INDIAN INSTITUTE OF TECHNOLOGY KANPUR

TRAVELLING ALLOWANCE BILL

Institute A/c Project A/c

Name: Prof. Amarendra Singh PF No.: 5655

Designation: Professor Department: MSE Basic Pay: Rs.
Purpose of Journey: To attend National Launch of IMPRINT on 05.11.15 at Rashtrapati Bhawan

PARTICULARS OF JOURNEY AND HALTS

Departure Arrival Mode of Class Fare Details of

Station Date Hour Station Date Hour Journey (Rs.) Flight/
Train
IIT KANPUR 04.11.15 0700 LUCKNOW 04.11.15 0900 Road

KANPUR 04.11.15 0600 DELHI 04.11.15 1120 TRAIN 22114711

813/-
CENTRAL 95

DELHI 08.11.15 0700 LUCKNOW 08.11.15 0805 AIR NF75588

11,145
LUCKNOW 08.11.15 0830 IIT KANPUR 08.11.15 1030 Road

Total Claim
Hospitality: Availed on ………………………. Days. Not Availed
(1) Total Fare: Rs. ………………………….. (2) Road Kms: ………………………. @ Rs. ………………… = Rs…………………..
(3) Daily Allowance: No. of days = ………………… @ Rs. ………………….. = Rs. ………………………..
(4) Other actual expenses incurred : ……………………………………………= Rs. ………………………………………….
(furnish details on the reverse and attach the documents)
Total claim (1+2+3+4) = Rs. ……………….. Advance drawn = Rs. …………………….. Net Claim = Rs…………………………
(Certified that all parts of the journey have been performed in accordance to the CERTIFICATE (on the reverse site)

No. of Enclosures: .……………………….. Date …………………………………. Signature ……………………………………………….

_____________________________________________________________________________________________

Pay Rupees:
_____________________________________________________________________________________________

Dealing Assistant Superintendent /Asstt. Registrar Dy. Registrar (F&A)

_____________________________________________________________________________________________
Paid in Cash / Cheque No. ……………………………………. Dated ……………………………..
Date:
Cashier
 INDIAN INSTITUTE OF TECHNOLOGY KANPUR
TRAVELLING ALLOWANCE BILL
Institute A/c Project A/c

Name: Prof. Amarendra Singh PF No.: 5655

Designation: Professor Department: MSE Basic Pay: Rs.
Purpose of Journey:

PARTICULARS OF JOURNEY AND HALTS

Departure Arrival Mode of Class Fare Details of

Station Date Hour Station Date Hour Journey (Rs.) Flight/
Train
IIT KANPUR 14.11.15 0700 LUCKNOW 14.11.15 0900 Road

LUCKNOW 14.11.15 0920 DELHI 14.11.15 1035 AIR

7,036/-
DELHI 14.11.15 1350 COIMBATORE 14.11.15 1645 AIR
9,349/-
COIMBATORE 16.11.15 1125 DELHI 16.11.15 1430 AIR 8,127/-

DELHI 16.11.15 1655 LUCKNOW 16.11.15 1805 AIR 3,896/- NF26350

LUCKNOW 16.11.15 1830 IIT KANPUR 16.11.15 2030 Road

Total Claim
Hospitality: Availed on ………………………. Days. Not Availed
(1) Total Fare: Rs. ………………………….. (2) Road Kms: ………………………. @ Rs. ………………… = Rs…………………..
(3) Daily Allowance: No. of days = ………………… @ Rs. ………………….. = Rs. ………………………..
(4) Other actual expenses incurred : ……………………………………………= Rs. ………………………………………….
(furnish details on the reverse and attach the documents)
Total claim (1+2+3+4) = Rs. ……………….. Advance drawn = Rs. …………………….. Net Claim = Rs…………………………
(Certified that all parts of the journey have been performed in accordance to the CERTIFICATE (on the reverse site)

No. of Enclosures: .……………………….. Date …………………………………. Signature ……………………………………………….

_____________________________________________________________________________________________

Pay Rupees:
_____________________________________________________________________________________________

Dealing Assistant Superintendent /Asstt. Registrar Dy. Registrar (F&A)

_____________________________________________________________________________________________
Paid in Cash / Cheque No. ……………………………………. Dated ……………………………..
Date:
Cashier