INDIAN INSTITUTE OF TECHNOLOGY BOMBAY TRAVELLING ALLOWANCE BILL (at new rates 6” cpc) NAME: DESIGNATION: Grade Pay: Rs, Amount of Advance drawn, if any :Re, Certified that I was on tour from (a) © by the class and mode of conveyance as indicated below: 1. Claimed fares (Air/Rall/Bus): ‘Tobe filled by Admn, Section Sr.No. of TA Inward Register Date of Receipt Salary Code: (dt) for the purpose of and that 1 traveled Departure ‘Anivall Mode of Journey | Class of | PNRNo(f | Farein | Trin’ Rall Road Rail/ | Journey | applicable) | ma Flight No. Bus | Ai/Raly Bus | | Pace [Date @ Time [Place [Date @ Time | [ 2. Details of Local Conveyance charges incured: Date Station | Place visited/Traveled | Distance | Mode of travel Fare in Remarks | L Tax/Auto Re | From [To | | l | 3. Hotels/Guest House charges incured (ils 10 be enclosed) ‘Station [Name of Hotel] Period of Stay | No.of Days | Modeoftravel | Expensesin | Remarks | Taxi/Auto Re I From [To4, Reimbursement of Food Bills (Bills to be enclosed): seo Date | Billets | Amountin ks [SeNo| Date | BillDeails | Amountine 1 | 3. [Further paiclars required to be furnished [Replies | a |i) Whether you availed of Saturday,Sunday & holidays or any leave during. the days of hat? i Iyes, please give details bout the period and date: ib li Whether the TA. is to be borne by IIT Bombay/Project/Any other Budget Head: source? Pease give Expenditure Budget Head fppleabe: | 6, Summary of Claimed Amount: n Rs. Tobe completed by the Official Tobe filled by Office [@) Fare (©) Conveyance Charges (QHoteV Accommodation Charges | TeoroWBoarding Charges [(© Other claims (details tobe furnished) | Tal | ii UessAdvance Taken on dt: I ‘Net Amount I ‘Signature of the claimant ‘Countersigned DIRECTOR/DEAN (R & D) / REGISTRAR/ HOD. Forwarded herewith TA. Claim for necessary action Adma. ‘To: Accounts Section Admitted for Rs, Passed for Re Disallowed / Added Rs. ‘Asst, Registrar (Audit) famed for Re, Asstt Registrar (F & A)