Application for reimbursement of Mobile Handset EF
to Executives ( E-0 to E-9 grades) Exe_18/00
Bhilai Steel Plant
Scheme for providing Mobile Phone facility to Executives ( E-0 to E-9 grades)
I have made an expenditure of ____________ (Rupees ___________________________)
for purchase of Mobile hand set. A self attested photocopy of the bill is enclosed. The
amount of ____________ may please be reimbursement as per the Scheme.
I have read the terms and conditions of the Scheme carefully and agree to abide by them.
SIGNATURE ______________________
NAME ______________________
P.NO. ______________________
DESIGNATION ______________________
DEPARTMENT ______________________
DATE: _______________
FOR USE IN TELECOMMUNICATION DEPARTMENT
I amount of ____________ (Rupees ___________________________) may be
reimbursement to Ms. / Mr. ___________________________ towards purchase of a Mobile
hand set.
AUTHORISED SIGNATORY
FOR USE IN FINANCE DEPARTMENT
____________ (Rupees ___________________________) has been reimbursement to
Ms / Mr. _____________________________ towards purchase of a Mobile hand set.
DATE: ____________ AUTHORISED SIGNATORY