XVKV Cviqvi Wwwó Wedkb KV Úvbx WJWG Uw: Medical Expenses Submission Form

Form No F/MES/03/303
Version-01
Effective Date: 01/11/2015
Office of the
……………………………………
XvKv cvIqvi wWwóªweDkb Dhaka Power Distribution Co. Ltd.
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
DHAKA POWER DISTRIBUTION COMPANY LIMITED
Phone : 7120032
Medical Expenses Submission Form

For the Month of ………………………….……..………
Name of Employee : ………………………………………………
Designation : ……………………….…………………………….
Office : ……………………………………………………………
Expenditure
Sl
Date Particulars Made for whom Taka Remarks (if any)
No.
(Relationship)

Total
In Word ………….……………………………………………………………………
Signature of the Employee

XvKv cvIqvi wWwóªweDkb Form No: F/ITDL/03/304
Version: 01
†Kv¤úvbx wjwg‡UW Effective Date: 01/11/2015
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XvKv cvIqvi wWwóªweDkb Form No: F/CPFL/03/305
Version: 01
†Kv¤úvbx wjwg‡UW Effective Date: 01/11/2015
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Form No: F/ITPCE/03/306
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
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Form No: F/ITPCC/03/307

Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
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Form No: F/PV/03/308

Version: 01

PAYMENT VOUCHER
FOR RECORDING PAYMENT OF ………………………………… EXPENSES
OFFICE NAME : ………………………………………………
DATE:……………………… TRANSACTION No:………………………..
VOUCHER NUMBER: …………………….. CHEQUE/ADVICE NUMBER: ……………………..
BANK ACCOUNT NO:JANATA BANK-Abdul Gani Road-STD-004003445
Code Code Description Debit Credit
TOTAL
Prepared By Checked by Approved By

Form No: F/FRL/03/309
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
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Form No: F/CPFN/03/313
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
Photograph Photograph Photograph Photograph Photograph

Of Of Of Of Of
Nominee-4 Nominee-3 Nominee-2 Nominee-1
Employee
CPF NOMINEE FORM
(Should fill up by own hand)
I do hereby nominate the following member/members of my family to receive my CPF

Account balance in absence of me.
SL Name of the Nominee/Nominees Relation Age Percentage Remark

No.# with the (%) of s
employee Nomination
1
Signature of two witnesses: Signature of the employee:
1. Signature: --------------------------- Signature:----------------------------------------

Name: --------------------------- Name:---------------------------------------------
Designation:---------------------------- Father’s Name:---------------------------------
Mother’s Name:----------------------------------
2. Signature: -------------------------- Designation:-----------------------------------
Name:------------------------------------------ CPF I.D. # ---------------------------------------
Designation:---------------------------------- Name of the Office:----------------------------
Date-------------
Signature of Head of the Office
(With date & seal)
Form No: F/BPF/03/315
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
BUDGET PROPOSAL FORM

NAME OF THE OFFICE : ................................................
Actual Budget
Actual Revised Estimate
Code Accounts Title (Previous Allocation
(1st 6 Months) (Current Year) (Next Year)
Year) (Current Year)
TOTAL
Prepared By Checked by Head of the Office
Form No: F/BAF/03/316
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
BUDGET ALLOCATION FORM
NAME OF THE OFFICE : ...................................................
Capital Expenses Budget

Revised Budget Estimated Budget
Code Accounts Title
(Current Year) (Next Year)
Operating Expenses Budget
Maintenance Expenses Budget
Personnel Expenses Budget
Administrative Expenses Budget

TOTAL
Signature Signature Signature

Form No: F/IMP/03/317
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
Imprest Cash Account
Imprest Cash Book of .......................................................................
Amount of
Voucher
Date Transaction cash Payment Total Head of Account
No.
Tk. TK.
Total
Prepared By Checked by Approved By
Form No: F/NFW/03/318

Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
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Form No: F/AITBI/03/319
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
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Form No: F/AITVF/03/320
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
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Form No: F/CBF/03/321
Version: 01
Office of the
……………………………………
…………………………………………
†Kv¤úvbx wjwg‡UW ……………………………………….
Phone : 7120032
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Draft Forms. List of Registers, Documents, Job Descriptions,

Flow Charts Etc. of Finance Department.
As per Requirement of ISO: 9001:2008.
Dhaka Power Distribution Company Limited

(DPDC)
(An Enterprise of the Government of the Peoples' Republic of Bangladesh)
Dependable Power - Delighted Customer

XVKV Cviqvi Wwwó Wedkb KV Úvbx WJWG Uw: Medical Expenses Submission Form

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XVKV Cviqvi Wwwó Wedkb KV Úvbx WJWG Uw: Medical Expenses Submission Form

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Copyright:

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Form No F/MES/03/303

Medical Expenses Submission Form

Name of Employee : ………………………………………………

Signature of the Employee

`ß‡ii bvg : ...............................................................................................

welq:............gv‡mi †eZb n‡Z KZ©bK…Z AvqKi-Gi cwigvbmn Ggcqx‡`i

µ. Ggcqxi bvg c`ex B-wUAvBGb KZ©bK…Z gšÍe¨

`ßi cÖav‡bi ¯^v¶i

`ß‡ii bvg : ...............................................................................................

welq: ................gv‡mi †eZb n‡Z KZ©bK…Z wmwcGd-Gi cwigvbmn Ggc-

µ. Ggcqxi bvg AvBw c`ex g~j Ggcqxi Ggcqvi- ‡gvU

`ßi cÖav‡bi ¯^v¶i

AvqKi cwi‡kv‡ai cÖZ¨qb cÎ

‡h e¨vsK I ‡c- mswkó

`ßi cÖav‡bi ¯^v¶i

Form No: F/ITPCC/03/307

(wVKv`vi cÖwZôv‡bi bvg)

welq:............A_© eQ‡i KZ©bK…Z AvqKi -Gi cÖZ¨vqY cÎ|

GB g‡g© cÖZ¨vqb Kiv hv‡”Q †h,..........................A_© eQ‡i Avcbvi cÖwZôv‡bi

µ.bs weeiY we‡ji AvqKi gšÍe¨

Dc‡iv³ Z_¨vw` Avcbvi AeMwZi Rb¨ cÖ`vb Kiv n‡jv|

`ßi cÖav‡bi ¯^v¶i

Form No: F/PV/03/308

DHAKA POWER DISTRIBUTION COMPANY LIMITED

OFFICE NAME : ………………………………………………

DATE:……………………… TRANSACTION No:………………………..

VOUCHER NUMBER: …………………….. CHEQUE/ADVICE NUMBER: ……………………..

BANK ACCOUNT NO:JANATA BANK-Abdul Gani Road-STD-004003445

Code Code Description Debit Credit

Prepared By Checked by Approved By

m~Î bs........................................ ZvwiL:......................

Lv‡Zi e¨vs‡Ki bvg eZ©gvb Pvwn`v cÎ bxU gš—e¨

Photograph Photograph Photograph Photograph Photograph

CPF NOMINEE FORM

(Should fill up by own hand)

I do hereby nominate the following member/members of my family to receive my CPF

SL Name of the Nominee/Nominees Relation Age Percentage Remark

Signature of two witnesses: Signature of the employee:

1. Signature: --------------------------- Signature:----------------------------------------

BUDGET PROPOSAL FORM

Capital Expenses Budget

Operating Expenses Budget

Maintenance Expenses Budget

Personnel Expenses Budget

Administrative Expenses Budget

Signature Signature Signature

Imprest Cash Account

Imprest Cash Book of .......................................................................

Form No: F/NFW/03/318

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Draft Forms. List of Registers, Documents, Job Descriptions,