Miscellaneous Claim Format

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NTPC BHEL POWER PROJECTS PRIVATE LIMITED

CORPORATE OFFICE, NOIDA

REQUISITION FOR REIMBURSEMENT OF MISCELLANEOUS EXPENDITURE

Name:__________________________________ Employee No:___________________________

Designation ________________________________________________________________________

Purpose of Expenditure_______________________________________________________________

Date on which incurred Amount Claimed:

Reference to supporting documents & other relevant particulars:

Date: (Signature official incurring the expenditure)

Signature of controlling officer with Name and Designation

Passed Rs.____________________ Rupees__________________________

SR.ACCOUNTANT (ACCOUNT OFFICER/MANAGER)

Received Rs______________________(Rupees________________________________________only)

Signature of official claiming reimbursement

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