TORU GR farce ferry Garry festa yd Great Fra aque) worties : 1.12) farce / wiftaht / 2005 wrap, fie: 4-/0-2046 area Raa: Wey Rae gd det Peet} aes 4 wets wena wee wre forte yd cee Fad db aus 4 fa tele OST S GA WAGER WaT HRI S— 1. The existing New Form No. GA 36, 65, 76, 84, 85, 86, 100, 103, 105, 110 and 112 shall be substituted (as enclosed). 2. The existing New Form No. GA 64 shall be deleted. 3. Aer the existing New Form No, GA 36 so amended, New Form No.-GA 36A to 360 shell be inzerted (as enclosed). 4. Affer the existing New Form No. GA6S so amended, New Form No. GA 65 to 65D shall be inseried (as enclosed). 5. After the existing New Form No, GA 100 and 112, New Form No. GA 100A and 112A shall he inserted respectively (as enclosed). ‘These amendments shall be effective with effect ftom January 1, 2017. aren Z ages (rao wet ) ret tigert afer at Retin a Ewan ares ee ate} ane rafe hf ae By AE 1. 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GFAR 189 _ Government of Rajasthan Rule 150 (1) Reference No. Salary Bill (Outer Sheet) MonthiVear : Déleiled Pay Bill of PormanenU Temporary establishment of: (Orcs Name) ‘Office (0 Bill No. Date DDO Code Name of 000 Object Head | ‘Budget Head: 0000-00-000-00-00 NPIP_VIG___Darnand No. 00 Plan: 0.00 lon Plan £0.00 TAN Ne, To The Treasury Officer, (Concerning Treasury) Please Order to pay Rs. a8 per claim contained in this bill, Sign of Clerk Sign of Jr ACC/AAO-Ul jon (With Seal)! e-Sign! Lo 4 nen Digital Sign of DDO Certificates : 4. The Amount claimed in this bill has not been drawn eatliar. 2. Itis further certified that | have personally ensured observance of all formalities regarding necessary entries, 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year). 4. This bill is drawn against the Sanctioned Post(s) of this Office. Total Sanctioned Post : 00 (1} All India Service : 00 (2) State Service : 00 (3) Subordinate Service : 00 (4) Ministerial Service : 00 (5) Class IV: 00 Sign (With Sealy o-Signi Digital Sign of DDO Tlewanese Beaton Teauyvoker Allowance Name Payid Amount | Deduction Name Payid Amount | no bate for Tensor Use bay Re tera) | (ces) tinword) | ayer, Tota cette. Auditor AAO-HIL Treasury Officer For Accountant General Office sated (RS) ovectea s) Biase Av Taal beacon Seawat me . . . Ltn words) Auditor Supat. Gaz. officer Disclaimer: Ail contents related to this bill are provided by Head of Office/DDO and he’ she is solety responsible for it Group Name Print Date & Time‘Government of Rajasthan New Form No. GA 36. + | Reference No Salary Bill (Inner Sheet) Month/Year : Detailed Pay Bill of Permanent/Tamporary establishment of (Office Namie) — Ofc 1D : aITNo Date DDO Code Name of 000 Objesl Head | Budget Head: 0600-50-000-00-00 NPIP_ VIC ‘Demand No. = 00 Pian: 0,00 Non Plan 70.00 TAN No. SNo. | GPFIPRANNo. | Name ~={Pay Allowance) [Gross Net Total Date OFBirth | Designation Amount Deduction Belt No. EmployeeID PAN No, Nominee Name(s) | St. Ins. No. Date of Death | Pay Scale too) Grade Pay(DP | Bank Ac No. Aadhas No. I 1 2. L ‘Gross Amount : Deduction Amount Net Aciount : Amount in words Certificates ‘ CCortiad thot | have Personal Examined an satisfied mysalf about the genuineness of aim that the Fay and allowance ofthe emplayec(s} included inthis pay bl are strc in Scceveance with rues an thal the Said employee(s) are ented such pay and allowance 2. Its cerited hat no superior service has been absent ether on oher duty or uepenson or with or without leave except on Casust Leave) curing the month ef (rom detabase). Note: When the Absenice Statement aocompsnies the all, His certcatesheuid be stuck os, 3, Cartfos thatno leave hits Been granted unt by reterance tothe appican’s Service Bok Leave Account and to the Leave Rules opplcable to him. tad sais fed myself thatitwas admissle and thal al grants ofleave ané departures on anc return fom Leave, and al period of Suspencion and othar duty and other evert which ae reguied under the rules to De ‘50 recorded, have been recorded inthe Service Book{s) and Leave Aceunl(} under my atasiaton [Noto: Atsched Absentee Sictoment has been checked and verified. 4. listeertfag that Annual Verleaion ef Serice wit Local Recor in respect of al he incumbents (whose pays drawn in this bil) compiled, same has been recorded in Service ‘eok{s) under my atestetn (This Certlicte is applicable in salary Dill of pay month June every yeer)* {Rig Certifed that ne person , for whom House Rent Allowance hes been drawn In tis bil Nas beer in occupation offen ree Government Quarters during the period fer which the allowance has been Grown. 5, The cacuiation oF maame Tax ofall the neumbents (whose pays awn in tis bil) has been done, and dues have been deducted from ther salary. (This Caicate should be printed | salay bil of pay month Fetruary every year) * 7. “Income Tax Calculation staloment received rom employee and kept in oes record. (7s Gaatcateis applicable i sslery bil of pay month Des every year) * 8. All required infermaton including Bark Account Detain is bf Deer checked afd vere, 9 ttis corti that | nave carefuly examined & verified the master data of the eid cam. Enctosures (System generated/Seanned)* ‘ 2 Sign (With Seal)/e-Sign/ Digital Sign of DDO) Disclaimer: All Contents related to this ill are provided by Head of OFReeIDDO and helshe is solGly responsible for. Group Name Print Date & Time “Criiale marke are to be ined in eb of Tespentve Pay Month nly Enclosures marked (*) arta be printed inthe bill sper Selection from dropdown menu according to the requirments defined under relevant rules.CATE - Naw Form No GAS6A GFAR 189 Government of Rajasthan Rule 150(1) | Reference No, Salary Arrear Bill (Outer Sheet) Month/Year jetailed Salary Arraar Bit of Permanent/Temporary establishment of: (Office Name) Office 16 [Bi No. Date DDO Code Name of DDO ‘Object Head Budget Head: 0000-00-000-00-00 NPIP_ViC. Demand No. . 00 Pian 0.00 Non Pian = 0.00 TAN No. To The Treasury Officer, (Concerning Treasury) Please Order to pay RS..jcr sos soe €8 PEF Gaim contained in this bill Sign of Clerk Sign of J-ACCIAAO-IIi Sigh (With Seall/ e-Sign! _ Digital Sign of DDO Certificates : 1. The Amount claimed in this bil has not been drawn easter. 2. tis further certfied that | have personally ensured cbservance of all formalities regarding necessary entries, 3. The Amount ofthis bil is within the mts of atotied budget for the Year (Current Francia! Yea). 4. This billis drawn against the Sanctioned Posi(s) of this Ores. Sign (With Seal) e-Sign! Digital Sign of DDO ‘Allowances, Deduction ~ ‘Treasury Voucher Allowance Name Payid Amount | DeductionName Payid Amount No. Date For Troasury Use Pay Rs. (Inwords) = (in Cash) (inwords) = By BT. Total Credit Rs. | Auditor AAO-tI Treasury Officer For Accountant General Office | Admitted (RS.) Objected (RS) | Gross Amount Total Deduction - Net Amount Auaitor Supat Gaz. oficer {In words} Disclaimer: Ail contents related to this bill are provided by Head of Office/DDO and heishe is solely responsible for it. Group Name Print Date & TimeGovernment of Rajasthan New Form No. GAGA Reference No Salary Arrear Bill (Inner Sheet) Month/Year : Detailed Salary Arrear Bil of Permanent Temporary establishment of. (Office Name} Office 1D Bil No. Date DDO Code Namie of DDO ‘Object Head ‘Budget Head 0000-00-000-00-00 NPIP_VIC Demand No. = 00 Plan: 6.00 Non Pian : 0.00 TAN No, S.No. | GPFNO. | Employes | NominceNeme | Month ]| Pay Pay] Difference ot | Gross ] Pay Fay | Difference oF] Nev Bano. | Name DateatDeath} &¥ear | Allowance | Allowance | Gross Amount | Amount | Deduction } Defuetion | Amcunt to | Amount St ns, No. | Designation | (only were already |” tobe | tobedrawn aieady | tobe | bededucted | wo bepaid PayScale | Employee 1D | Payment made o awn | dean deduce? | deictes Dporade Nominee) rw Name of Beni Basie Pay Name of Branch’ Acsount No i 3 | Gross Amount Deduction Amount : Net Amount Amount in words Details of Previous Arrear Bills forthe same period (fang) co ‘BiiNe, €Dae Fare Memo Frou Fae Certificates : 1. Allrequired information including bank account detais in this bill has been checked and verified 2. Geritied that | nave Personaly Examined and satistied myself about the genuineness of claim that the pay and allowance of the employee(s) included in this pay bil are sity in accordance with rules and that the said employee(s) aro entitled to such pay and allowance 3. The calculation of Income Tax of all the incumbents (whose pays Grawn in this bil) has bean done, and dues have been deducted from ther salary. (if any) 4. The entry ofthis arrear has been made in service recorairelevant recoro(s) whose atrear drawn in this bill. (According GF&AR rule 186 & 187(2)) 5. Itis certify that Ihave carefully examined & verified the master data of the said claim. Enclosures (System generated/Scanned)” 1 2. _ Sign (With Seal)/e:Sign! Digital Sign of DDO Disclaimer: All contents related 10 this bill ae provided by Head of Office/1DO and helshe is solely responsible forit Group Name Print Date & Time: Enclosures marked () ave be pried inthe billas per selection Tom dropdowa rae according Wo the requirements defined under relevant res,GATE New Foon No. GAGS GFAR 189 Government of Rajasthan Rule 160 (1) _| || Reference No. DA Arrear Bill (Outer Sheet) Month/Year : | Datailed DA Arrear Bil of Permanent/Temporary establishment of (Office Name) Office 1D Bill No. Date DDO Code Name of DDO Object Head = ~~ | Budget Head: 0000-00-000-00-00 NPIP_ViG___Dammand No. "60 Pian | 0.00, Non Pig: 0.00 TAN Ne, To The Treasury Officer, (Concerning Treasury) Please Order to pay RS. ‘as per claim contained in this bill, Sign of Clerk Sign of JrACC/AAO-IL Sign (With Seal)! e-Sign! Digital Sign of DDO Certificates : 1. The Amount claimed in this bill has not been drawn eater. 