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CENTRAL POLLUTION CONTROL BOARD F&A DIVISION File No. AC-101/05/Gen/2016-17/\JoS Date: 22/08/16 CIRCULAR Subject: - Submission of various claims for reimbursement/payment It has been observed that the claims in respect of Monitoring allowance, Canteen Subsidy, Telephone Bill, Medical and Newspaper Bill are being submitted by the various officials of Head Office in irregular time intervals. Some officials submit their claims together for a quite longer period, i.e., one year or more whereas some officials submit their claims very frequently, (say, 4-5 times in a month). With a view to bring in an uniformity as well as to streamline the system, it is requested to submit the claims as per the following basis: Ge Frequencyof | so | To be forwarded to No Nature of Claim submitting amen (Through Receipt & (in prescribed format) eae submission Despatch Section) {a)_] Monitoring Claims Monthly F&A Division (In the revised Proforma : Ist to 10th of the enclosed) i following month (b) | Telephone bill Monthly Building Division Ast to 10th of the : following month (c)_ | Medical Claims Monthly (To be submitted in prescribed tsttot0thofthe | — Admn.(R) Division format and _ enclosed following month Annexure) (d) | Canteen Subsidy Claims Quarterly Rpritelune | Istto ZOth July July to Sept: ‘Ast to 10th October F & ADivision ‘Oct to Dee Tstto 10th January ‘ Tanto March | Istto 10th April (e)_[ Newspapers Claims -do~ =do- ~do~ All concerned are hereby requested to submit their claims as per the above mentioned schedule. G we Re Uphead ow Website & Thiepetel (Mohan Kapur) See A) peebion yank SALaeb lu eae 5 ~~ Incharge-I.T. Division- for publishing this circular on CPCB web-site & Intranet portal. Se (Y%M) “2. divisional incharge:~ For circulation in their division please. 3. Incharge, Zonal Offices: ~ for circulation in Zonal Office please. 4. Notice Board 5. Master file 6. P.S. toM.S. 7. AO (P) 8 Sr. AO 9. Incharge- Building Division CENTRAL POLLUTION CONTROL BOARD PARIVESH BHAWAN EAST ARJUN NAGAR, DELHI - 110032 MONITORING ALLOWANCE CLAIM CP No. : Bank Alc No. : Division Budget Head : SI No Cats af”) Leamecion of Monttoeing Tims, Amount Remarks Monitoring From To eee re Total (in Rs) Signature of off Signature of Coordinator Date Date Signature of Date aia 97-0 acer aaharftat itt seri aftare 8 aceet ar arevata A af ong ffm mea itera soare a ater a ge Pear care A area & art by ade ar ee [i [went eta ara osm |__| comes sear feats ar [safe Rrariga arises w fae 2. | rater a a 3. [watarth ar tea, Saris age Pret A oftenita 6, afte ser oftafteat Bek srrasioer Rawat srt | ee 5. | snare war 6 [at wr am ae seer weet]: asad 8 ed 7. | ar a ar a Te ae GT 8. [ere Boe aw Peeeor 1, SeeTaIoT A SUR (Hopital Treatment) = SETI A AY SAUTE Re HME, Sam Yee aT Rea TI 1, | SFT (Accommodation) : (gear ene fe erat eet tert ee oT eer & reper ar atte a aera een aoe & eae & sea at we frat aan at, at wat Bar A oem wage dae wt RR Sehr arta 2 ogee wre suey aft eT) 2. | wiser aiten ster of Rife svar 4. | aeisifses, @gatetisen, italetforwa ar! : ee Fa arte here — () Sevan a weereran a AMT eT ‘steer re are att (20) ar ter rere FAST ant eg Fe me aE at at, aa ramen era tl 5. | carpet (Medicines) 6. | faftree cargat (Special Medicines) Gee Art oe seers THIOL TT Haz FY) 7,_[ ener Swart (itt afm) 5 8, | Rfte suure ania ooh & fae Pie eB]: are 6 emrear) psa wat fe ear zat at severe FORSTer Sort or many ar ATTY shud ar tet sept we car ear eT Roa arent A Aca aterth & sae, rere & FOiceT eases a oT meme tara Bt [3 [orgie sae 7 ] | ger act oro tara a sree) 10, | omer aE coir onthe SAR SIRE, Sar, ice, cae aes