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Issue No : 01
EXTRA DUTY ALLOWANCE CLAIM FORM
Date of Issue : 07.08.2018
Document No : HROS/FED/014 Revision No :-
Date of Revision :-

EXTRA DUTY ALLOWANCE CLAIM FOR THE MONTH OF: NOVEMBER-2018

Name: MR. M Giridaran Employee No: 008668

Designation: Senior Executive Assistant Manager - A.6.

Place of work: Network Operation & End User Support Section

DETAILS OF ATTENDANCE
Date Time No. of Hours No. of Days
IN OUT
05/11/2018 08:18 20:16 4 0.5
07/11/2018 08:22 20:16 4 0.5
20/11/2018 08:06 16:21 8 1
21/11/2018 08:09 20:20 4 0.5
22/11/2018 07:22 16:37 8 1
25/11/2018 08:40 12:45 4 0.5
Total 4

I certify that above particulars are true and correct. Further declare that I have not claimed Extra Duty
Allowance for the above period.

2018-12-03 ……………………………………………
DATE Signature of the Applicant

 Attendance checked and certified

……………………………………………
Signature of the Immediate Supervisor

 The above information correct and approved for payment

……………………………………………
Approved by GM/DGM

 Approved by relevant CHIEF OFFICER

……………………………………………
Approved by CHIEF OFFICER

FOR USE OF SALARY SECTION REMARKS

Checked By Data entered By
………………………………. …………………………………….