U P RAJYA VIDYUT UTPADAN NIGAM LTD TRAVELLING ALLOWANCE BILL

DISTRICT : LUCKNOW HEADQUARTER:TRAINING & DEVELOPMENT UNIT, LUCKNOW NAME :DILIP KUMAR OJHA Desig : SUPERINTENDING ENGINEER AMOUNT Rs. PNR NO/ TICKET NO LOCAL MILEAGE Km. AUDIT NO :D-282 MONTH :September,2012 PAY :37400 to 67000 (Gr Pay-Rs.10,000/-) HALT (Number of days) OUT OF POCKET ALLOWANCES (Number of days) DAYS FOR TAXI A' C' PURPOSE OF JOURNEY/ REMARK

DEPARTURE

ARRIVAL

STATION

DATE

TIME

STATION

DATE

TIME

MODE OF JOURNEY

CLASS

Mileage at other rates

A'

C'

1 LUCKNOW

2 24-Sep-12

3 11:15 PM

4 DELHI

5 25-Sep-12

8 1A

9 2339325685

10 1570.00

11 5

12

13 506

14A -

14B -

15A 1

15B -

16 -

17 To discuss the scope of Executive Training with PMI, NOIDA

7:10 AM By Rail

DELHI TOTAL Certified That

25-Sep-12

7:10 PM

LUCKNOW

25-Sep-12

8:15 PM By Flight

Economy

BMLGBF

4891.00 6461.00

0 5

0 0

506 Item Fare Local Mileage

0 Amount (Rs) 6461.00 50.00 177.10 0.00 144.00 0.00 6832 0 6832

0 1 ABSTRACT OF COST Column 10 11&12 13 14A 15A 16 Qty 6461 5 506 0 1 0

1) I travelled in the class, for which I am entitled. 2) The claim has not been drawn before. 3) The journeys have been performed in the interest of UPRVUNL. 4) The DA has been charged for continuous halt of 8 hrs. or more. 5) I had not availed free lodging,fooding & breakfast facilities during the stay 6) The distance of Lucknow Railway Station (Charbagh) is approximately 5 km. from my residence (Clyde Road, Lucknow)

Rate (Rs) 10.00 0.35 0.00 144.00

Incidental Accomodation Charges(including taxes) Fooding Taxi Charges

0.0 Total Less TA Advance Amount Payable

Journey and Halt Verified:

Received Payment:

Signature: