Certificate for release of salary

I have performed my duties for the month of ________,20___and taken following leave(s) during the month & enjoyed _____ Sunday(s) and _____other holiday(s) as under:-


S. No. Kind of leave Date(s) Reasons Sanctioned
Yes/No
Without pay ()
1 Short Leave
2 Half day Leave
3 Full day Leave
4 Sick Leave
5 Privilege Leave
6 Compensatory Leave
7 Extra-Ordinary Leave

I hereby confirmed:-
  1. That I have submitted my report on daily basis in time.
  2. That I did not repeat mistakes pointed by my seniors.
  3. That there is no pending work with me either assigned or extra.
    (if pending give reasons)

  4. Output of the month



(Name & Designation of the Employee)

Remarks of the Back Admin


C.E.O Asst. Manager (Sales & Account)