Regn

CLAIM FOR TRAVELING ALLOWANCE FOR TEST / INTERVIEW

1- Øekad la[;k

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DOCUMENT NO.

vuqØekad la[;k

Registration No.

Roll No: ________

2- mEehnokj dk uke

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Name of the Candidate

3- irk

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Address

4- fdl in ds fy, ijh{kk nh % Post Applied for

5- frfFk o le;

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Date and Time

6- ijh{kk okLrs dgk¡ ls vk;s

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Station from which he came for written test

7- ek¡xh x;h jkf’k / Amount Claimed ¼d½ vkxs ;k=k / Onward Journey ¼[k½ okilh ;k=k / Return Journey ;ksx :- / Total Rs.

:-/Rs. : :-/Rs. : :

mEehnokj ls izek.k i= / CERTIFICATE BY THE CANDIDATE eSa izekf.kr djrk gw¡ fd eSus jsy dh ____________ Js.kh ls bl ijh{kk ds fy, ;k=k dh gS ftldk C;kSjk uhps fn;k x;k gS ¼fVdV dh izfr layXu djsa½ rFkk vius ijh{kk ds iwjk gksus ij __________ Js.kh ls ;k=k djds ____________ okfil tkmaxkA I certified that I traveled by _____________ class rail as per details given below (attached photocopy of ticket) for this Written Test and will return to ____________ traveling by __________ class on completion of my Written Test.

fVdV la[;k / Ticket No. xkM+h dk uke / Train Name ;k=k dk frfFk / Date of Journey

: : :

mEehnokj ds gLrk{kj / Signature of the Candidate, ____________________________________________________________________________________

dsoy dk;kZy; iz;ksx ds fy,

/ FOR OFFICIAL USE ONLY

Jh _____________________________________ dks _______ cts ________________ in ds ijh{kk ds fy, mifLFkr gq, FksA dEiuh ds fu;ekuqlkj mUgsa ;k=k HkRrk fn;k tk, rFkk tkWc la[;k _________ ls MsfcV djsaA Shri ____________ appeared for Written Test at ______ hrs. on _______ for _______. Traveling allowance due under company’s rules may be paid to him and debited to Job no. _______. mi egkizca/kd ¼ek- la-½ / DGM (HR) ___________________________________________________________________________________ ys[kk foHkkx dks vxzsf”krA Jh __________________ dk nkok ns[kdj fu;eksa ds vuqlkj vnk fd;k tk,A Forwarded to Accounts Departments. The claim of Shri ________________ may be processed and paid according to the rules. izca/kd@ofj”B izca/kd@mi egkizca/kd ¼ek- la-½ / Manager/Senior Manager/DGM (HR) ____________________________________________________________________________________ :- ___________________ ds fy, Lohd`r Admitted for payment of Rs. ________________ ,,vks@,vks AAO/AO [ktkaph@Cashier

dfu”B ys[kkdkj@ys[kkdkj@izca/kd / Jr. Acctt./Accountant/ Manager