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South Central Railway CONVEYANCE ALLOWANCE

Name : Designation: Headquarters

Division: Pay: Month: PF No:


Amount
Time Time Mode of Dist
Date From To (Rs. Object of Jour
left arrived Conveyance in Kms
Ps.)
1. Certified that above expenses have actually been paid by me in the discharge of railway duty and the
amount claimed has been actually spent and the expenditure was necessary and unavoidable in the interest
2. Certified that the shortest distance and cheapest mode of conveyance has been utilised in performing
railway duty.

Controlling Officer Head of Office Signature of employe


Headquarters

Object of Journey
been paid by me in the discharge of railway duty and the
e expenditure was necessary and unavoidable in the interest
pest mode of conveyance has been utilised in performing

Signature of employee

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