INDIAN INSTITUTE OF TECHNOLOGY : DELHI
 VOUCHER FOR PETTY CONTINGENT EXPENDITURE
 (To be filled only for the transport claim)

Name of the Claimant_____________________ Designation____________

Department ______________________________________________________

_________________________________________________________________
Date of Particular of Expenditure
Journey (Please indicate the purpose
  of journey in details). Amount
____________________________________________________________

PURPOSE OF JOURNEY________________________ Total:_______________
Rupees______________________________________________________only

Certified that the expenditure as detailed above was actually incurred by me and was unavoidable.  The claim for this amount has not been preferred in any other shape.
 

Date :                                                                       Signature of the Claimant

Passed for Rs._____________ (Rupees ___________________________
out of the provision of

1. Certified that the above journey was actually performed and no receipt was obtained.

2. Certified that the scooter/taxi journey was performed in the interest of the Institute.

3. Certified that the monthly limit is not exceeding Rs.30.00
 

 Dated:                                                              Head of the Elect.Engg.Deptt
      I.I.T. Delhi

Received the sum of Rs.________ (Rupee________________ only)
 

Dated :                                                                     Signature of the Claimant