Received by - Employee signature ……………………………………………………………………………………...
Date ………………………………………………………………………………………………………………. Full Name ………………………………………………………………………………………………………………. NIC No ………………………………………………………………………………………………………………. Cheque /Cash ………………………………………………………………………………………………………………. Cheque/Cash amount ……………………………………………………………………………………………………………….