2. It's further certified that | have personaly ensured cbservance of a formalities regarding necessary entries, 3. The Amount ofthis bil is win the limits of allotted budget tor the Year (Current Financie Year), 4. This bills drawn against the Sanctioned Post(s} ofthis Office. Sign (With Sealy/e-Signi Digital Sign of DDO_ ‘ilewances Daauction 1 “Treasury Voucher Allowance Name Payid Amount | Deduction Name Payid Amount | no Date For Treasury Use Pay Rs. (a words) (In Cash) (in words) By BT. Total Credit Rs. Auditor AAOMIIL ‘Treasury Officer For Accountant General Office a - ——————— | Admitied (RS.) Objected (RS.) Gross Amount Total Deduction Net Amount Auditor Supt Gaz. officer (In words) Disclaimer All contents related to this bill are provided by Head of Office/DDO and he’she is solely responsible for it. Group Name Print Date & Time‘Government of Rajasthan ‘New Form No, GA26 8 Reference No DA Arrear Bilt (Inner Sheet) Month/Year: Detaled DA Arrear Bil of Permaneni/Temporary establishment of: (Office Name) Office 1D Bill No. Dale DDO Code Name of DDO Object Head ‘Budget Head. 0000-00-000-00-00 NPIP_V/C Demand No. 00 Plan. 0.00 Non Plan: 0.00 TAN No, Sho [ GPFNo. Employer] Nominee Nane “| Mon | Pay Fay | Diernceor | Gross Fay] OWfeenceot | New Beto. | Name DateofDeth | "8 | Allowance } Allowance | Gross | Amoxmt Deduction | “Amountte. | Amount Sr loa No. | Designation | (ny where Year | “aiventy. | tobedrawn | amount so ‘obs | bedaducted | tobepad PaySeale | EmployeeID | Pamen made ‘fawn tecran deducted Dporade te Name) Pe amet Bank bieray Name of Branch I Accont No. i 2. L L | Gross Amount : Deduction Amount: Net Amount = Amount in words © Certificates : 1. Alleequire information including bark account details i this bill has bean checked an verified. 2. Certified that) have Personally Examined and satsfed mysell about the genuineness of caen thatthe pay and allowance ofthe employee(s) included ints Bi are sry in ‘ecordance wth rules and FD Circular No. (fom database) & Date rom database) and tat the salt employee(s) are enttld 1 such pay anv towance. 3, The entry of this arcear has been mace in relevant records whose arrear drawn in ths bil, (According GF&AR re 186 & 187(2)) 4 ite cory that |have carefully examined & verified the master data ofthe said claim. Enclosures (System generated/Seanned)* : 1 2 Sign (With Seal)/e-Sign/ Digital Sign of DDO_| Discialiner: All contents elaied to this bl are provided by Head of Office7DDO and helshe 1s solely responsible for it Group Name: Print Date & Time nsTosures marked (°) are to be printed in the bill as per elestion from dropdown menu according to ie requirements defined under relevant res,Gave Tew Forms No GASBC LOFAR 160 Government of Rajasthan Rule 150 (1) Reference No, ‘Surrender Bill (Outer Sheet) MonthiYear : Detailed Surrender Bil of Permenen/Temparary establisnment of (Office Name) Office 1D BIN. Date DDO Code Name of DDO Object Head Budget Head: 0000-00-000-00-D0 NPIP_ VIC ‘Demand No. 00 Pian : 6.00 Non Plan 0.00 TAN No. To The Treasury Officer, (Concerning Treasury) Please Order to pay Rs .. 88 per claim contained in this bill. Sign of Clerk Sign of Jr-AGCIAAO-HIl Sign With Seal)/ e-Sign/ Digital Sign of DDO Certificates = 4, The Amount claimed in this bill has not been drawn earlier. 2. Itis further certified that | have personally ensured observance of all formalities regarding necessary entries, 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year), 4. This bill is dravm against the Sanctioned Post(s) of this Office. Sign (With Seal)! e-Sign! Digital Sign of DDO ‘Allowances Deduction ‘Treasury Voucher Allowance Name Payid Amount | Deduction Name Payid — Amount | nyo, Date For Treasury Use PayRs. : (inwords) : (in Cash) (inwords) By B.T. Total Credit Re. Auditor AAO- Treasury Offcer For Accountant General Office wen Admitted (RS. Odjected (Rs. Gross Amount Total Deduction ) ected (RS) Net Amount : Auditor ‘Supa. Gaz. officer (In words) + ‘Disclaimer All contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible for it Group Name Print Date & Time[~ Government of Rajasthan New Fon No. GA36C Reference No, Surrender Bill (inner Sheet) Month/Year : | Detailed Surrender Bill of Permanent Temporary establishment of: (Office Name) Office 13 Bill NO. = Date ~ DDO Code Name of 0DO Object Head | Budget Head: 0000-00-000-00-00 NPIF_ VIC. Demand No 700 Plan: 0.00 Non Pian 0.00 TAN No, S.No. | GPFPRANNo. | Name = [Pay Allowance) Gress | (Pay Deduction} Sum OF [Net Total Date of Birth Designation Amount Deduetion Belt No. Employee 1D PAN No, Bank Ac. No. St Is. No. ‘Aadhar No, Pay Scale Sanction No/Date Basic Pay Grade Pay/DP T 2 c For the Financial Year of : Gross Amount | Deduction Amount : Net Amount : ‘Amount in words Certificates : 1. All required information including bank account details in this bill has been checked and verified, 2. Certified that | have Personally Examined and satisfied myself about the genuineness of claim that the pay and allowance of the employee(s) included in this bill are strictly in accordance with rules and that the said employee(s) are entitled to such pay and allowance. &, Encash of above leave has been entered in Service Book of employee(s) with RED Ink 4, tis certify that I have carefully examined & verified the master data of the said claim. Enclosures (System generated/Scannedy’ : 5 2 Sign (With Seal)/e-Sign/ Digital Sign of DDO. Disclatiner: All Contents related to this bill are provided by Head of Office/DDO end helshe is solely responsible Fort. GroupNane Print Date & Time _ "Enelasres mS Vane Be inn the Bias pr slelon fom apdown Wen acordng to the requirements deed under eleva le.GATE New Form No. GA 36D The Treasury Officer, (Concerning Treasury) Please Order to pay Rs. ‘as per claim contained in ths bill Sign of Clerk Certificates : 4. The Amount claimed in this bil has not been drawn earlier 2. Ilisfurther oettiied that (have personally ensured observance of all formalities regarding necessaty entries. 5, The Amount of this bill Is within the limits of aloted budget for the Year (Current Financia! Year). 4. This bil is drawn against the Sanctioned Post(s) of this Office. Sign of Jr-ACC/AAO-HIL GEAR 189 _ Government of Rajasthan Rule 150(1) |_ Reference No. Surrender Arrear Bill (Outer Sheet) Month/Year = Detailed Surrender Arrear Bill of Permanent/Temporary establishment of : [Office Name) ‘Office 1D Bill No. ate ~ DDO Code Name of DDO ‘Object Head | Budget Head: 0000-00-000-00-00 NPIP_ WiC Demiand No. : 00 Pian : 0.00 Non Pian : 0.00 — TAN No, To Sign (With Seal)/ e-Sign/ Digital Sign of DDO. Sign (With Sealy’ e-Sign’ Digital Sign of BDO Group Name Disclaimer All contents related to this bill are provided by Head of Office/DDO and heishe i Print Date & Time solely responsible fori. ‘Allowances Deduction reasury Voucher ‘Allowance Name Payid Amount | Deduction Name Payid Amount | jo Date : For Treasury Use PayRs.: (nwords) (in Cash) (in words) sys. Totat Credit Rs, Autor ARO-IM Treasury Officer ‘or Accountant Gener - ——— | admitted (RS. CObjected (RS. ‘Gross Amount : Total Deduction ieaiRS) sested (RS) Net Amount Auditor Supet. Gez, officer (In words)Government of Rajasthan New Fort No. GA 36 b Reference No. Surrender Arrear Bill (Inner Sheet) MonthiYear : Delailed Surrender Arrear Bill of Permanent/Temporary establishment of (Office Name) Office ID Bill No. Date ‘BDO Code Name of DDO Object Head | Budget Head: 0000-00-000-06-00 NPIP_ViC ‘Demand No. = 00 Pian, 0.00 Non Plan : 0.00 TAN No. SNe] GPF No. Employee | Nameof Bankr Pay Pay Difference of | Gross Pay] Pay Dilferenceo? | Ne Bano. | Name Nameof Branch’ | Allowance | Allowenee | Gross Amount | Amount | Deduction | Deduction | Amounttobe | Amount to Stas. No. | Designation | Account No already | tobedrawn | tobe drawn already | “tobe Geducted | bepaid PayScale | Employee ID ‘nwa deducted | deducted DpiGrade Pay Basie Pa I 2. Gross Amount Deduction Amount : _ Net Amount : ‘Amount in words Details of Previous Artear Bills forthe same period (any) = SNe. BilNe. & Date Ao Reason Certificates : 41, _Allrequired information inluding bank account details in this bil has been checked and verted, 2 Cortfied that! have Personally Examined and satisfied myself about the genuineness of cizim thal the pay and allowance of the employee(s) included in this ae siretly in accordance with rales and thatthe saic employee(s) are ented {0 Such pay ard allowance. 3. The entry of this arrear has been made In relevant record(s) whose arrear drawn i this bil, (According GF8AR rule 186 & 187(2). 