Hand Receipt/bill
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1Public Election Fund Form No. 10
Hand Receipt/Bill
No. 000……
Dated: ……………………..
Name of Party/Candidate:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Reg. No./VPIC No.:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Constituency/Gewog/Chiwog/Throm:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Dzongkhag:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Type of Election:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Amount
Sl.
Qty./No
Particulars
Rate
No.
of days
Nu.
Ch.
Total Amount
Received a sum of Nu………………………… (Ngultrums………………………………………………………………only)
from ……………………………………………………….vide cash/cheque. No.: ……………………………………..
Dated: ……………………………………
Revenue
Stamp
(Nu.5)
Received by:
Name and signature/thumb print:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
VPIC No.:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address & Contact No.:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Entered in Field Expenditure Diary page no.:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Verified By:
Name, Signature & Date:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
National Observer
Authorized person _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Parent category: Business