VIJAYA BANK

TA Bill of Abhishek Kumar Nayak Branch / Office: Jabalpur Branch(76040)

Staff code 26193 SB / OD A/c No: 712201021000012
Designation Manager Purpose of journey: Deputation to Jabalpur Branch From Katni Branch Aug'16
Date / Time / destination Amount claimed Amount Remarks
Mode of Class of Distance Actual Particular of Other expens Halting allowance Total Sanctioned
From To journey joirney in (KMs) fare Rs. Exp. Details overl No of Rate Amount
(Rs) Days (Rs) (Rs) (Rs) (Rs)
1 2 3 4 5 6 7 8 9 10 11 12 13
Jabalpur Jabalpur Hotel 21 1440 32970
10.08.2016 10.08.2016 Halting 21 950 26600

Other Exp

0 0 59570 59570
Other expenses
Journey Distance Mode of Amount
Date Time
From To in KM travel claimed(Rs.) Sanctioned Rs.______________
(Rupees __________________________)

Manager Chief Manager

Total 0 Date Date:
Particulars of advance drawn
Date Branch / Office Amount (Rs)
Certified that the bill is correctly drawn
Bill is forwarded to
Total 0
Certified that concessional rates were not
obtained for any of the journeys covered in the bill
SIGNATURE OF FORWARDING AUTHORITY
Date: 29.10.2016 CLAIMANT Date: 29.10.2016