gate ar TaN) ETT UE aT | sare fe aor sugsa you wt atrat a] Bea: saat Reg a are YPRet art & ote tet a gear oe Fe MM et OT feemoht : aft aerth wafer gar whaemr.c,) Boer 1044 BE 7 ter ret mre oe fara ert eh, at et rare aT Par fate Reon ace wear, & amen eae wt Reeweh-2 : fk weer aetertt gant weet severe wt olper sew eva a See WT fivar t, at sravaw Peron ate cae. & pe eae at ware fi artes seer Ath at adn acer sexarer sooo at er, oe EL TE | fattear & cam (Consultation with Specialist - fate a fear aT, Cam. & warm, wT Rat wa Gow (&) | far ao Ree after faa]: sre far ser, ar aa te ey sar area Reve ea Br Cw) | were wear ae ital pet: sees suerte ear sar I ear wont sears, fier a]: Refer sitet Nt eT aT | * [aa ae ae fae ae (© [ear fate ar fear after &] Cea. & way a ot Tere ear serahrs Peace otter & ge rangi & coe fw ag, a at ait er ete & oo tare tL o_ [ae ga ue 10, | Fe ae afar a} or 11. | at ae af 12. [argent ae ‘aala wor ;_avaerfy seferdt gaRL NEI eee choo warned & Re omen A Rew ane Recor AR Goh sreentt ate Fearn 3 eer & ate Fra ear 5 ar # Peicar ae fvar mar, ae A See eT wT a nts ‘weentt sctertt & peer ste owratera wnt arr Bret wha ais _97-4 aeartt aeharttal site ser afta & agent ar fefeea worsen stv sree & dae Fee fair ora 1 area & ad bg arden wr woe - aft fatter wares (C.0..) ant fafeear HeraaT Fy [a [centr actor ar amr ste scar]: (are arent a) am. fraita ar sfeanite ae aie Peat & at atin ardeua a Rawr 2. | sprateer ar aT 3. [waar at fan, Safe aw Praat|: A sRtonfer 8, ate area fara Face araeroraer Rarer are 4. | erdeer §. | srereter yar 6 [tt a om ot sar wert]: sofort & eer 7, | eae aur gt et oe 8. | are fr ofe ar Prewor 1 | ferfereet wErrat (Medical Attendance) - 1 [saan ge () Serant aa are ferecer after esr ant ocean the revere ar Beat frat ae fh (@) Teor & aiear ay FARRat ae vedas rath ig Rear a YE (@) Saeaeet & stearate Peat ger Sweden gare & Fite Rar ara ae (@) er went star sew sea, Fefeear aftentt & caent wer ar ee ae weer ae =2- [ [2] aeetea & ater fr ae fuiaiires | | | dtegeteiees, teeeiees an rer sat are | | stent ag wore - (6) tegare ar veteran at aT set sata fre are; 3 (@) Far aber Cea, A aI oe PRE ATT | af st at, gw aide a sass daa ati 3, | aie 8 whet oF cergat Ft TT (er aa ike arenas aI weet I | faetrar & sare (Consultation with Specialist) - feehear ar Pfc strerth, w.ce.e. A area, Rear arat Gew - © | Pato ar Ribew otter fed |: spent fear mar, ar arr Hh Wea wer serara Riek dew Fi 2 cant ft dear ote fata ser]: ste seront ty Rar aan YI (y [war sane revere, fetter ar]: fFafecar sittertr & saent wer ar wh ee we Rav ae (@ | ear Rew or fafa sitet a] wean, @ wae oC ok Ter Rr sere Pca stort gE Ripe FRE Re ae, a at at sa ate A areegs aera Ft 9. [at @ ya om it 10, | ee a afar a a a at 11. [ae a ga oe Let 12, | agaoret ar : ‘sive ;_arverdt atari qu RESIN 3 OTR cheer ra {AE oneree A fe ae Rewer a oh ert ste faeerar Hater & athe rr ear ds aay eer ae A rar B, aE AY Swe OT wT sar acert watertt & pecan site wrote wr arm Pret ia F OnneNut to Form Nod 97-A/ 97-B Details of Jaimed for medic: & Designation of Official 2.C.P,No: 's Name & Relation with the Official No: Soe 5. Bank Account No : Prescription Bill/ Receipt Details ] To be filled by F&A Division Enclosure Enclosure| ' Nature of Bill | Amount [Amount | tio. | __Date No. | Bill/ Receipt No. Date (CF /M/LT)| Claimed aa Remarks (if any) i | L Total (Rs.) Note:- 1, All enclosures are to be serially numbered. “* C.F, - Consultation Fees 2. Bills/Receipts should be attached with the relevant precription. M - Medicines 3. Please also submit the copy of CSMAID. LT. - Lab Tests Signature of the Official with date

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