4. itis certify that nave carofully examined & verified the master data of the said claim. Sign (With Seall/e-Sign/ Digital Sign of DDO Disclaimer: All contents related to this bill are provided by Head of Office/DDO and helshe is solely responsible for it Group Name Print Date & Time Enclosures marked () ave be printed in ie billae per selestion from dropdown mena according to tie equiremevs defined under relevant les. leGA7e New Form No GASGE | LSFAR 180 - Government of Rajasthan Rule 150(1) “ Reference No. Bonus Bill (Outer Sheet) Month/Year : Detailed Bonus Bill of Permanent/Temporary establishment of: (Office Name) Office 1D Date DDO Code Name of 000 ‘Object Head: Budget Head: 0000-00-000-00-00 NEIP_VIC__Demand No. 700° Plant 0.00 Noi Plan £0.00 TAN No. To The Treasury Officer, (Conceming Treasury) Please Order to pay Rs ‘a8 per claim contained in this bill. Sign of Clerk Sign of J ACC/AAO-IIt Sign (With Seal)i e-Sign’ Lo tal Sign of DDO Certificates 4. The Amount claimed in this bili has not been drawn earlier. 2. Its further certified that | have personally ensured observance of all formalities revarcing necessary entries 3. The Amount of this bill is within the limits of allotted budget for the Year (Cu:ent Financial Year). Sign (With Seal)/ e-Sign/ Digital Sign of DDO anes Bonus Treasury Voucher For Financial Year Allowances Deduction No. Date For Treasury Use Allowance Payid Amount |Deduction Payid Amount Name Name Pay Rs. (in words) : (In Gash) (in words) = By BL. ‘Totat Credit Rs. Auditor AAO-Uit Treasury Officer For Accountant General Office Gross Amount otal Dadustion Admitted (RS.) Objected (RS.) Net Amount (in words) Auditor Supa. Gaz. officer Group Name Disclaimer: Ail contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible for Print Date & Time AGovernment of Rajasthan Now Form No, GAS6E Reference No. Bonus Bill (Inner Sheet) MonthiYear : Detailed Bonus Bill of Permanent Temporary establishment of _(Oifice Nema) Office 1D Bill No. Dato DDO Code Name of DDO Object Head Budget Head: 0000-00-000-00-00 NPIP_VIC DemandNo.00 Pian 0.00 Non Pian: 0.00 TAN No, S.No. | GPF/PRANNo. [Name ~Pay Allowance [Gross Pay Sum of Net Amount Date of Birth | Designation Amount | Deductions | Deductions Belt No. Employee iD SINo. Bank Account No. PAN No. PayScale Basic Pay Grade Pay/DP 1 2. Gross Amount Dedvetion Anrount ‘Net Amount = ‘Amount in words Certificates : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the Bonus Bill of the employee(s) included in this bill are strictly in accordance with rules and FD circular no. (rom Oatebace)& date (from Database) and that the said employee(s) are entitled to such Bonus. It is further certified that | have personally ensured observance of all formalities regarding necessary entries. 2. All equited information including Bank Account Details in this bill has been checked and verified. 3. Itis certify that | have carefully examined & verified the master data of the said claim. Enclosures (System generated/Scanned)” : 1 2 Sign (With Sealy) e-Sign/ Digital Sign of DDO. Disclaimer All contents related 0 this bil are provided by Head of Office DDO and he/she Ts solely responsible For it Group Name Priat Date & Time: “Enclosures marked (*) are ta be printed in the bil as er election from dropdown menu according o the requirements defined unde Fea eS, IhTCAT6 Now Form No GA3S F GFAR 189 Government of Rajasthan Rule 10(1) Reference No. Leave Encashment Bill (Outer Sheet) Month/Year : Detailed Leave Encashment Gif of Permanent establishment of (Office Name) Oifce Bit No Date DDO Code Name of DOG Object Head ~~ ‘Budgei Head; 0600-00-000-00-09 NP/P_VIC Demand No. 00 Pian, 0.00 Non Pian 0.00 TAN No. To The Treasury Officer, (Conceming Treasury) {as per claim contained in this bil Please Order to pay RS. Sign of Clerk Sign of JrACCIAAO-II Sign (With Seal)! e-Signi | Digital Sign of DDO Certificates : 4. The Amount claimed in this bill has not been drawn earlier 2. itis further certified that | have personally ensured observance of all formalities regarding necessary entries Sign (With Seal)/ e-Sign ital Sign of DDO ‘Allowances Deduction ‘Treasury Voucher ‘Allowance Name Payid Amount | Deduction Name Payid Amount | yo Date: For Treasury Use PayRs. (inwords) = (InCash) = (In words) ByB.T. Total Credit Rs. Auditor AAOHI/ Treasury Officer For Accountent General Offi | =200ay re Admitted (RS. Objected (RS. Gross Amount = Total Deduction RS) ested (RS.) Net Amount: Auditor Supet Gaz. officer (In words) : Disclaimer: All contents related 0 this bill are provided by Head of Office/DDO and heishe is solely responsible for it Group Name _ Print Date & Time IGovernment of Rajasthan New Form No. GA 36 F Reference No. Leave Encashment Bill (inner Sheet) Month/Year : Detailed Leave Encashinent Bill of Permanent establishment of: _(Uitice Name) Office 1D Bill No. Date ‘DDO Code Name of DDO: ~ ‘Object Head Budget Head; 0000-00-000-00-00 NP/P_ iC Demand No. : 00 Plan: 0.00. Non Plan: 0.00, TAN No, SNo.| GPFNo. [Employee | Nomincc Name | No.of | Basic —Pay Gross ay Net Belt No. ‘Name Name of Bank/ leavesto | Pay Allowance-~ Amount Deduction-- Amount St. Ins. No. Designation | Name of Branch/ be PayScale | Employee ID | Account No. _| enchased Dp/Grede | Sanction (days) Pay No./Date 1 — Date of Retirement/Death : Payable on or after (date. .....) : (Tobe filed 6y D0) ‘Gross Amount Deduction Amount : Net Amount : ‘Amount in words: Certificates : 1. Certified that { have personally examined and satisfied myself about the genuineness of claim that the Leave Encashment Bill of the employee(s) included in this bill are strictly in accordance with rules and that the said employee(s) are entitled to such Leave Encashment Bill. It is further certified that | have personally ensured observance of all formalities regarding necessary entries in relevant record/ register(s)/ service book as the case may be, before presenting this claim. 2. Ail required information including Bank Account Details in this bill has been checked and venfied. 3. Itis certify that ! have carefully examined & verified the master data of the said claim. Enclosures (System generated/Scanneg)” + 1 2 Sign (With Seal)/ e-Sign/ Digital Sign of DDO Disclaimer All contants related to this bill are provided by Head of Office/DDO and he/she is solely responsible fort Group Name Print Date & Time “Enclosures marked (9) are1o be printed in the bill as per section from dropdown mena according to the requirements defined under elevant rules, MyGATE ~ New Form No GA36 © GEAR 189 Government of Rajasthan Rule 150(1) | Reference No. Leave Encashment Arrear Bill (Outer Sheet) MonthiYear : Detailed Leave Encashment Bill of Permanent establishment of : (Office Name) ‘Office ID. Bill No, Date DDO Code Name of DDO ~ Object Head Budget Haase 0000-00-000-66-00 NPIP_VI6 Demand No. 00 Pian: 0.60 Non Pian 0.00 ANNO. To ‘The Treasury Officer, (Concerning Treasury) Please Order to pay Rs. @s per claim contained in this bill Sign of Clerk ‘Sign of Jr.ACC/AAO-ANI Sign (With Seal)/ e-Sign/ - Digital Sign of DDO Certificates : 4. The Amount claimed in this bill has not been drawn earlier. 2. Itis further certified that | have personally ensured observance of all formalities regarding necessary entries. Sign (With Seal) c- Digital Sign of DDO. Allowances: T Deducti ‘Treasury Voucher Allowance Name Payid Amount | Deduction Name Payid Amount | yo bate: For Treasury Use PayRs.: (inwords) + {In Cash) {In words) > By BT. Total Credit RS. Auditor ABO Treasury Officer For Accountant Genera! Office Sr )are obo panied in he bill of respeive Pay Month only. Enclosures marked ("Yare tobe pated inthe bil as pr selection fom Gropdown een according to the requirements define under relevant ules, I[[ eave New Form No. GA 361. GFAR 189 Government of Rajasthan Rule 1501 Reference No. Salary Bill - Re-employment : Fix Pay (Outer Shee!) MonthiYear : Detailed Pay Bil of PormanentiTemporary establishment of: (Office Name) ‘Offce (0 Bil No Date DDO Gade Namie of DDO Object Head Budget Head: 0000-00-000-00-00 NP/P_ViC_ Demand No. ; 00 Plan : 0.00 Non Plan : 0.00 TAN No. 7 To The Treasury Officer, (Concerning Treasury) Please Order to pay Rs. as per claim contained in this bill Sign of Clerk Sign of Jr ACC/AAO-UIE Sign (With Seal) e-Sign! Digital Sign of DDO Certificates = 4, The Amount claimed in this bill has not been drawn earlier 2. Itis further certified that | have personally ensured observance of all formailies regarding necessary entries. 