Requisition for CUG / Call Expense Reimbursement Facility Form

Emp. ID Date

Name Designation
Department Branch/ Project

I request you to approve the CUG call expense reimbursement facility for official purpose as per the policy for the following
reasons:

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Signature of HoD

Signature of Employee Name: _______________________

Date: ________/_______/________ Date: ________/_______/________

Signature of HR Representative Signature of Finance & Accounts Rep

Name: _______________________ Name: _______________________

Date: ________/_______/________ Date: ________/_______/________