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The Aga Khan Development Network

Aghanistan

Receipt

Received by/from: ______________________________________________________________________________________

Amount Figure ____________________ Words ___________________________________________________________

_________________________________________________________

Description _________________________________________________________________________________________

__________________________________________________________________________________________________

Dated _____ /______/________ Recipient Signature _________________________

=========================================================================================================

The Aga Khan Development Network

Aghanistan

Receipt

Received by/from: ______________________________________________________________________________________

Amount Figure ____________________ Words ___________________________________________________________

_________________________________________________________

Description _________________________________________________________________________________________

__________________________________________________________________________________________________

Dated _____ /______/________ Recipient Signature _________________________

=========================================================================================================

The Aga Khan Development Network

Aghanistan

Receipt

Received by/from: ______________________________________________________________________________________

Amount Figure ____________________ Words ___________________________________________________________

_________________________________________________________

Description _________________________________________________________________________________________

__________________________________________________________________________________________________

Dated _____ /______/________ Recipient Signature _________________________

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 The Aga Khan Development Network
Afghanistan
Per-diem Claim Form

Name : Hgazi Jon Date :

Designation : Bee keeping trainer
For the month of : October
For Finance Use only
AKDN Ficilites used Charge to
Per -Diem
Accommodation Food Grant Project Activity Cost Center
Dates Place of visit Purpose/Programme Remarks
Y/N Y/N USD

Monitoring of bees & exchange of Bee `s situation

13. 10 . 13 Qalla e Khumb - Maimai from warm seasons to cold season No No $ 5.00
Monitoring of bees & exchange of Bee `s situation
14 .10 . 13 Maimai from warm seasons to cold season No No $ 5.00
Monitoring of bees & exchange of Bee `s situation
15 .10 . 13 Maimai - Nusai from warm seasons to cold season No No $ 5.00
Monitoring of bees & exchange of Bee `s situation
16 .10 . 13 Nusai - Shukay from warm seasons to cold season No No $ 5.00
Monitoring of bees & exchange of Bee `s situation
17 .10 . 13 Shukay from warm seasons to cold season No No $ 5.00
Monitoring of bees & exchange of Bee `s situation
18 .10 . 13 Shukay - Koofab from warm seasons to cold season No No $ 5.00
Monitoring of bees & exchange of Bee `s situation
19 .10 . 13 Koofab - Shukay from warm seasons to cold season No No $ 5.00

20 .10 . 13 Shukay - Nusai Returned back to Nusai No No $ 5.00

Total Claim $ 40.00

Used By Checked by(Finance)

Person In Charge Approved by(RPM/CEO/FD)

Note:

1. 1 sheet to be used for 1 user and 1 trip.

2. There will be NO payment without the completely filled claim form.
 The Aga Khan Development Network
Afghanistan
Per-diem Claim Form

Name : Date :
Designation :
For the month of :
For Finance Use only
AKDN Ficilites used Charge to
Per -Diem
Accommodation Food Grant Project Activity Cost Center
Dates Place of visit Purpose/Programme Remarks
Y/N Y/N USD

Total Claim

Used By Checked by(Finance)

Person In Charge Approved by(RPM/CEO/FD)

Note:

1. 1 sheet to be used for 1 user and 1 trip.

2. There will be NO payment without the completely filled claim form.
 The Aga Khan Foundation
Afghanistan

Payment Request
Date : _________________

Requested by_______________________________________ Status : Urgent Routine

Amount USD/Local Currency _____________________________________________________________

Description ____________________________________________________________________________

______________________________________________________________________________________

Signatures: For Finance Use only

Amount Grant Project Activity Cost Center

Requested by: ____________________

Approved by: ____________________

Checked by (Finance): _______________________

Note:

Approved by(RPM/CEO/FD):_____________________
Advance will be settled within ( ) days.

