Please mention mode of conveyance if Taxi / Auto is hired quote Taxi / Auto No.
____________________ Signature of the Claiment
Received the reimbursement of the conveyance Charge of Rs.
Certified that Prof. / Dr. / Shri. / Smt.
(Design) was sent for office work as indicated above and journey performed by his was Essential.
Bill passes for payment for Rs. .
___________________________ (Head/I/C/Dept. Centre/Section)