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D.

G KHAN CEMENT COMPANY LIMITED

HUB PROJECT

Date:_________

Request For Advance

Please Pay Rs.___________ as an advance payment for

______________________________________________________________

______________________________________________________________

______________________________________________________________

Adjustment(S) along with bills/cash memos will be provided latest by:

Applicant/Recipient Recommendation By HoD Approved By GM

Signature:_________ ____________________ _____________

Name: ____________

Emp No:___________

Dept:_____________

_______________________

Controller finance & Accounts

Received Rs:__________

Signature of recipient :___________

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