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CLAIM FOR OUTSTATION DUTY ALLOWANCE

Employee Name : Employee No: _________________ Designation : Department : Date :

Details of Journey
Starting from : Date of Starting : Number of Days (Including the travel time) Train No/ Flight No. Fare (Furnish original ticket duly signed) Daily Allowance Claim Class : Destination : Date of Return :

Reason for the journey undertaken :


Approved:

Rejected :

Reason for rejection :

Applicants Signature :

Approved by Manager/ Head

Date:

Date :

Administration Department

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