3. The Amount ofthis bil is within the limits of allotted budget for the Year (Current Financial Year), 4, This bill is drawn against the Sanctioned Post(s) ofthis Office. ‘Total Sanctioned Post - 00 (1) All India Service : 00 (2) State Service : 00 (3) Subordinate Service : 00 (4) Ministerial Service : 0D (5) Class 1V: 00 Sign (With Sealy’ e-Sign/ Digital Sign of DDO Allowances Deduction ‘Treasury Voucher Allowance Name Payid Amount | DeductionName Payid Amount | nyo Date For Treasury Use PayRs. : (in words) : (in Cash): (In words) ByB.T. Total Credit Rs. Auditor ‘AAO-I Treasury Officer For Accountant General Office Admitted (RS. Objecte (RS. Gross Amount Total Deduction ed (RS) Heatsa RS) Net Amount Auditor Supdt. Gaz. officer Disclaimer: Al! contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible fo it Group Name: Print Date & Time “aGovernment of Rajasthan New Form No. GA 36 | Reference No. Salary Bill - Re-employment : Fix Pay (Inner Sheet) Month/Year * Detailed Pay Bill of Permanent/Terporaty ettablshment of (Office Name) - Office 1D BillNo. Date DDO Code Name of DDS ‘Object Head” ‘BuGgor Head OOVU-00-000-00-00 NPP Vic Demag No. 00 Pian 0.00 Non Pian "0.00 TAN No SNo, [Date OfBith | Name — {Pay} Gross) {Pay Deduction} Sum OF | Net Total Belt No. Designation Amount Deduction PAN No. Nominee Name(s) Pay Scale Date of Death Grade Pay/DP | (ny wher Pormetis Bank Ac. No. Aadhar No. I 2 Gross Amount Deduction Amount : Net Amount ‘Amount in words : Certificates : 1. Corie thet have Personally Examined and satisfiad myself about the genuineness of claim that the payof the emplayea(s) included in his pay bill are strictly in accoroance with "es and thatthe said employee(s) are ened fo such pay 2. Mis carttea mat no superar service has been absent eter on othor duly or suspension or wth ar without leave (except on Casual Leave) dering the month af Fam database) NNole: When the Absentee Statement accompanies the bil, his certiieste shouldbe struck out 8, The calculation of Income Taxo ale meumbents (whase pays drawn in his bil) has been done, ang dues have bet deducted ftom the Salary. (This Gericate sheuls be pinto In salary Bil of pay month Februsry every yous)” 4. Income Tax Calculation statement received from employee ond kest in ofcerocord. (This Cortfcate le applicable in Salary bil of pay month Dec every year)® 5, _Allrequired information inducing Benk Account Detas in this bill has boon checked ane verified 8. iS cortty that have carefully examined & verified the master data or the said cia, Enclosures (System generated/Seanned)* 1 2 ‘Sign (With Seatyie-Sign/ Digital Sign of DDO) Disclaimer: All contents related t this bill are provided by Head of Office/DDO and he/she is solely responsible forit Group Name Prin Date & Time Certificates markad(*) ave to be printed in the bil of respective Pay Month only Enclosures marked (°) are o be printed inthe bl as per selection from dropdown menu according to the raqucements defined under relevant rules, No Allowances shouldbe given if employed on fix pay basis, 26GATE New Form No. GA36 J GFAR 198 _ Government of Rajasthan Rule 150 (1 Reference No. Salary Bill - Re-employment : Pay Minus Pension (Outer Sheet) ___MonthiYear: Delailed Pay Bill of Permanent/Temporary establishment of : (Office Name) Office 1D Bil No. Daté DDO Code. Namie of DDO Opject Head Budget Head: 0000-00-000-00-00 NPIP_ VIC Demanc No 00 19.08 "TAN No. To The Treasury Officer, (Concerning Treasury) Please Order to pay Rs. sous 85 per claim contained in this bill. Sign of Clerk Sign of J-ACCIAAO-II Sign (With Seal)/ e-Sigh! Digital Sign of DDO Certificates : 4. The Amount claimed in this bill has not been drawn earlier 2. itis further certified that ! have personally ensured observance ofall formalities regarding necessary entries. 3. The Amount of tis bill is within the limits of allotted budget for the Year (Current Financial Year). 4. This bill is drawn against the Sanctioned Post(s) ofthis Office. Total Sanctioned Post :00 (1) Al/lndia Service : 00 (2} State Service : 00 (3) Subordinate Service : 00 (4) Ministerial Service : 00 (5) Class IV : 00 Sign (With Sealy’ e-Sign/ __ ___ Digital Sign of DDO ‘Allowances Deduction ‘Treasury Voucher Allowance Name Payid Amount | DeductionName Payid Amount | iyo, Date: For Treasury Use PayRs. = (inwords) : (in Cash) (in words) By BT. Total Credit Rs. Auditor AAO-I Treasury Officer For Accountant Genera! Office ——— | Admitted (RS. Objected (RS. Gross Amount Total Deduction + Aamited RS) fected (RS) Net Amount it 7 Net Amou Auditor Supa Gaz. officer Disclaimer: Ail contents related to this bill are provided by Head of Office/DDO and he/she is soley responsible for it Group Name : Print Date & Time: atGovernment of Rajasthan New Form No. GA 36 J Reference No Salary Bill - Re-employment : Pay Minus Pension (Inner Sheet) _ Month/Year: Detailed Pay Bil of Permanen/Temporaiy establishment of: (Office Name) Office 1B BNO Date DDO Cade Namie oF DDO Object Head Budget Head: 0000-00-000-00-00 NFIP_V/E Demand No. 00 Pian 0.00 Non Pian 6.00 TAN No, SNo. | DateOfBih [Name —-{Pay Alfowance}-- | Gross | —{Pay Deduction} ‘Sum OF | Net Total Belt No. Designation Amount Deduction PAN No. Nominee Name(s) Pay Scale Date of Death Grade Pay/DP _| (tl wher Faroe PPO No® Bank Ae. No. Last Basio(DA® | a agner No. Pension/DR® T 2 Gross Amount Deduefion Amount : Net Amount: ‘Amount in words | _ = Certifients "Catia at have Personal Examined an stsfec mys about he genuineness of dain thatthe pay and alowance of he employe] incided in hs py bir sty 9 accordance with rules and that te sais employes(s) are ented to ouch pay ana sllowance 2. _Itiscertfed that no superior service has been absent either on other duty oF suspension of wth or without le ‘Note: When the Absentee Statement accompanies the bl, this ceticate should be siruck ou 3. The caleulason af Income Tar of al he incumbants (whose pays drawn i ts bil) hs been done, and dues have been deducted rom thee salary, (This Cotfcale shouldbe printed in salery bi of pay month February every year)” 4. Income Tax Calculation statement received from employee and kept in oftce record. (This Carticae is eppicabi in salary bil of pay month Dec every yeer\® 5. Allrequitod information including Bank Account Osta tis bill has baen checked and verfid, itis obrtify that | nave carefully examined & vetfed the master data of the said calm. -xcept on Casual Leave) during the month of fom database) Enclosures (System generatedScanned)® + 1 2 Sign (With Seal)/e-Sign’ Digital Sign of DDO) Disclaimer: All contents related to this bil re provided by Head of Oifice/DDO and helshe is solely responsible for it Group Name Print Date & Time : ‘Centos varied (*) are to be printed in the bi oF respective Pay Month only Enclosures marked (8) aro be pnted in the bill a per selection ftom dropdown menu accokding to the requirements defined under relevant rules Fields marked with (8) should be verfied from the website of Pension Department 22os New Form No. GA 36% GFAR 169 Government of Rajasthan Rule 1501) | | Reterence No. Pay/Honorarium Bill : Govt. Employee (Outer Sheet)____—_— Month/Year 1 Datailed Pay Bill of Permanent/Temporary establishment of: (Office Name) Office ID: Bill No. - Date: DOO Coda: Name of DDO ~~ Object Head I [Budget Head 0000-00-000:00.05 NPI “‘DemindNo.06 "Pian: 0.00 No Plan: 0.00, TANNO: To The Treasury Officer, (Conceming Treasury) Please Order to pay Rs. 235 per clalin contained in ths bill Sign of Clerk Sign of Jr-ACCIAAO-INI Sign (With Seal)! e-Sign/ Digital Sign of DDO Cerlificates ¢ 1. The Amount claimed in this bil has not been érawm earlier. 2. itis further certified that | have personally ensured observance of ail formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year). ‘4. This bill is drawn against the Sanctioned Posts) of this Office. Sign (With Seal) e-Sign! Digital Sign of DDO Allowances Deduction Treasury Voucher ~ Allowance Name Payid Amount | Deduction Name Payid Amount | no, Date For Treasury Use PayRs. = On words) : {la cashy : (in words) ay Bx Total Credit Rs. Auditor AAO-WIE Treasury Officer For Accountant General Office — | Admitted (RS.) Gross Amount : Total Deduction m RS) Objected (RS) NetAmount 1 Gaz in words) Auditor ‘Supdft. Gaz, officer Disclaimer: All contents refated to this biti are provided by Head of Office'DDO and he! she is solely responsible for it, | Group Name Print Date & Time _| 23Government of Rajasthan New Form No. GA36 K Reference No. Pay/tonorarium Bill : Govt. Employee (Inner Sheet) MonthiYear : Detailed Pay Bill of Pormanent Temporary establishment of: (Office Name) ‘Office iD \BHINo. Dae DDO Code Naive of DDO Sbject Head = ‘Budget Head: 0000-00-000-00-00 NP/P_ VIC Demand No, : 00 Plan: 6.00 Non Plan : 0.00 TAN No, SNo. | GPF/PRAN No, | Name =={Pay Allowance} | Gross |-—-{PayDeduction}— | Sum Of | Net Total Date OfBirth — | Designation Amount Deduction Belt No. EmployeelD PAN No. Nominee Name(s) St Ins. No. Date of Death Cnty where Payne Pay Seale ttt Noa) Grade PayDP | Bory ac No. Basic Pay Aadhar No. _ I 2 __ | Gross Amount: Deduction Amount : Net Amount : ‘Amount in words Certificates = 1. Cenifed that t nave Perscnally Examined and catstied m with rules and thatthe sab employea(e) are entitled to such honorarium, ‘The avn for whom Ronerarumn fo overtime s Calmed in fis bik have acually earned by werking overtime, ‘The peroas fr whieh nonrarum for over me i claimed oti bi hae been checkad withthe Pita records and foun eocret. ‘The honorarium for evertine is claimed atthe ratoe sanctioned by competent authorty. “The honorarium for overtime Fas beon taken info account io calculatng the Income tx due from the Government servants ected in this Bl ‘Al required ifermation including Bank Account Detals in his il has been checked and verified itis certy that | have carefully examined & verified the master data of the sai claim. ‘Baclosures (System generated/Scanned)* = 1 2. Disclaimer: All contents related to this bil are provided by Head of Office/DDO and he/she is solely sesponsibie Fort, Group Name : Print Date & Time: “Enclosures marked (jaro be prinied i the bill as per Selection fom Gropown menu according to the requirements Gefioad under relevant yell about dhe genuineness of claim that the honorarium of the employee(s) included in his bil re sity in accordance Sign (With Seal)/e-Sign/ Digita! Sign of DDO) _ 1 2yCATS New Form No. GAS6L GEAR 169 Government of Rajasthan Rule 150.1) Reference No. Pay/Honorarium Bil: Nominated Members/Authority (Outer Sheet) Month/Year : Datailed Pay Bill of Permanent Temporary establishment of: _(Oifice Name) Office ID Bill No. : Date DDO Code Name of DDO ‘Object Head Budget Head. 0000-00-000-00-00 NP/P_ VIC Demand No. = 00 Plan : 0.00 Non Pian : 0.00. TAN No. To The Treasury Officer, (Concerning Treasury) Please Order to pay Rs. 1. a8 per claim contained in this bill. Sign of Clerk. Sign of Jr.ACCIAAOAIL Sign (With Seal)/ e-Sign! Digital Sign of DDO Certificates : 1, The Amount claimed in this bill has not been drawn eater. 