Notes-

1. No concessional rates were available.

2. Journey was actully performed in the class for which clam has been made/ preferred.

3. T.A. for the above journeys has not been drawn from any other source or before.

4. Journeys were performed by the shortest root.

5. Journeys by road were performed in hired convenyance/ borrowed conveyance for which
proper charge has beeen paid by me.

Signature.....................................................

Designasion.................................................

Date...............................................

Certified that Sri...........................................................................................................was required

to go to .....................................................................................................................

for the ................................................................................. in the interest of college work and his

stay from .................................................. to ...................................... was necessary.

Head of the section passed for payment/ adjustment of ..........................................................

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Accountant A.O. Registrar Director