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8/16/2019 Phone Declaration Form
1/2
MUKAND
KALWE
Date:
PHONE/INTERNET DATA CARD DECLARATION FORM
(TO BE FILLED BY THE EMPLOYEE)
Name of the Employee :SANDEEP K PAWAR
Roll No. : 73949
Designation : M3
Department : MBD –DESIGN
Telephone No. /Mobile No: 01. 9930686996
Internet Data Card details :
Signature : ____________ _________________ ________________
Date : ___________ _________________ ________________
(Employee) (Divisional Head) (HR Dept)
Sanctioned Amount __1000 R.S____
___________________________________
Signature of Approving Authority (Chief Executive, Steel Plant)
For office use only
Date of Joining: ____________
8/16/2019 Phone Declaration Form
2/2
Date of Effect: ____________
Encl: Xerox copy of relevant documents
1.Any Telephone Bills [Prepaid or post paid]
2.Internet Data Card Bills