Travel Reimbursement Form for CBT - Workperson Recruitment
Official-source notice: Travel Reimbursement Form for CBT - Workperson Recruitment. Read the original document for full instructions. Automatically published; not independently reviewed.
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Official-source update
Travel Reimbursement Form for CBT - Workperson Recruitment
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Excerpt from the issuing authority
> TRAVEL REIMBURSEMENT FORM For Computer Based Test (CBT) – Workperson Recruitment (For SC/ST & PwBD Candidates only) ROLL NO : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ DECLARED RAILWAY STATION: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ NAME : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ADDRESS : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ CONTACT NO. : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ BANK NAME (WITH BRANCH) : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ BANK ACCOUNT NO : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ BANK BRANCH ADDRESS : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ IFSC CODE OF THE BRANCH : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ JOURNEY DETAILS (To and Fro) FROM TO CLASS OF TRAVEL MODE OF TRAVEL AMOUNT (RUPEES) TOTAL I certify that I have travelled / shall travel by the mode /class for which claim has been submitted and the supporting documents /tickets are enclosed herewith. Date : \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Signature of Candidate FOR OFFICIAL USE ONLY HoD (F&A)-CHECKED AND VERIFIED. PLEASE PAY AS PER ENTITLEMENT \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ For HoD (HR/Admin Department) \*Tickets, copy of PAN Card and copy of bank passbook required to be submitted along with ‘Travelling Allowance Claim Form’
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