MUKAND

KALWE

Date:

PHONE/INTERNET DATA CARD DECLARATION FORM

(TO BE FILLED BY THE EMPLOYEE)

Name of the Employee

:SANDEEP K PAWAR

Roll No.

: 73949

Designation

: M3

Department

: MBD DESIGN

Telephone No. /Mobile No :

01. 9930686996

Internet Data Card details

Signature

: ____________

_________________

________________

Date

: ___________
(Employee)

_________________
(Divisional Head)

________________
(HR Dept)

Sanctioned Amount __1000 R.S____

___________________________________
Signature of Approving Authority
(Chief Executive, Steel Plant)
For office use only
Date of Joining:

____________

Date of Effect: ____________

Encl: Xerox copy of relevant documents

1. Any Telephone Bills [Prepaid or post paid]
2. Internet Data Card Bills