2. itis further cortied that | have personally ensured observance of all formalities regarding necessary entries. 3. The Amount of ths bill is within the limits of allotted budget for the Year (Current Financial Year) 4. This bil is drawn against the Sanctioned Pastis} of this Office. Sign (With Seal) o-Sign’ Digital Sign of DDO Allowances: Deduction _ ‘Treasury Voucher Allowance Name Payld Amount | DeductionName Payid Amount | xo Date For Treasury Use PayRs. : (in words) : (in Cash) (in words) By BT. Total Credit Rs. Auditor AOA Treasury Officer For Accountant General Office Admitted (RS) Objected (RS) Gross Amount Total Deduction : Auditor Supdt. Gaz. officer Disclaimer All contents relate to this bil ae provided by Head of Office/DDO and he! she is soley responsible for it Group Name Print Date & Time1 2 2 Disclaimer: All contents related to this bill are provided by Head oF Office/DDO and helshe is solely responsible for ie ‘Government of Rajasthan ‘New Form No, GA G6 L Reference No. PayiHonorarium Bill : Nominated Members/Authority (Inner Sheet) _ Month/Year : Detailed Pay Bill of PermanenUTemporary establishment of; (Oftice Name) Office ID [BAINo- = Date: DDO Code Name of DDO Object Head | Budget Head: 0000-90-000-00-00 NPIP_ VIC Demand No. : 00 Plan: 0.00 Non Plan : 0.00 TAN No. SNo. [Date Of Birth | Name ~={Pay Allowance)— | Gross |—-{PayDeduction}— | SumOf | Net Total PAN No. Designation Amount Deduction Pay Scale Nominee Name(s) Grade Pay Date of Death (coty where Payments ‘Bide to Note) Bank Ac. No. Aadhar No. 7 A 2. Gross Amount : Deduction Amount : Net Amount Amount in words : Certificates : ‘Cerifies that have Pessonaly Examined and sated myself ances the genuineness of clakn that the pay! honorarium ofthe employee(s) inched inthis bil are sbictly in ‘scvordance wit nes and that Die said employees} are ented to such pay! honorarium. |X certied that no superior servos has been absent elter on other duty oF suspension or with or wiheut leave (except on Casual Leave) during Lie month of (bom database) Note: When the Abeantoe Statoment accompanies the bil, this carficata should be stuck OU 18s Genser that ro person fr whom House Rent Alonarice has Deeh Grew hs bil has been n occupation of ent Fee Government Quarts during the paid for which the allowance hes been sravnt “he Cleat of ncome Tax ofa the incumbents (whose pay draum in this bil) has boen done, and ces nave been deduced fom the salary. (Ths Cerda shoul be pited ‘n solry bil of pay mont February every year}* Income Tax Calvan slalement coh fom employee and keptin ofc rece. (This Certircae i apc in salary bit of ey month Dec every yea)” ‘Al teqied nermaton ncuang Bank Accourt Deas nfs BM has Desh checked and vrifed {Rie cent that have carefuly examined &verfied the master data ofthe said calm -nclosures (System generated/Scannedy* : i Sign (With Seal)e-Sign/ Digital Sign of DDO) Group Name Print Date & Time 2¢New Form No, GA 36M Government of Rajasthan. . Rule 194 | [Reference No. Medical Bill(Outer Sheet) Month/Year: Detailed Medical Bil of = (Office Name) Office ID Bil No. Date: DDO Gods: Name of DDO J-—— Object Head Budget Head: 0000-00-000-00-00 NPIP_VIC Demand No. 00 Pian: 0.00 Non Pian : 0,00 TAN No. To The Treasury Officer, (Conceming Treasury) Please Order to pay Rs. as perclaim contained in this bill Sign of Clerk Sign of JrACCIAAO-I Sign (With Sealy e-Sign/ Digital Sign of DDO Certificates : 4. The Amount claimed in this bill has not been drawnearlier. 2. Itis further certified that! have personally ensured observance of all formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Curent Financial Year) Sign (With Seal)/ e-Sign Digital Sign of DDO Counter Signatu ‘Treasury Voucher Passed for Rs. No. _ Date ‘Amount in words For Treasury tise Pay Rs. (in words): Sign (With Sealyfe-Sign! Digital Sign of Controlling Officer For Accountant General Office Admitted (RS.) Objected (RS.) T Offi ‘Auditor supe Gaz officer Auditor AAO-MI reasury Officer Disclaimer: Ail conjents related to this bill are provided by Head of Office/DDO and helshe is solely responsible for it Group Name Print Date & Time: 2?Government of Rajasthan ‘New Form No. GA 36 tt Medical Bill (Inner Sheet} Month/Year : [Detailed Medical Bil of: (Office Name) Office 1D =” DDO Code: "Name of 000 ‘Object Head Budget Head 0060-00.000-00-00 NEP” VIC DemandWo 00 Plan: 0.00 Non Pian :0.00 _TANNo. ‘SNe. | Employee Name ‘Name ofBank’ | Basie | FromDate | to Date Claim Details Toul | Remark Employee 1D Name of Pay Amount Nominee Name(s) | Branch Date of Death Bank Account (ont where Payment is) No. ‘nade 0 Nominee) L Designation - + Saf [Dependent Name (Relation) i [7 Amouni is) “Amount (Rs) T 1. I _ “5 | - . i 1 Total Amount : Amount in words | Certificates : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the Medical Bill reimbursement of the employee(s) included in this bill are strictly in accordance with sules and medicines, vaccines, syrup etc. are not included in Non~ Reimbursement List of Rajasthan Civit Services (Medical attendant) Rules and that the said employee(s) are entitled to such Medical Bilf reimbursement, It is further certified that | have personally ensured observance of all formalities regarding necessary entries. 2. All required information including Bank Account Details in this bill has been checked and verified. 3. Allenclosed vouchers has been discharged and if there is any case of double payment, | will be responsible for it. 4. itis certified that ernployee(s) included in this medical bill are not appointed on or after 01.01.2004. 5. Itis certified that declaration of Dependents has been obtained in the month of January and kept in Office Records. 6. It is certify that | have carefully examined & verified the master data of the said claim. nslasures Sytem generate Scanned): 2 Sign (With Seal e-Sign/ Digital Sign of DDO | ‘Disclaimer: Ail contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible for it Group Name, Print Date & Time + Enclosures marked Carew be pried in the bills pe selection om Gigpdowa mone according (0 the requirements defined wader relevant ralesNew Form No. GA SBN —= No. Government of Rajasthan Rule 191 = Medical-Advance BillOuter Sheet) MonthiVear: Detailed Medical Bil of : (Office Name) Office 1D : Bill No. Date DDO Cods: Name of DDO ‘Oblect Head ‘Budget Head: 0000-00-000-00.00 NPIP_ Vi Demand N Plan 0.00 Non Plan: 0.00 TAN No. To ‘The Treasury Officer, (Concerning Treasury) Please Order to pay R8....00. con eee ‘as perciaim contained in this bil Sign of Clerk Sign of Jr.ACC/AAO-H Sign (With Seal) e-Sign/ Certificates: 1. The Amount claimed in this bill has not been drawneariier. 2. Itis further cestified that! have personally ensured observance of all formalities regal 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year). g necessary entries. Sign (With Seal)! e-Sign! Digital Sign of DDO Counter Signature Passed for Rs No, Amount in words Pay Rs. (inwords) = Sign (With Seali/e-Sige’ Digital Sign of Controlling Officer For Accountant General Offic Admitted (RS) Objectod (RS.) fs Auditor Supet. Gaz. offer Autor mort Treasury Voucher Date : For Treasury Use Treasury Officer Disclaimer: AU contents refated to this bill are provided by Head of Office/DDO and helshe is solely responsible for it. Group Name : Print Date & Time : 29: ‘Government of Rajasthan New Form No. GA 36 N Reference Na. Medical-Advance Bill (Inner Sheet) Month/Year Detailed Medical Bil of: (Office Name) Office ID BiiNOT ~~ Daie DDO Code: Name of DDO: ‘Ohject Head: ~ Budget Head: 0000-00-000-00-00 NP/P” VIC “Demand No. 00 Pian: 0.00 Non Pian 0.00 TAN No. ¥ SNo. | Employee Name! ‘Name of Bank’ Name | BasiePay | SanctioaNo/ Date oF | Total Amount Remark Third Party of Branch Date Operation /Treaumst Employee ID Bank Account No. Designation t i. | ; ; Total Amount : - Amount in words : Certificates + 4. Certified that | have personally examined and satisfied myself about the genuineness of claim that the Medical-Advance Bil! of the employee(s) included in this bill are strictly in accordance with rules and that the said employee(s) are entitled to such Medical- ‘Advance Bil. Its further certified that ! have personally ensured observance of all formalities regarding necessary entries. ‘All required information including Bank Account Details in this bill has been checked and verified. itis cerlfied that employee(s) included in this medical bill are not appointed on or after 01.01.2004, Itis certified that declaration of Dependents has been obtained in the month of January and kept in Office Records. 