SOUTH CENTRAL REGIONAL OFFICE

ALL INDIA COUNCIL FOR TECHNICAL EDUCATION

Block No. 201 to 204 & 221 to 224, 2nd Floor, Swarna Jayanthi
Commercial Complex, Ameerpet, Hyderabad-500038, Telangana.
TA/DA/HON. BILL OF NON-OFFICIAL MEMBER INVITED TO ATTEND THE VISIT / MEETING.
Part – I (To be filled by non-official Members)

1. Name &Designation

2. Pay Scale & Present Basic Pay

3 Full Postal Office Address
for Sending Payment

4. Mobile Number E:mail :

5. PAN Number(clearly)
6. Whether retired or still in Service(Tick One) Retired Still in Service
7. Purpose of Visiting /Meeting
8. Date(s) of Visiting /Meeting

9. Details of Journey (includingfromandtoResidence/OfficeandAirport/RailwayStationetc.)

Date Departure Arrival Mode of Distance Fare Paid Attached original or
From Time AT Time Journey in Kms (Air/Rail) photocopies of Air/Rail
Taxi etc. Tickets & Original Bills,
Boarding pass

Total TA Amount
10. WhetherStayinginRentedAccommodation(Hotel/GuestHouse)withPaymentofSomeCharges/orMaking Own
Arrangement without Paying any Charges (Strike Out whichever is not applicable)
If staying in Rented Accommodation (Hotel/Guest House) with Payment of some charges, please specify
Boarding & Lodging charges per day Duration Total Amount Please attach original
Hotel / Guest House Room Rent Paid Food Bills Paid of Stay Claimed receipts of Hotel/Guest
(Rs.) indays House
(Rs.)

Total Accommodation
TOTAL (TA + ACCOMMODATION)
11. Name of College / Institutes Visited and the Date of visit /scrutiny:
Date of Visit Name of Institution Visited Date of No. of scrutiny insts. (Only
Scrutiny for New Cases)

12. Certified that:

i) Particulars provided herewith are correct and I have not clamed TA/DA etc.
ii) I was not provided free Lodging and / or Boarding at the cost of Govt./University or any Govt.
aided Body.
iii) Certified that I am entitled to travel by Executive Class Air Travel in my Organization (strike
out , if not applicable)

Date: Signature of Claimant

Part-II (to be completed by Finance Bureau)

Passed for payment of Rs. _ _ _ _ _ _
1. Accommodation Rs. _ _ _ _ _ _ _ __ (Rupees _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2. TA Rs. _ _ _ _ _ _ _ _ _ _____________________
3. Honorarium Rs. _ _ _ _ _ _ _ _ _
4.GrandTotal Rs. _ _ _ _ _ _ _ __
5. TDS@ 10% on Hon.(—) Rs. _ _ _ _ _ _ _ __
6. Net amount to be Paid Rs. _ _ _ _ _ _ _ _ _

DEO DRAWING & DISBURSING OFFICER

PAYEE’S PRE-RECEIPTS

I hereby authorize to transfer my claim directly to my saving account no

Branch Code IFSC Code

Bank Name & Branch

Received Rs. Rupees. __________________________________________only)

Signature of
Claimant(with
revenue stamp)