KEGOZ SYSTEMS LIMITED.

RETIREMENT FORM

Name of Individual: ………………………………….

Department: ………………………………………..… Amount: ₦:………………………

Date: ……………………………………………………

DESCRIPTION ₦ K ₦ K
Expenses

AMOUNT TO BE REFUNDED/REIMBURSED

Amount in words:………………………………………………………………………………………….....................

……………………………………………………………………………………………………………………………….

REQUESTED BY RECOMMENDED BY APPROVED BY

Name……………………………… Name………………………….. Name……………………………

Designation……………………… Designation………………….. Designation…………………….

Sign/Date……………………….. Sign/Date…………………….. Sign/Date……………………….

NB: Please make sure amount collected is accounted for immediately it is expensed.