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BHARAT SANCHAR NIGAM LIMITED

OFFICE OF THE CHIEF GENERAL MANAGER TELECOM JAIPUR -302008


APPLICATION FOR REMBURSEMENT OF NEWSPAPER EXPENSES & MAGAZINE
INCURRED FOR THE MONTH OF

1.
2.
3.
4.

Name :
Office :
Newspapers purchased :
Amount Paid Rs.

..

Designation
Unit

:
:

(Copy of bills duly paid are pasted on


the reverse of this Performa )
5.

Amount Admissible for payment

Date:

Rs.
Signature & Seal

For office use only


Passed and pay below

(In words )

Rs.

..

Rs.

...

Account Officer (Cash)


O/o CGMT Jaipur-302008

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