I/ Received from the
Indian Institute of Technology, Powai, Bombay the sum of Rs. ( Ruppes ) being my reimbursement of medical charges/balance of T.A./ Advance under Tour/L.T.C./ Consultative Practice Fund / Honorarium.
I hereby authorise Shri/Smt. to receive the sum of Rs. Rupees being my reimbursement of medical charges/balance of T.A./Advance under Tour / L.T.C /Consultative Practice fund/Honorarium.