CERTIFICATE

Certified that I have appointed……………………………………………………………………

As CLR Assistant/Peon for the smooth conduct of the centralized camp of……………………

………………………………………………………………………………..held at……………..

……………………………………………………..from……………………to………………….

And an amount of Rs………………………… (Rupees…………………………………………..

…………………………………….) @ Rs………………./- per day as remuneration for……….

Working days has been paid by me.

Place: Signature:

Date: Name:

Designation:

RECEIPT
Received an amount of Rs………….. (Rupees……………………………………………………

…………………) @ Rs…………….. per day from Sri/Smt…………………………………….

Chairman of the CV Camp of……………………………………………. held at……………….

………………………. From……………………To………………….(…………working days )

for working as CLR Assistant.

Place: Signature:

Date: Name:

Designation: