ANNA UNIVERSITY CHENNAI - APRIL/MAY 2015 EXAMINATIONS

ANNA UNIVERSITY REPRESENTATIVE CLAIM FORM

AUR CF
Name : Vr. No.
Designation :
Distance : Kms
College Code & Name of the College :

Period of Examination : From ___________ To _____________ Name of the Zonal Office : Zone - 14, ACCET, Karaikudi
Details of Anna University Representatives
Additional Remuneration of Rs.50/-
Remuneration for
Sl.No. Date of Exam
College Code & Name
(abbreviated) to which deputed No. of Sessions
AUR (Rs.200/- per * Lumpsum Allowance to per hour or part thereof may be paid
if the duration of the examination
Total Amount
Signature
session) Incidental Expenses exceeds 3 hours
(Rs.)
as AUR
Rs. Rs. Rs.

Total
* Rs.300/- per session subject to a maximum of Rs.350/- per day if the distance between the colleges is less '''than or equal to 100 kms otherwise Rs.400/- per session
subject to a maximum of Rs.450/- per day.
Received Rs. ___________ ( Rupees _____________________________________________________________________________________)
(affix Rs.1/- revenue
stamp if the amount
exceeds Rs.5000/-)

Bill Passed for Rs. (Rupees ) Signature of the AUR

Zonal Co-ordinator