In lieu of I.A.F.

A-194

REQUISITION FOR ADVANCE

Voucher No RL205249A-11184 Dated 6-November-2010

Received from the Principal Controller of Defence Accounts (O) Pune a 11200
(Rs. in Words) Eleven Thousand Two Hundred Only
in respect of IC67757P, Capt Adit Bhatia, 17/290/205249A for Self

proceeding on LTC Under Rule 177A TR For Visit to Home Stn

Leave Period From 06-Nov-2010 to 12-Dec-2010
From MUMBAI to DELHI From 07-Nov-2010 to 12-Dec-2010
Authority : Lve Dated 06-Nov-2010
To be Stamped
Bankers STATE BANK OF INDIA where necessary

05 B UNITECH TRADE
SUSHANT LOK, PHASE-I,
GURGAON
Signature .......................
Bank Account No : 30091629857
Name in block letters ...........
Pay Details :
Rank ............
1. Basic Pay 19750
Corps / Department ..............
2. Grade Pay 6100
3. M S P 6000
Countersigned by
4. N P A 0
Amount Required : Signature .......................
Name in block letters ...........
1. No of persons 1
Rank ............
2. Amount Claimed 11200 Corps / Department ..............

For PCDA(O) Office Use Only :

Voucher No.
Treasury Name of Payee Amount of Date of Initials of Initials of officer
Cheque Cheque Supdt 'D' Sec i/c 'D' Sec
Rs. ps.

Auditor AAO/SO(A) SAO/AO WO