Kuwait Indemnity

Final Settlement (A4)

Language

Final Settlement

Employee Information

Employee ID

Name

Civil ID

Business Unit / Division

Department

Designation

Notes (optional)

IBAN

Bank name

Employment & Salary

Employment date *

Last working date *

Last Resume Date *

Notice days

Unpaid leave days (records)

Monthly working days *

Total monthly salary (KWD) *

Salary per day (auto) (KWD)

Net working days (auto)

Leaving reason *

Leave Settlement (Auto)

Previous leave balance (days) *

Accrued leave days (auto)

Total leave days (auto)

Leave payout limit (days)

Total Leave Amount (auto) (KWD)

Indemnity Segment (Auto)

Indemnity days (first 5 years)

Indemnity days (after 5 years)

Indemnity amount (auto) (KWD)

Entitlement % (auto)

Total Indemnity Amount (auto) (KWD)

Other Earnings and Deductions

Unpaid salary (KWD)

Overtime (KWD)

Allowances (KWD)

Air Ticket (KWD)

Other deductions (KWD)

Net additions or deductions (auto) (KWD)

Final Summary

Total Leave Amount (KWD)

Total Indemnity Amount (KWD)

Net additions or deductions (KWD)

Grand Total (KWD)

Amount in words: –

Date

Signature

Sign here (mouse or touch)