AUTHORITY SLIP

As I am proceeding on leave/transfer/EL/CL/etc, I authorized No. __________

Rank. ___________ Name ___________________ to received my pay/allowances/TA/DA
etc. in my absence for the month of ____________ whose specimen signatures are appended
below: -

1. ________________
2. ________________
3. ________________

Signature of Applicant
No. ________________
Name________________

ATTESTED

PAYEE’S RECEIPT

Received a sum of Rs._____________________________ (Rupees

____________________________________________________) only from _________ Bn,
CRPF on account of pay/allowances/TA/DA etc. of No. __________Rank.
________Name_____________________ for the month of ___________ vide C.O. No.

Signature of Pay authority Holder

No. ___________________________
Name__________________________

ATTESTED

RECEIPT

Received a sum of Rs. __________ (Rupees _____________________________

_______________________ ) only from _________ Bn, CRPF on account of
pay/allowances/TA/DA etc. for the month of _______________ vide C.O. No.
_________________________________.

Signature of Applicant on
R/Stamp

No. _________________________

Name_______________________

ATTESTED