[Telephone / Wi-fi Bills]

Annexure - ‘A’

CERTIFICATE

It is certified that I have spent amount of Rs. 711.54 on account of residential and
mobile phone connectivity provided to me during the quarter (Jan - Mar / Apr - Jun / Jul
- Sep / Oct - Dec) as per details given below :

1) Expenditure on mobile connectivity for

Mobile No. 9764754627_ _ _ _ _ = Rs. 121.54

2) Expenditure on Residential Land Line Connection for

Phone No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ = Rs. 590/-
And Data Connection No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Total Amount claimed for Reimbursement = Rs. 711.54/-

I certify that, I am eligible for Mobile / Landline Connectivity as per policy / approval,
and my monthly ceiling limit for mobile connectivity is Rs. 700 /- and for landline
connectivity is Rs. 700 /-

The copies of bills with payment receipts for the above expenditure have been retained
by me for presenting the same as and when needed for the purpose of any audit
verification etc.

I further certify that,

i) I was on leave for more than 15 days consecutively –NIL days.
ii) I was on LWP / EOL for –NIL days.

Date :

Name : Saketkumar Prashantrao Borgaonkar

Designation : Manager- Contracts
Employee No. : 0591