[Company Logo][Company Name]
- Employee Name:
- [Employee Name]
- Employee ID:
- [Employee ID]
- Department:
- [Department]
- Date:
- [Date]
| Certification / Licence | Issuing Body | Credential ID | Issue Date | Expiry Date | Mandatory for Role (Y/N) | Verification Link / Method |
|---|
| [Certification Name] | [Issuer] | [ID] | [DD/MM/YYYY] | [DD/MM/YYYY / No expiry] | [Y/N] | [Link / Original seen] |
| [Certification Name] | [Issuer] | [ID] | [DD/MM/YYYY] | [DD/MM/YYYY] | [Y/N] | [Method] |
| [Certification Name] | [Issuer] | [ID] | [DD/MM/YYYY] | [DD/MM/YYYY] | [Y/N] | [Method] |
Reimbursement
| Exam / renewal fee paid (₹) | |
|---|
| Reimbursement claimed (Yes / No) | |
|---|
| Claim reference | |
|---|
Renewal Tracking (HR use)
| Reminder date set | |
|---|
| Reminder owner | |
|---|
| Manager informed (Yes / No) | |
|---|
Privacy notice: [Company Name] collects the details on this page only for recording your certifications, tracking renewals and evidencing qualified staff to clients where required. Access is limited to authorised HR staff, and the record will be kept for the period the certification is relevant to your role and the retention period, after which it will be securely deleted or destroyed. You may ask HR to see or correct your data, consistent with the Digital Personal Data Protection Act, 2023.
Declaration
I confirm the certifications listed are genuine and current. I will inform HR if any certification is suspended, revoked or not renewed.
Employee
[Employee Name]Date:
[Date]Verified by
[HR Name]Date:
[Date]