U P RAJYA VIDYUT UTPADAN NIGAM LTD TRAVELLING ALLOWANCE BILL

DISTRICT : LUCKNOW HEADQUARTER : REFORMS UNIT, LUCKNOW NAME :SUNIL KUMAR SINGH Desig : SUPERINTENDING ENGINEER AMOUNT Rs. PNR NO/ TICKET NO LOCAL MILEAGE Km. AUDIT NO : S-1070 MONTH :August,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 CLASS JOURNEY

Mileage at other rates

A'

C'

1 LUCKNOW

2 21-Aug-12

5 21-Aug-12

8 CC

9 2707467071 (Tatkal)

10 935.00

11 11

12 0

13 511

14A 1

14B -

15A 1

15B 0

16 0

17 To attend the "SAP Conference" in Delhi

3:35 PM NEW DELHI

10:15 PM By Rail

NEW DELHI TOTAL Certified That

22-Aug-12

11:30 PM LUCKNOW

23-Aug-12

7:30 AM By Rail

1A

2438733204

1500.00 2435.00 11

11 11

493 1004 Item Fare Local Mileage Incidental

0 Amount (Rs) 2435.00 220.00 351.40

0 1 ABSTRACT OF COST Column 10 11&12 13 14A 15A 16 Qty 2435 22 1004 1 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 11 km. from my residence (Omaxe Heights,Gomtinagar)

Rate (Rs) 10.00 0.35 3640.00 485.00

Accomodation Charges(including taxes) Fooding Taxi Charges

3640.00 Rs.3100/ + taxes 485.00 0.00 7131 0 7131 Admissiblity Rs.500/-

0.0 Total Less TA Advance Amount Payable

Journey and Halt Verified:

Received Payment:

Signature: