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Date of receipt
Voucher No.
Contingency
Contingnecy
Cheque No./
Signature of
Signature of
Transaction
payment of
and HRA
and HRA
Remarks
Drawing
Drawing
of grant
Stipend
Stipend
amount
Date of
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Officer
Year
Total
Total
grant
1 2 3 4 5 6 1 2 3 4 5 6 7
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from previous
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the year during the
year
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next year