrendered:___________
Sign:_________________________________ Date:___________________________________
Name IT Dept Head _____________________________________________________________

NOC form for various departments.

DEPARTMENT HEAD:_______________________________________________________
Performed the duties properly: Comment____________________________________________
_____________________________________________________________________________
Handling over of clients done properly: Comment_____________________________________
_____________________________________________________________________________
Reason for leaving._____________________________________________________________
_____________________________________________________________________________

Sign:___________________________________ Date:_________________________________
Name Department Head _________________________________________________________

Thanking You.