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Union of India - Section

Section 11 in Appellate Tribunal For Electricity Salary, Allowances And Other Conditions Of Service Of The Officers And Employees Rules, 2004

11. List of enclosures

Declaration to be Signed by the Government ServantI hereby declare that the statements in the application are true to the best of my knowledge and belief and that the person for whom medical expenses were incurred is wholly dependent upon me.DateSignature of the EmployeesAppendix - BAppellate Tribunal for ElectricityForm of Application for Reimbursement of Medical Claim