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Conveyance Allowance
Conveyance Allowance
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HEAD
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HERAD
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HERAD
Name: __________________________________________________________
Father’s Name____________________________________________________
Designation: ______________________________________________________
BPS: ____________________________________________________________
Office: ___________________________________________________________
Present Residential Address:_________________________________________
Mode of Transportation used from residence to Office: _____________________
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HERAD
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HERAD
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HERAD
VERIFIED BY
.
SIGNATURE OF THE APPLICANT
COUNTERSIGNED
Conveyance allowance as admissible
under the rule is sanctioned w.e.f.
______________To ______________.
Name: __________________________________________________________
Father’s Name____________________________________________________
Designation: ______________________________________________________
BPS: ____________________________________________________________
Office: ___________________________________________________________
Present Residential Address: _________________________________________
Mode of Transportation used from residence to Office: _____________________
I do also hereby accept responsibility of suitable disciplinary action in case my above statement/
information is proved false.
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HERAD
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HEAD
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HEAD
Name: __________________
Father’s Name: __________________
Designation: __________________
BPS __________________
Office: _______________________________________________
Present Residential Address: ____________________________________
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HEAD
Name: _________________
Father’s Name: _________________
Designation: _________________
BPS _________________
Office: _____________________________________________
Present Residential Address: _________________
Mode of Transportation used from residence to Office: ______________
I do hereby solemnly declare that:
1. I am not using free official transport facility for pick and drop from Residence to
Office w.e.f: _________________
2. My place of work/office and residence is not located within one boundary wall.
I do also hereby accept responsibility of suitable disciplinary action in case my above
statement/ information is proved false.
SIGNATURE OF APPLICANT
CONTERSIGNED BY:
SECTIONAL HEAD