Page 12 of 13

Appendix ‘K’

Roll No____________
TRAVELLING ALLOWANCE FORM
PART- I
(TO BE FILLED BY THE CONDIDATE)
1. Batch No ______________________________ Stage one Chest No____________________________
2. Name of candidate as per Dossier_______________________________________________________
3. Address on which call letter sent ________________________________________________________
__________________________________________________________________________________
4. Name of the nearest railway station ______________________________________________________

5. Actual Train fare paid:-

(a) From ______________________________ To_______________________________________
(b) Class _____________________________________
(c) Amount Rs. ________________________________
(d) Train PNR/Ticket No _________________________
6. Actual Bus fare paid:-
(a) From ______________________________ To_______________________________________
(b) Amount Rs._________________________________
(c) Bus Ticket No. ______________________________
7. Grand total (5+6) Rs.________________________________
8. The following information/details of your Bank Account are required to be furnished by the candidates
for making payment of TA through NEFT.
(a) Account No ________________________________
(b) Name of Account Holder _____________________
(b) IFSC Code ________________________________
(c) Bank Name ________________________________
(d) Branch with full address _______________________
9. It is certified that I, _____________________________S/o______________________________ am a
fresh candidate for Permanent/Short Service Commission, I will be personally responsible for any
intentional/non intentional wrong information as furnished above.

Station : Kapurthala
Dated : (Signature of candidate)
_________________________________________________________________________________________
PART – II
FOR OFFICE USE : TO BE FILLED BY THE ACCOUNTS CLERK)
10. Auth Train fare :-
(a) From ______________________________ To______________________________
(b) Class ______________________________________
(c) Amount Rs. _________________________________
11. Admissible Train fare________________________________
(Para 5 or 9 whichever is less)
12. Admissible grand total paid (6+10) x 2 Rs______________________________________________

(Signature of Account Clerk)