3. It is certify that | have carefully examined & verified the master data of the said claim. eRor ‘nclosures (System generated/Seanned)* : 1 2 _ Sign (With Seal)/ e-Sign/ Digital Sign of DDO ‘Disclaimers All contents related to this bil are provided by Hlead of Office/DDO and helshe is solely responsible for i. Group Name. Print Date & Time “Enelorures marked () are tobe printed inthe bil as per seleclon from dropdowa: menu sccording to the requirements defined wider evant wales, [Note: Coluran Marked with (*) should be checked! and verified in case of double payment,Government of Rajasthan ‘New Form No, GA 360 Reference No. Medical-Advance Adjustment Bill (Inner Sheet) Month/Year | Détaied Medical Bil of (Office Namey Office 1D Bil No. Date DDO Code: Name of DDO Object Head Budget Head: 0000-00-000-00-00 NPIP_ViG Demand No. :00 Pian: 0.00 Non Plan :0.00___TAN No. SINo. | Employee Name ‘Name of Bank’ | Basie | FromDate | ToDate Claim Details Total | Remark Employee ID Name of Pay Aniouat Nominee Name(s) | Branch Date of Death Bank Account (cnt where Paymenis | No. made 19 Nominee) Designation Self Dependent Name (Relation) ‘Arsount (Rs) Amount (Rs) i. L = : Total Less: Advance (if any) wide Sanctioned Bili No... & Date... 7 _ Less: Amount deposited by Challan wide GRN No. & Date (if any) Net Payable Amount ‘Total Amount : ‘Amount in words = J Certificates : v 1. Cotified that | have personally examined and satisfied mysetf about the genuineness of claim thet the Medical Bil reimbursement of the employee(s) included in this bill are strictly in accordance with rules and medicines, vaccines, syrup etc. are not included in Non-Reimbursement List of Rejasthan Civil Services (Medical attendant) Rules and that the said employee(s) are entitled f9 such Medical Bil reimbursement. It is further certified that | have personally ensured observance of al formalities regarding necessary entries Al required information including Bank Account Details inthis bill has been checked ane verified All enciosed vouchers has been discharged and if there is any case of double payment, | will be responsible fori. itis certified that employee(s) included in this medical bill are not appointed on or after 01.04.2004, Itis certified that declaration of Dependents has been obtained in the month of January and kept in Office Records. 6. itis certify that { have carefully examined & verified the master data of the said claim. Enclosures (System generated/Scanned)* : i 2. Sign (With Seai)/ e-Sign/ Digital Sign of DDO. Disclaimer: All contents related to this bil are provided by Head of Office/DDO and be/she is solely responsible fori. Group Name : Print Date & Time : “Enclosures maiked (") are to be printed in the Bill as per selection from Gropdown menu according fo the requirements defined under relevant rules 3r - New Form No GA36O] » Government of Rajasthan Role 191 Reference No. Medical- Advance Adjustment Bill (Outer Sheet) Month/Year : 1 [Detailed Medical Bill of (Office Name} Office 1D Bini No. = Date: DBS Code: Name of DDO Budget Head: 0000-00-000-00-00 NPP VIC Demand No. :00 Pian:0.00 Non Plan: 0.00 TAN No. To ‘The Treasury Officer, (Cancerning Treasury) Please Order to pay Rs. ‘as perciaim contained in this bill Sign of Glock Sign of JrACCIAAO-IM Sign (With Seal) e-Bign/ Digital Sign of DDO Certificates : 4. The Amount claimed in this bill has not been drawnearlier. 2. tis further certified thatl have personally ensured observance of all formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financ! Year) Sign (With Seal)/ e-Sign/ Digital Sign of BOG _| Counter Signature roa cher Passed for Rs. : No. - Date: Amount in words For Treasury Use Pay Rs. (in words) Sign (With Seal)le-Siga/ Digital Sign of Controlling Officer For Accountant General Office Aamitted (RS.) Objected (RS.) ‘nadir supa ‘ean ofoer Acditor AAO. Treasury Officer Digelaimer: Ailecanteis elated this bil are provided by Head of Office/DDO and belshe is solely responsible ori. Group Name : Pat Date & Time BrT BAGELS | -SFAR 181 & 204 Goverment of Rajasthan Now Form No. GA 65 Rule 189 (1)8 203 (10) Reference No. TA Bill (Outer Sheet) Month/Year : Detaled TA Bll of: (Office Name) ‘Office 1D : Bill No. = Date: DDO Code: Name of DDO = Object Head ‘Budget Head: 0000-00-000-00-00 NPIP_ViG Demand No. :00 Pian: 0.00 Non Pian: 0.00 TANNO. = To The Treasury Officer, (Concerning Treasury) Please Order to pay RS. as perclaim contained in this bill. Sign of Clerk Sign of Jr.ACCIAAO-IM Sign (With Seal)/ e-Sign/ Certificates = 1. The Amount claimed in this bill has not been drawnearlier. Digital Sign of DDO 2. Itis further certified that! have personally ensured observance of all formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year). Sign (With Seal)! e-Sign! ~. Digital Sign of DDO Counter Signature ‘Treasury Voucher Passed for Rs. No. Date Amount in words For Treasury Use Pay Rs. (In words) : For Admitted (RS.) Objected (RS.) ‘Auditor Supdt. Gaz. officer Auditor AAO-IIL Treasury Officer Disclaimer: All contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible for it Group Name_ Print Date & Time 33Government of Rajasthan New Fonn No, GA 65 Fibference No. TA Bill (Inner Sheet) Month/Year : Dataied TABI of, (Office Name) Office 1D [BiINe: Date DDO Code: Name of DDO ‘Object Head Budget Head: 0000-00-000-00-00 NP/P_V/C Demand No. :00. Pian : 0.00 Non Pian : 0.00 TAN No. SNo. [Employee Name | Basic Details OF Travelling? | Name of Bank/ Gross | Remarks Designation Pay Name of Branch Amount EmployeeID Bank Account No. ‘Nominee Name(s) Date of Death (only hee Paynent it smi to Nomis Beane ‘rival ‘Date [Time | Place [Date | Time | Place | 1 z (LL C Total Amount : Amount in words = Certificates : 1. Certifed that | have personally examined and satisfied myself about the genuineness of claim that the TA Bill Claim of the employee's) included in tis bil are strc in accordance with rules and that the said employee(s) are entited to such TA Bil It is further certified that | have personally ensured observance ofall formaiies regarding necessary ents. 2. Corte thatthe Traveling Certificate has been actualy submitted by the concerning employee(s) and the claim of this bill has not been eatlor drawn, 3. Gortfiad that the Halting Allowances Certiicates has been obtained by the employee(s) 4. All required information including Bank Account Details in ths bill has been checked and verifiod is certify that I have carefully examined & verified the master data and all entries on the system of the said claim. Enclosures (System generated'Scanned) 1 2 Sign (With Seal}! e-Sign/ Digita! Sign of DDO Disclaimer: All contents related to this bill are provided by Head of Office/DDO and he/she is solély responsible for it ~ Group Name: Print Date & Time Enclosures marked (4) ae to be printed in the bill as per selection from dropdown menu according tothe roquirements defined under relevant rules, ‘Note:Column mariced with (# should be chesked (ride) for entering the duplicate values (data) ofthe travelling details. 34m arat ACaT aft fore Fes aT ear aTTeT ER | aa SHER RRR ea | eae a aa S| ee See | aga / FI/FI wengrt or ‘ane ara & Fay A aet/ WaT wee Rater war Aterrer herr aA Eu Aa | ifhettiet | Ree | aguitionene | ghibchdeey | eA ‘wears | Peas | were | were | Peat | Bae fewe BAe wan | at a1/2[af4[s5/6 7 8 @ Zr) i 12 13 14 Rarer Tee ao) iMediver a) war amar agit Tet A ver mer co ufeadgerarr 15 16 a7 I 18 19 20 21 r | ‘Benitaren /% ERAT — 1 saber eusraitivenr aon Haegn oh tenga heeReTTeT TENA 2. Tahir Prarrentaetant wi sa saan S feaieratedstiearrnareraeae, Aare wy S fafaetien) 23. Meret rarcaefeh eroreser ar enter Prova ay ie Basar srg | 4 Fae Ah 7 ara St Bforeatfery seerferaroreert | 8, wafer Fa ara Fer Pe—t971 S waUP S orPATRE OER PION Brat weaiat F ferawitfsd — 1, daftremrrantrctice & fey Bae a. “ 2. ae a 3. HREM a a arr Ts, aeneneerraretfae ea FETT ah Be WRratyrens ae & Bt WATE RTER wr we (area H, seoninsnennanens) FA ATAPI |GAS45 ‘New Form No, GA 65 Genre 181 & 204 Government of Rajasthan Rate 189 (1)& 203 (10) Reference No. TA-Advance Bill (Quter Sheet) Month/Year : Deialled TA Bil of: (Office Name) Office 1D BillNo.: Date DDO Code: Name of DDO: ‘Object Head: Budget Head 0000-00-000-00-00 NPP VIC Damand No.-00 Plan : 0.00 ‘Non Plan: 0.00 TAN No. To The Treasury Officer, (Concerning Treasury) Please Order to pay Rs...... «uss. 88 perclaim contained in this bill, Sign of Clerk Sign of Jr.AGCIAAO-I/ll Sign (With Seal) e-Sign/ Digital Sign of DDO Certificates : : 4. The Amount claimed in this bill has not been drawnearlier. 