G.A.R. 40

[See rule 172 (i)]

SCHEDULE OF DEDUCTIONS ON ACCOUNT OF SUBSCRIPTION TO POST OFFICE INSURANCE FUND FOR THE MONTH OF.....................MINISTRY/DEPARTMENT/OFFICE OF...........................

Number of Policy Name of Subscriber Designation Period of Pay Bill Amount Recovered Remarks
1 2 3 4 5 6
 

 

 

  

         

Date.......................................... 

Signature...........................
Designation........................