HR: Date:
VEHICLE DECLARATION FORM
(TO BE FILLED BY THE EMPLOYEE)
Name of an employee Roll No. Designation Type of Vehicle Registration No. License Details Insurance Details NOC (for outstation vehicle only)
: : : : : : : : Two Wheeler Four Wheeler
Signature Date
: ____________ : ____________ (Employee)
______________ ______________ (Divisional Head)
_____________ _____________ (HR Dept.)
Eligible Amount per month _____________________
____________________________ For Office Use Only Date of Joining Date of activation Encl: Xerox copy of relevant documents 1. Driving License 2. Registration Copy 3. Insurance Copy
: :