Place: Chennai 18Date : 11.05.2015

Education Scholarship to Employee’s Children

Name of the Employee : Ms.Pushpa

Designation : Chamber Maid

Name of the Children : M.I.Anees Fathima

Relationship : Daughter

Class/Division : V Std

School :S.SanthanaMary & Sr.AlphonseSt.Francis Xavier’s Matriculation School

School Fees Details :

1st Term Rs …………………… Pay By Date…………………………………2nd Term Rs…………………… Pay By Date …………………………………3rd Term Rs…………………… Pay By Date …………………………………4th Term Rs…………………… Pay By Date…………………………………

Total Rs : 15,000/-

Amount Payable to / Cheque favoring : ST.FRANCIS XAVIER MATRICULATION SCHOOL

Payment Details:Date Details Amount Approved by Cheque/Date11.05.2015 2015-2016 15,000

Supporting Document Detail : Bonafide Certificate