House # 484, Road # 8, Baridhara DOHS, Dhaka Conveyance Bill

Phone : 02 8413402, 02 8413443

Mobile : 01749 292363 Date: ...................................

Name of Employee : ............................................................................................... Designation : .............................................

Mode of
Sl Date From Destination Purpose Taka Ps
Transport

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Total Taka (In words) .....................................................................................................................................................................

Signature of incumbent Checked By Approved By