Name of the candidate : _____________________________________

Caste (Gen./SC/ST/OBC) : ___________________________________

(if SC/ST or OBC, attach a copy of valid caste certificate)

Whether PWD : Yes / No / Type of disability : _______(OH/HH/VH)

(if PWD, attach a copy of valid disability certificate)

Address for Communication : _________________________________

_________________________________________________________

____________________________Pin Code No. __________________

Email ID : ________________________________________________

Cont. No. : ________________________________________________

Test Centre : _____________________ Roll No. : _________________

To,
DGM (HRD)
Bharat Petroleum Corporation Ltd.
Mumbai-400 001.

Dear Sir,
REIMBURSEMENT OF TRAVEL EXPENSES

I have incurred the following expenditure on Bus/Rail fare in connection with today's Written Test for the post of
“Management Trainee”. The details are as given below.

Ticket No. __________________ Date of Travel : _________________ Distance Travelled : __________Kms.

Stations Travelled from __________________________ to _________________________________________

Total Inward Journey Exps. ` ________________

Outward Journey Exps. ` ________________

Total Amount Claimed ` ________________

The relevant tickets/copies of tickets are enclosed. Kindly arrange to reimburse in accordance with your
Corporation’s Rule.

Yours faithfully,

__________________________________
------------------------------------------------------------------------------------------------------------------------------------------------------
(FOR OFFICE USE ONLY)

RECEIPT

Received an Amount of `__________________(Rupees_____________________________________________

__________________________________________only) in full and final settlement of my aforesaid claim.

Checked & verified.

___________________________ _______________________
(Signature of the Verifying Officer) (Signature of the Candidate)