2. Itis further certified that! have personally ensured observance of all formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Yeer). Sign (With Seal)/ e-Sign! Digital Sign of DDO ‘ounter Signature Treasu cher Passed for Rs. No. Date: ‘Amount in words, For Treasury Use PayRs. (in words) Sign (With Seal/e-Sign! _ Digital Sign of Controlling Officer For Accountant General Offi Admitted (RS.) Objected (RS.) Auditor Supdt Gaz. officer Auditor AAO-II Treasury Officer ‘Disclaimer: All contents related to this bill are provided by Head of Office!DDO and he/she is solely responsible for it Group Name Print Date & Time :Government of Rajasthan Now Form No, GAGEA Reference No TA-Advance Bill (Inner Sheet) Month/Year : Detailed TABI of: (Office Name) Gfice 107 _ BING. Date DDO Code: Name of DDO Object Head = ‘Budget Head: 0000-00-000-00-00 NP/P” VIC Demand No. :00 _ Pian = 0.00 Non Pian : 0.00 TAN No. SNo. [Employee Name | Basic Pay | Sanction NoJ | From Date* | To Date* | Name of Bank/ | Gross Amount | Remarks Designation Date ‘Name of Branch Employee ID Bank Account Nominee Name(s) No. Date of Death (oly where Paymct i ade to Nomine) 4 [ | Total Amount : - ‘Amount in words : _ Certificates : 1. Cerified that | have personally examined and satisfied myself ebout the genuineness of claim that the TA-Advance Bill Claim of the employee(s) included in this bill are strictly in accordance with rules and that the said employee(s) are entitled to such TA- Advance Bill tis further certified that | have personally ensured observance of al formalities regarding necessary entries. 2. All required information including Bank Account Details in this bit! has been checked and verified. 3. itis certify that ! have carefully examined & verified the master data of the said claim. Enclosures (System generated/Scannedy? : L 2 ‘Sign (With Seal)/ e-Sign/ Digital Sign of DDO Disclaimer: All contents related to this bill are provided By Head of Oifice/DDO aad helahe is solely responsible for it Group Name: Print Date & Time Enclosures mniked (7 to be rnd inthe Ulla pe election fom dropdown maw aecording to the equireents Ulined under eleva wale "Note: Columa Marked with (should be checked an verified in cae of double payment yGA985 Naw Form No. GAGS 5 | FAR 181 & 204 Government of Rajasthan Rule 189 (1)& 203 (10) Reference No. TA- Advance Adjustment Bill(Outer Sheet) ‘Month/Year : Detailed TA Bill of: (Office Namo) Office 1D | BillNo. Date “DDO Code: Name of DDO Object Head = | Budgei Head: 0000-00-000-00-00 NPIP_VIC_Demand No. 00 Plan 20.00 Non Pian : 0.00 TAN No. To Sign of Clerk | Certificates = ‘The Treasury Officer, (Conceming Treasury) Please Order to pay Rs. sos 88 perciaim contained in this bill Sign of Jr.ACCIAAO-HIL Sign (With Seal)! e-Sign! 1. The Amount claimed in this bill has not been drawnearlier. 2. Itis further certified that! have personally ensured observance of ail formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year). Digital Sign of DDO Sign (With Seal)! e-Sign! Digital Sign of DDO Passed for Rs. Amount in words Admitted (RS.) Auditor Counter Signature No. Pay Rs. (in words) Sign (With Sealj/e-Sign/ Digital Sign of Controlling Officer For Accountant General Office Objected (RS.) Supat Gaz. officer Auditor Treasury Voucher Date For Treasury Use AAO-IL ‘Treasury Officer Disclaimer: All contenis related to this bill are provided by Head of Office/DDO and beishe is solely responsible for it. Group Name: Print Date & Time 3m‘Government of Rajasthan ‘New Form No. GA 658 Réierence No. TA-Advance Adjustment Bill (Inner Sheet) Month/Year : Detailed TABill of: (Office Name) Office 1D = Bill No. ‘Date = ‘B00 Code: Name of DDO = Object Head : Budget Head: 0000-00-000-00-00 NP/P_V/C Demand No. :00 Plan : 0.00 Nor Plan : 0.00 TAN No. : ‘S.No. |EmployeeName | Basic Details Of Travellings Name of Bank! Gross Remarks Designation Pay Name of Branch Amount Employee ID Bank Account No. ‘Nominee Name(s) Date of Death (only where Payment Sando to Nowa) Departare ‘Aad (Date tine [oe [Date Tine [Place | 1 Total Less: Advance (if any) wide Sanctioned Bill No..... & Date... Less: Amount deposited by Challan wide GRN No. & Date (if any) Net Payable Amount Total Amount: ‘Amount in words : Certificates 4. Cortified that | have personally examined and satisfied myself about the genuineness of claim that the TA Bill Claim of the employee(s) included in this bil are strictly in accordance with rules and that the said employee(s) are entitled to such TA Bill. I is further certified that | have personally ensured observance of all ‘ormaltios regarding necessary entries, 5. Certified that the Travelling Certificate has been actually submitted by the conceming employee(s) and the claim of this bill has not been earrler drawn, 8. Certified that the Halting Allowances Certificates has been obtained by the employee(s). 7 8 Al required information including Bank Account Detais in this bill has been checked and verified. Itis certify that | have carefully examined & verified the master data and all entries on the system of the said claim. Enclosures (System generated/Seannedy? : L 2. Sign (With Seal)/ e-Sign! Digital Sign of DDO Disclaimer: All conteais related to this bill ae provided by Head of Office/DDO and he/she is solely responsible for it Group Name : Print Date && Time : ‘Enclosures marked (") are to be printed in the bill as per Selection from éropdown menu according tothe requirements defined under relevant rules. ‘Note:Columan marked with (#) should be checked (ride) for entering the duplicate values (Gata) of the travelling details 37GASTIER ‘Now Form No. GAGS GFAR 181 & 204 Government of Rajasthan Rule 206 Reference No. LTC Bill (Outer Sheet) Month/Year : Detailed LTC Bill of: (Ofice Name) Office ID Bill No Date — DDO Code: Name of DDO ~__ Object Head Budget Head’ 0000-00-000-00-00 NP/P_WIC Demand No. :00 Plan : 0.00, Non Pian : 0.00, TAN No. To The Treasury Officer, (Concerning Treasury) Please Order to pay RS..c.0. vee -reseee 48 perclaim contained in this bill, Sign of Clerk ign of J-ACCIAAO-I Sign (With Sealy/ e-Sign/ Cerlificates : 1. The Amount claimed in this bill has not been drawnearlier. 2. Itis further certified that! have personally ensured observance of all formalities regerding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Curent Financial Year) Sign (With Seal)/ ¢-Sign’ Digital Sign of DDO ‘Counter Signature ‘Treasury Vo Passed for Rs. No. Date ‘Amount in words. For Treasury Use Pay Rs. (in words): Sign (With Seal)/e-Sign Digital Sign of Controliing Officer Admitted (RS.) Objected (RS.) Auditor Supdt. Gaz. officer Auditor AAO-UIl Treasury Officer Disclaimer: Alt contents related to this bill are provided by Head of Office/DDO aud ht/she is solely responsible fort! Group Name Print Date & Time: 4Government of Rajasthan New Form No. GA 65 Reference No. LTC Bill (Inner Sheet) Month/Year : Detailed LTC Bil of (Office Nama) Office 1B ~ BilINo. Date DDO Code: Name of DDO Object Head “Budget Head: 0000-00-000-00-00 NP/P_V/C Demand No. :00 Pian £0.00 Non Pian : 0.00 TAN No. : SNe | NaneiNomines Dati of family Details OF Travelling Modeof | Cwiegony/ Tek Amount Naets) mezubers for who Travel No(s) Datcof Death LTC Sanctioned (ealy wierePaymentis | Name ‘made tNominee) | Age GPF No, Relationship Basic Pay Bank Account No. — Departire Asta ‘[Hiace [Bute] Tine | Face [bate [Time] [~~ 1. CTT TT CLT TT Total — ‘Less: Advance (if any) wide Sanctioned Bill No. . Less: Amount deposited by Challan wide GRN No. & Date (if any) ‘Net Payable Amount Total Amount : ‘Amount in words: — Certificates : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the LTC Bill Claim of the employee(s} inciuded in this bili are strictly in accordance with rules and that the said employee(s) are entitied to such LTC Bill. It is further certified that | have personally ensured observance of all formalities regarding necessary entries. Certified that the Travelling Cerificate has been actually submitted by the concerning employee(s) and the claim of this bil has not been earlier drawn. 3. All required information including Bank Account Details in this bill has been checked and verified. 4. Its certify that | have carefully examined & verified the master data of the said claim. 2. Bnclosures (System generated/Scamned)* : 1 2 ‘Sign (With Seal)’ e-Sign! Digital Sign of DDO. Disclaimer: All contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible for it Group Name Print Date & Time:CARDS GEAR 181 8 204 Government of Rajasthan Tew Form No. GAGSD Rule 205 Reference No. LTC Bill-Advance (Outer Sheet) Month/Year: Detailed LTC Advance Bill of: (Office Name) Office 1D Bill No, Date DDO Code: Name of DDO ‘Object Head ~ - Budget Head: 0000-00-000-00-00 NPIP_ViC_Demand No. .00 Plan = 0.00 Non Pian 0,00 TAN No. To ‘The Treasury Officer, (Concerning Treasury) Please Order to pay Rs. ‘as perclaim contained in this bill Sign of Clerk ‘Sign of Jr ACC/AAO«IiIl Sign (With Seal)! e-Sign! Certificates = 1. The Amount claimed in this bill has not been drawnearlier. 