The Aga Khan Foundation

Afghanistan

Payment Request
Date : _________________

Requested by_______________________________________ Status : Urgent Routine

Amount USD/Local Currency _____________________________________________________________

Description ____________________________________________________________________________

______________________________________________________________________________________

Signatures: For Finance Use only

Amount Grant Project Activity Cost Center

Requested by: ____________________

Approved by: ____________________

Checked by (Finance): _______________________

Note:
 Approved by(RPM/CEO/FD):_____________________
Advance will be settled within ( ) days.
 The Aga Khan Development Network
Afghanistan
C-
Vehicle Requisition Form

Date ______________________ Department__________________________

Name of user ________________________________No.of passengers______________________

Reason _______________________________________________________________________
______________________________________________________________________
Location ________________________________
Duration From:______/______/_________ To:_______/_______/_________

Project to be charged ______________________

(for finance purpose only)

____________________ _____________________ ______________________

Requested by Approved by Authorised by
( Department Head )
Total KM____________
PS:Please send the requisition to the Administration every Monday for the current week

The Aga Khan Development Network

Afghanistan
C-
Vehicle Requisition Form

Date ______________________ Department__________________________

Name of user ________________________________No.of passengers______________________

Reason _______________________________________________________________________
______________________________________________________________________
Location ________________________________
Duration From:______/______/_________ To:_______/_______/_________

Project to be charged ______________________

(for finance purpose only)

____________________ _____________________ ______________________

Requested by Approved by Authorised by
( Department Head )
Total KM____________
PS:Please send the requisition to the Administration every Monday for the current week
 The Aga Khan Development Network
Aghanistan

Receipt

Received by/from: ______________________________________________________________________________________

Amount Figure ____________________ Words ___________________________________________________________

_________________________________________________________

Description _________________________________________________________________________________________

__________________________________________________________________________________________________

Dated _____ /______/________ Recipient Signature _________________________

=========================================================================================================
 The Aga Khan Development Network
Afghanistan
Per-diem Claim Form

Name : Shukrullah Date :

Designation : APO
For the month of : February & March
For Finance Use only
AKDN Ficilites used Charge to
Per -Diem
Accommodation Food Grant Project Activity Cost Center
Dates Place of visit Purpose/Programme Remarks
Y/N Y/N USD

13. 10 . 13 Nusai - Shukay To Specify Jika Project in Shukai District No No $ 5.00

14 .10 . 13 Shukay Meeting With Shuras of Shukay No No $ 5.00

15 .10 . 13 Shukay - Koofab Meeting With Shuras of Koofab No No $ 5.00

16 .10 . 13 koofab - Shukay Coming back to side of Shukay No No $ 5.00

17 .10 . 13 Shukay - Nusai Travel from Shukay to Side of Nusai No No $ 5.00

18 .10 . 13 Nusai - Maimai To Specify Jika Project in Maimai District No No $ 5.00

19 .10 . 13 Maimai Meeting with Maimai Shuras No No $ 5.00

20 .10 . 13 Maimai Meeting with Staffs of Maimai No No $ 5.00

Total Claim $ 40.00

Used By Checked by(Finance)

Person In Charge Approved by(RPM/CEO/FD)

Note:
1. 1 sheet to be used for 1 user and 1 trip.
2. There will be NO payment without the completely filled claim form.
 The Aga Khan Development Network
Afghanistan
Over Time Sheet

Name

Designation

For the month of

For Finance Use only

Charge to
Overtime for Allowance per Total amount for

Date Day Reason for Overtime Grand Total Remarks

Grant Project Activity Cost Center
Hours Day Night Hour Day Night Hours Day Night

Prepared by: _______________________ Checked by(Finance): __________________________________

Approved by(RPM/CEO/FD):________________________
Verified by: ___________________________
 AGA KHAN FOUNDATION
Afghanistan
Regenoil Program Office
Repair & Maintenance Request Form / Request No:

Plate Number: KBL:1193 M Driver's name: Moh Zahir Kilometer: 125184

Type of vehicle Date Requested: 15 . 06 . 13

Region: BDK/ Khorogh
Date Required: ASAP

S# Description Unit Quantity Required Remarks

Benzene For Washing of vehicl

1 Liters 8
maintenances
2 Bolt Pcs 1 Supportive Bolt washal

3 Repairation of Vehicle Vehicle 1 Hilux c-95

Estimated Cost (√ one of the options) = "> USD 100" ‫۝‬, "> USD 500" ‫۝‬, "> USD 1000" ‫۝‬, "> USD 1500" ‫ ۝‬, "> USD 2000" ‫۝‬

For Finance Use only

Charge to
Grant Project Activity Cost Center

Requested By: Authorized by Admin Mgr:

Name: Name:
Signature:________________________ Signature:________________________

Technical Checked and Verified by Finance:

Name: Name:

Signature:______________________ Signature :_____________________