BHARAT SANCHAR NIGAM LIMITED

TOUR TRAVELLING ALLOWANCE BILL FOR LTC for Hometown visit for block year 2011-2012 1. Name & Staff No. Manish Kanti Ghosh HRMS NO. 200303834 2. Designation: JTO. DC Mumbai 3. Pay: 20210/4. Headquarter: Mumbai 5: Details and purpose of Journey performed: Tim To Date Time Mode Class of Ticket No. Fair paid Distance Duratio e Station of Journey Rail/ Air/ Bus/ Rs. in Kms by n of Travel Taxi/ Steamer Road Halt
09.30 00.15 22.15 13.00 15.30 14.45 LTT Station Champa Balco (Hometown Residence) Champa residence Dadar Rly Station Powai Residence 30-09-11 13-11-10 01-10-11 28-10-11 29-10-11 29-10-11 10.30 22.00 23.45 14.30 14.30 15.30 Taxi Train Taxi Taxi Train Taxi AC III Tier LTT-BBS Express 200/2152/600/600/2174/300/14 km 1286km 57Kms 57Kms 1301Kms 15Kms 28 Days

From Station
Powai Residence LTT Station Champa Rly Station Balco Residence Champa Rly Station Dadar Rly Station

Date

Purpose of Journey

30-09-11 01-10-11 01-10-11 28-10-11 28-10-11 29-10-11

Hometown visit

AC III Tier

Howrah-Mumbai mail

6. Total Fare Paid: :Rs.6026/7. Lodging Charges: :Rs. 8. Daily Allowance Charges: @________ for ________days :Rs. @________ for ________days :Rs. 9. Advance Taken: :Rs.3800/10. Net Claim: :Rs.2226/11. If Journey is performed by higher than entitled class (enclose the approval of Competent authority) 12. Dates on which free boarding and/ or lodging was provided by the state/ any other Organization 13. Date of absence from the place of halt on account of RH/ CL/ Sunday/ Holidays 14. I have not claimed OTA for which TA/DA has been claimed. Certified that the information given above is true to the best of my knowledge and belief. Date:
JOURNEYS & HALTS CHECKED & APPROVED SIGN. & DSGN. OF CONTROLLING OFFICER COUNTERSIGNED SIGN. & DSGN. OF CONTROLLING OFFICER

Signature of the official

Summary of TA payable (To be filled by the Bill section)

1. 2. 3. 4. 5. 6. 7. 8.

Taxi Fare at Touring Station Lodging Charge Daily Allowances Train/Air/Bus/Taxi Fare for onward and return Journey Total Less TA Advance Balance Payable/ Recoverable Passed for Payment/ Recovery

Rs: Rs. Rs. Rs. Rs. Rs. Rs. Rs.

Passed for Rs. ________________ ( Rupees__

________________________ )

The Expenditure is debitable to

Signature of Drawing and Disbursing officer / AO ( Cash )