Acknowledgement

Receipt of payment

I, ………………………………………………… designation ……………………………. from ……………………………….

acknowledge the receipt of payment of AED………………………………………. on date ………/………. / 2017 from as advance
payment for travel and subsistence expenses during my stay in

I, hereby agree to back charge from this amount, the expenses not supported by documentary evidences and which are not covered
in the scope of for the site services of

………………………………………………………………………….
Signature