Annexure - IV

DILIP BUILDCON LIMITED

TOUR AUTHORISATION FORM

Name : Satyendra Pandey Dept. : Electrical Emp ID : 188729

Designation: Electrical Manager Date of Departure : 6/8/2023

Contact Address Expected Date of Arrival : 14\08\2023

Bhopal
(While on Tour)
Telephone No. 9063178107
Purpose of Visit Raipur-Vishakhapatnam & Urga-Pathalgaon Road Project Utility & EHV Work

Special Advance required (If any), Rs. 20000.00

Signature : Approved / Not Approved :

Special Advance Sanctioned Rs.

Name : Satyendra Pandey

Signature :

Date : 04.08.2023
Name : Rajkumar Aharwal G.M. Electrical
Date : 4/8/2023

Tour Advance Required Certified That

Journey Fare Rs. a) No previous advance is outstanding against me.

(Air Economy/Train)
Accomodation Rs. b) Adjustment Bill for advance of Rs. ___________

Daily Allowance Rs. had been forwarded on _______________________

(@ ______ / day)

Local Conveyance Rs. c) Advance of Rs. ________________ is outstand-

(If any) ding against me.

Special Advance Rs.

(As approved) Note :
* Please tick the option which is appli-
TOTAL Rs. cable to you.
* In case of the option being 'c', HOD's
Signature specific approval is required.

Name Signature
(Employee)
Name
Date (Head of Deptt.)
Date

Note : To be filled in triplicate (One for the Individual employee, second for HR Deptt., and third for Accounts)