Where any doubt arises as to the interpretation of any of the provision of these rules, the matter shall be referred to the Speaker whose decision thereon shall be final.
APPENDIX FORM OF APPLICATION FOR CLAIMING REIMBURSEMENT OF THE AMOUNT INCURRED IN CONNECTION WITH THE PURCHASE OF BOOKS BY THE MEMBERS OF THE KERALA LEGISLATIVE ASSEMBLY.
FORM-A (See rule 5 (1)
1. Name and office held :
(in Block Letters)
2. Name of Constituency :
3. Residential Address :
4. Year to which claims relates :
5. Details of reimbursement previously :
made for the year.................
Ist Occasion
(a) Amount claimed :
(b) Date of encashment :
2nd Occasion
(a) Amount claimed :
(b) Date of encashment :
6. Total amount claimed so far in the :
year................ (in figures and words)
7. Amount claimed at present :
(in figures and words)
8. Whether cash receipts or vouchers in :
original enclosed Signature of the Member DECLARATION TO BE SIGNED BY THE MEMBER I....................................... hereby declare that the details given above are true to the best of my knowledge and belief and that the said amount is incurred by me for the purchase of books for the year ........................................
Place :
Date : Signature of the Member FORM -B (See Rule 8) Sl. Name and Name of the Residential Year Details Amount No. Office held Constituency Address of of the Payable Remarks claim amount and date Signature of the Sanctioning Authority