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Handset Price Claim Form

Employee ID Job Band Division/Department Cost Center Name Claim Amount (BDT) Mobile No

: : : : : :

Employee Name Person Band Date of Joining : Cost Center Code

: :

Approved Amount (BDT): Submission Date :

Note: The approved amount is the actual amount of handset price as per the money receipt or the entitled amount, whichever is lower. Note: Please attach scan copy of money receipt in this form below.

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