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Bhilai Steel Plant

Declaration of performance /
Non-performance of tour

EF
Exe_11/00

Ticket No. for the journey from


to . on (date) has been
received from Administration Section, it is confirmed that :
The journey is official /private
The journey has been performed.
The jacket of fully used/party used/un-used tickets are returned
herewith.
No claim on account of this has been made in my TA Bill.
Cancellation was unavoidable due to exigencies of official work.(if for
any other reason, Please state the reason)

Signature

: ...

Name

: ...

Designation : ...
Date : ..

P.No.

: ...

I/c (Protocol)

Note:

Kindly return this certificate duly signed after performing the journey to enable Admn. Deptt.
to settle the payment, otherwise individual will be liable for payment to agency.

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