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Rule book of Sports Council CDLU Sirsa - Chaudhary Devi Lal ...

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ANNEXURE-E<br />

SPECIMEN FORMAT OF RECEIPT FOR OFFICIATING CHARGE<br />

56<br />

Received a sum <strong>of</strong> Rs. 280/- (Rupees two hundred and eighty only) from the<br />

Principal/DSW/Director, (A) College, <strong>Sirsa</strong> on account <strong>of</strong> <strong>of</strong>ficiating charges for inter-college<br />

Kabaddi (women) championship for the match played between (A) College, (<strong>Sirsa</strong>) and (B)<br />

College, (Panniwala Mota) on 05.7.2009 at 11.00 a.m. held at (A) College, <strong>Sirsa</strong> as per details<br />

given below (share <strong>of</strong> concerned college).<br />

S.No. Particulars Amount Signature<br />

1. Referee charges Rs. 50.00<br />

2. Umpire charges<br />

3.<br />

I)<br />

II)<br />

Rs. 100.00<br />

Linemen(2 ) Rs. 50.00<br />

4. Scorer (1) Rs. 25.00<br />

5. TA/DA <strong>of</strong> <strong>of</strong>ficials Rs. 50.00<br />

6. Local conveyance, if any. Rs. 05.00<br />

Total Rs. 280.00<br />

Countersigned<br />

Dated__________ Organizing Secretary<br />

Note; Each column must be signed by the person who receives the payment mentioned against it.

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