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LOCAL TRAVEL/OUT OF STATION

CLAIM FORM

Haroon Yiga 1349


Name of Staff: ………………………… Staff No: ………………………
Entebbe Masaka
Duty Station: ………………………………… Destination: …………………….

Purpose of the Travel:


Data quering and data cleaning .
……………………………………………………………………………………………………………

……………………………………………………………………………………………………………
RVF002
Project: …………………………………………………………
01
day (29.Mar.2023)
Number of Days/Dates Claimed: ……………………………………………………………….

Particulars of Facilitation
35,000
Meals: ………………………………..

Accommodation: ………………………………..
60,000
Transport: ………………………………………….
95,000
Total: …………………………………………………

Authorised By:

Name: ………………………………. Signature: ………………… Date: …………………

Received By:

Name: ……………………………… Signature: ………………… Date: ………………

For Accounts Use Only

Name: ……………………………

Signature: …………………

Date: …………………..
Form Revised April 2019

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