| Name ----------------------------------------- |
Signature ------------------------------------ |
| Dept./organization :---------------------------- |
Date ---------------------------------------- |
Address ---------------------------------------
------------------------------------------------ |
Signature) -----------------------------------
on receipt) |
| Tel:(office) ------------------------------------ |
Date ----------------------------------------- |
| (Residence) ----------------------------------- |
|
| Signature
of officer granting permission: ------------------------------------------------------------------ |
| Prices |
For use by the Department |
|
|
|
|
| 1. A 4 size |
------------------------------------ |
Voucher No: |
----------------------------------------- |
| 2. A 3 size |
------------------------------- |
No. of copies |
----------------------------------------- |
| 3. A 2 size |
------------------------------------- |
Amount |
----------------------------------------- |
| 4. A 1 size |
------------------------------------- |
Signature |
----------------------------------------- |
| 5. Others |
------------------------------------- |
Date |
----------------------------------------- |
Our Ministry
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