34 fra @. Sub Bill No—- &R& fg wat wa Travelling Allowance Bill for Tour es ae fer Se care ea: 9 rere & fre a get afer fe Note: This bill should be prepared in duplicate-one for payment and the other as office copy ‘am- PART-A (cert afar zr 1 3Te To be filled up by the Government Servant) TA Name ‘HAI Designation aa Pay ‘WENA Head quarters ‘free ara & feat sit wats Detail and purpose of journey (s) performed ‘WRUM Departure SMV Arrival wer sane [atte | wee ari va eT 7a - afte oh few & fe safe | ain arta 3 ‘oe wee [ates [asi | Modeot | pare Paid | 307°" | Duration of | Purpose From wa we To | Teland Distane hat | oof Date and Date and © | class of einkms | Journey Time Tae Accommoda for road tion mileage : 1 2 3 4 3 6 7 & 9 Rs [Ps Days [Tis6 UTA & BIA Mode of Joumey () TBAIR a) fates ara a wees arate are fear et / EE Exchange voucher arranged by office yes! No (b) fame) fata ata a ware Pes fea aT, Ticket’ Exchange voucher arranged by. (i) TARAIL (a) Fae / eR / are tea 8 ae fae aT? Whether travelled by mail/ express’ ordinary train? (b) aaah faz TI! AT Whether return tickets available? : tc) afeei at are fare watts fever men a/ Ifavailable, whether return ticket purchased ? cafe sai ah reo ara | If not state reasons. (iii) ASH ROAD aon fra sadn fore ae Ba eat aes / ae a / a cardatis aver fi um i at / eat aan achat & aan 4 earn ach 2) Pref sey cates & ares 3 cenit 3a of fafatee ae | Mode of conveyance used i-e by Govt. Transport/ by taking a taxi, a single seat in a bus or other public conveyance! by sharing with other Govt. servant in a car belonging to him or to a third person to be specified. aera & aa & srqafeata A TR Date of absence from place of halt on account : (@) 3.3/3. @ RAY CL. afaan aft gfzeat & fea fare & argateata Not being aetuall camp on Sunday and holidays. aro seen rea aw a fam fre rea are wars Pe Te TT tos afk / a are fw atta AA see oT | Dates on which free board andi or lodging provided the state or any organisation financed by state funds: (a) a1 IF Board only (b) ae HATE Lodging only (c) ise sh state Boarding & Lodging fata Sfs 7 siea oft sree wan A are dieet/ ae casi eect aS A A aT a sree Tat aC wy dice wii % ary fae vega Ft | Particulars to be furnished along with hotel receipts etc., in cases where higher of by D.A is claimed for stay in hotel / other establishment providing board and/ lodging at scheduled tariffs. aaa aah Feasa | wae tqgemm ae x Sa RU Fa PERIOD OF STAY Name of the | Daily rate of Lodging charged | Total amount paid ¥aa trom | F377 To Hostel Rs Ps Rs Ps deere EES 3 a 5 G 7 Total10. ae & faery farecs fore aeeerd aefardt 3 srt waren Soft soa fazer an | Particulars of journey (s) for which higher class of accommodation than the one which the Govt. servant is entitled was used: Mode of wreme) | annie arr | witla Date | EI AAMName of Place | AATAT ERA | PaaS | fea ew | sear tare | } conveyance | Class to which | TT Class ei @ From ‘wei a To entitled by which travelled i 1 2 a 4 5 6 Z vate rar wage safer AN eaepha @ Se Ao a fare ven a at eAigfa A shear a arta a age Fe Ifthe Journey(s) in higher class of accommodation has been performed with the approval of the competent authority, No & date of sanction may be quoted. 1, tara qe ear gage & fre ne amall & far Details of journey(s) performed by road between places connected by ‘aitia Date ‘amar — Name of places ara fara art Fare paid ‘#818 From ‘wet a To Rs Ps 12, ame fq ame ar se sifim afe et. Amount of T A advance if any drawn Rs... ‘safe Fre rr & fas ar fy fare BA sora th Prvara a sega we | Certified that the information, as given above is true to the best of my knowledge and belief, wean aafard a eee Signature of the Govt, Servantam aft PART B (fae AAAM FT AT SME To be filled in the Bill Section) ava wa & eH areata 2a of ge aT’ | he net entitlement on account of travelling allowance works out to Rs- as detailed below. (a) ta /ara/aa ser a PRT Railways / Air / Bus / Steamer fare Rs. / (b) asm Ate Ai BA Road Mileage for- ‘Kms RS... a- -per/ Km (c) @f% FAT Daily allowance a ~-per day %.Rs. (iy perday 8 (iii) -per day RS... (d) aretfase IT Actual expenses BRS... A TH Gross Amount BRs. (e) Wave afm aera aa Less amount of TA advance if any, Drawn vide voucher No~ ERs. yaa Net Amount BRs 2 The Expenditure is debitable to initials of bill clerk. Signature of DDO Initials of Bill Clerk Counter signed Signature of Controlling Officer