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HKD 35
*
Travel and Subsistence Claims Form
All sections of this form should be completed.
SECTION A
Please complete in BLOCK LETTERS
Surname
Cox
Forename(s) NIGEL JOHN
Flat 191
Full Private Address
37 Westbowne Terrace
London
Title (Mr/Me
Grade DS 5(s)
Postcode W2 3UR
Division/Branch/Project Number
FCO
Official Duty Station.....
HKD
Temporary/Detached Duty Station
Full Official Address
HKD, WH 302
270 2650
Name
(BLOCK LETTERS.
For Departments use only
Date received
Date
Rank
Il payment is made by cash the following receipt must be signed
Received the sum of
£
Amount (in words)
Tel number 270
1. Payment of this claim should be made to my "BANK/OFFICE/PRIVATE
ADDRESS
2. If payment is to be made direct to your Bank please give below your account number and both the name and full address of your bank
Account number
Name of Bank
Address of Bank
00700762
Nat West
1 St James's Square London SwIY 4JQX
3. A payment advice for sums paid directly to my bank should be sent to my
*OFFICE/PRIVATE ADDRESS.
Examined and Passed initials and date
Signed
Date paid
Date
GS 430 (fore ·
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