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a2642452 - ‫إلى:‬ ‫دائرة الشؤون...

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Unformatted text preview: ‫إلى:‬ ‫دائرة الشؤون المالية‬ ‫جامعة نزوى‬ ‫تصفية عهدة‬ ‫‪Payment Clearance‬‬ ‫المبلغ المستلم / ‪Received‬‬ ‫‪:Date‬‬ ‫تفاصيل سند الستلم/ ‪Payment Voucher Detail‬‬ ‫‪Amount‬‬ ‫المبلغ المصروف / ‪Amount‬‬ ‫سند / شيك رقم ............................‬ ‫‪spent‬‬ ‫الفارق / ‪Balance‬‬ ‫‪Cheque/Voucher No‬‬ ‫بتاريخ: ............................................................‪Dated‬‬ ‫: ‪Attachments‬‬ ‫المستندات المرفقة:‬ ‫رقم المستند‬ ‫‪.Document No‬‬ ‫التاريخ:‬ ‫/‬ ‫/‬ ‫تاريخ المستند‬ ‫‪Document Date‬‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫/‬ ‫).المبلغ )ر.ع‬ ‫)‪Amount (OMR‬‬ ‫/‬ ‫/‬ ‫ملحظات‬ ‫‪Remarks‬‬ ‫/‬ ‫/‬ ‫/‬ ‫المجمو‬ ‫بالحرف: .................................................................................................................‪:In letters‬‬ ‫ع ‪Total‬‬ ‫.....................................................................................................................................................................‬ ‫مقدم الطلب:‬ ‫‪:By‬‬ ‫الوظيفة:.................................................. ‪:Designation‬‬ ‫......................................................................................................................................................................................................................................................................‬ ‫القسم:‬ ‫...................................................‬ ‫‪ :Department‬التوقيع:‬ ‫‪Requested‬‬ ‫.........................................‬ ‫التوقيع:‬ ‫موافقة المسؤول المباشر: ................................................................. ‪:Direct Supervisor Acceptance‬‬ ‫الشؤون المالية فقط : .................................................................................................................................................................................................... ‪For Finance Department‬‬ ‫‪:Only‬‬ ‫..........................................................‬ ‫............................................................................................................................................................................................................................................................................................................................................................‬ ‫............................................................................................................................................................................................................................................................................................................................................................‬ ‫إعداد: .................................................................................................... ‪:Prepared‬‬ ‫اعتماد:‬ ‫....................................................................................‬ ...
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