2. Itis further certified that! have personally ensured observance of all formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Curent Financial Year), Sign (With Sealy/ e-Sign! Digital Sign of DDO Counter Signat Passed for Rs. No. “Amount in words Pay Rs. (in words) = Sign (With Seal)ie-Sign’ Digital Sign of Controlling Officer For Accountant General Office Acmitted (RS.) Objected (RS.) Auditor Supt Gaz. officer Auditor ‘Treasury Voucher Date For Treasury Use AAO-WIL ‘Treasury Officer Disclaimer All contents related to this bitl are provided by Head of Office/DDO and he'she is solely responsible for it Group Name Print Date & Time. GeGovernment of Rajasthan ‘New Fann No. GA65 D Reference No. LTC Bill-Advance (Inner Sheet) Month/Year : Belaled LTC Aavance Bil af: (Office Nama) Office 10 Bill No. Dato: DDO Code: Name of DDO ‘Object Head ‘Budget Head: 0000-00-000-00-00 NP/P_V/C_ Demand No. 00Pian : 0.00 Non Plen - 0.00 TAN No. SNo. [Name ‘Block Year Sanction No. LTC Period ‘Name of Bank Sanction Designation ‘Sub Block Year | Sanction Date ‘Name of Branch Amount GPF No. Bank Account No. Basic Pay From Date To Date T Total Amount ; Amount in words Certificates : 2. Allrequired Enclosures (System generated/Scanned)* + 1 2. Group Name : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the LTC Advance Bill Claim of the employee(s) included in this bill are strictly in accordance with rules and that the said employee(s) are entitled to. such LTC Advance Bill. Itis further certified that | have personally ensured observance of all formalities regarding necessary entries, formation including Bank Account Details in this bill has been checked and verified, 3. Itis certify that | have carefully examined & verified the master data of the said claim. ‘Sign (With Seal)/ e-Sign! Digital Sign of DDO Disclaimer: All contents related to this bill are provided by Head of Office/DDO and belshe Is solely responsible Forie Print Date & Time ‘Enclosures marked (*) aré to be printed in the bill as per selection from dropdown meaw acconding to the requirements defined under relevant rules, “3New Fom No GATE] Government of Rajasthan Rute No, 206-6 (2) Reference No. ‘GPFISINPS - Loan/Advance/Claim/Refund Bill (Outer Sheet) Month/Year Detailed Loan/AdvancelClaim/Refund Bil of, . (Office Name) ‘Office (1D I No. Date BDO Code Name of DDO Object Head 00 ‘Budget Head! 0606-06-060-00-00 Demand No. : 00 Service Head TAN No. To The Treasury Officer, (Name of Concerning Tessuy) Please Order to pay Rs. «sss 8 per claim contained in this bil Sign of Clerk Sign of JrACCIAAO-Il Sign (With Sealy/ e-Sign/ Digital Sign of DDO The Amount claimed in this bill has not been drawn earlier. 2. itis further certified that I have personally ensured observance of all formalities regarding necessary entries. Sign (With Seal)/ e-Sign/ - Digital Sign of DDO ‘Treasury Voucher GPFISVPRAN No Name of Employee No. ‘Sanction Amount For Treasury use” Authority Number & Date. (ail for 3 morihs From the date of issue) PayRs. : Nature of payment & reason (inwords) + (In Cash) Sign (With Seali/e-Sign! —_| (in words) Digital Sign of Controlling Offic For Accountant General Office Total Credit Rs. Admitted (RS.) Rejected (RS.) Reasons for Rejection Auditor ‘Supat. Gaz. Officer Auditor AAO-N Treasury Officer ‘Diselaimer. All contents related to this bill are provided by Head oF Office/ DDO and heishe is solely responsible for i Group Name Print Date & Time yyGovernment of Rajasthan New Form No. GA76 Reference No. GPFISIINPS - Loan/Advance/Claim/Refund Bill (Inner Sheet) Month/Year : ‘STE GPF Reference No. (Fraposed) Datalod LoanvAdvance/Clain/Rofund Bill of (Office Name) > Office 1D BilNo. Date DDO Code ‘Name of DDO Object Head : ‘Budget Head’ 0000-00-000-00-00 ‘Demand No. - 00 Service Head TAN No. ‘Nature of Payment ‘S.No. Employee Name Basic Pay | Whom amount to be paid (Nominee/ ‘Name of Bank/ | Amount Employee ID Third Party Name) (Names May be mpc) | Name of Branch/ Account No. Designation (only in case where Payment is be made to ‘(ames May be matipte) GPF/PRAN No. NomineetsVThird Partys)) Belt No. Date of Death (onty incase where Payment ic St. Ins. No. to be made to Nominees) i 2 | Potal Amount - Amount in words : Certificates : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the Loan/Advance/Ciaim/Refund Bill of the Individual included in this bill is strictly in accordance with rules and authority issued by SI/GPF Department, that the said Individual is entitled to such Loan/Advance/Claim/Refund. It is further certified that | have personally ensured observance of all formalities regarding necessary entries. 2. Necessary entries have been recorded in GPF Pass Book! SI Policy. 3. Original Sanction/Authority of withdrawal is enclosed. 4. Alllrequired information including Bank Account Details in this bill has been checked and verified 5. Itis certify that | have carefully examined & verified the master data of the sald claim. Enclosures (System generated/Seanned)* : 1 2 Sign (With Seal)/e- Disclaimer: All contents related to tis bl are provided by Head of Office/DDO and he/she Ts solely reaponsTble Feit Group Name: Print Date & Time Enclosures marked (*) are to be printed inthe bill as per selastion from dropdown menu according to the requirements defined unde relevant Tas 4s4. The Amount ciaimed in this bill has not been drawn earlier 2. Iis further certified that | have personally ensured observance of all formalities regarding necessary ents. 3, The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year). 4 register. §. Original copy of the voucher less than Rs. 3000 retained with office copy of the bil, GAVE New Form No, GA 63 GEAR 228 & 220 Government of Rajasthan Rule No. 210 Reference No. Contingent (FVC) Bill (Outer Sheet) Month/Year : Detailed FVC Bill of (07n8 Naira) Office ID BING. Date DDO Gade Name of DDO Object Head ‘Budget Head: 0000-00-006-00-00 NP/P_ WiC Demand No. : 00 Pian : 0.00 Nou Pian : 0.00 TAN No. To The Treasury Officer, (Concerning Treasury) Please Order to pay RS... ee ssn AS per claim contained in this bil Sign of Clerk Sign of Jr ACCIAAO-UII Sign (With Sealy e-Sign! Certificates : ~ Itis certified that ail articles detailed in the voucher attached to the bill and in those retained in my office have been accounted for in the stock Sign (With Seal)/ e-Sign! ‘Supat. Gaz. officer Disclaimer: All contents related so this bill ae provided by Head of Office/DDO and he/she is solely responsible fort. Group Name Print Date & Time _ Digital Sign of DDO | Certied that the Compliance of Direction/ Instructions under form no. GA Treasury Voucher £84 (Rule 219 GF & AR) has been ensured. No. Date For Treasury Use Pay Rs. (in words) Sign (With Sealjie-Sign! Digital Sign of of DDO For Accountant General Office Admitted (RS.) Objected (RS.) Auditor AAOUIL Treasury OfficerGovernment of Rajasthan ‘New Form No. GA 84 Reference No Contingent (FVC) Bill (Inner Sheet) Month/Year : Detaled FVC Bil of: (Office Name) Office 1D Bil No. Date DBO Code Name of DOO? Obiect Head= Budget Head: 0000-00-000-00-00 NP/P_ WiC Demand No. :00 Plan: 0.00 Non Pian: 0.00 TAN No, SNo. [Employee | InvoiceNo. | Bill/ Invoice Name of Bank’ Name of Deduction ] Gross Amount | Remarks Name/Third | Invoice Date | Details Branch. Amount | Net Amount Party Name Account No. Budget Head T 2 Gross Amount Deduction Amount = _ Net Amount = ‘Amount in words: Certificates : 1. Catied that | have personally examined and satisfied myself about the gonuinenes of claim thatthe FV bil of the employee(s) included inthis bill re sticy ‘ecordance with rules and thatthe Sai6 employee(s) are entitled to such FVC Bilis further certifies tral | have personally ensured observance of al formalities Tegarding necessary entries 2. Alequired information eluding Bank Account Details in this bil hes Boon checked and verted 3, Lcerty that the expenditure included in this bill eoute nat, with due *@gard to th interest ofthe public eervoe, be avolded. | certly that othe best of my knowiedge And bale! the payments anterad in this bil nave been duly made to the partis enttlad to resolve them with the exceptions noted below which exoeec the balance othe permanent acvarce, ard vil be pald on receipt of the money drawn on this bil. Vouchers for all sums above R.3000 in amount are aitached to ths bil save those cies below, which wll be fenwardes as soon as the amounts have been pais. | have as fat as possible, obtsined vouchers for olher sums and, am responsible that ney have Deen se defaced or mutated that they canno! be used again. work bls are annexed 4 Cette that te purchases blled for Nave Deen recewve in good order, that their quantities are correct and thelr quality good, thet the rates paid are notin excess of the accepled and the market rates and that sutable notes of payment have been recorded agaist the indents and Invoices concemed to prevent Gouble payments, 8. Certhed that 2. The expendiiure on conveyance hire incuded in this bil was actually Mourred, was unavoidable and is within the Schedued soale of charges for the conveyance used, and b. The Government servant concerned is not ented to draw traveling allowance uncer the ordinary rules forthe journey and isnot granted any compensatory Jeave and does not and wil not otherwise receive any special remuneration forthe performance of the duty whieh necessitated the joumey. 6. itis conty that Inave carefully examined & verified the master data ofthe said claim, Enclosures (System generated/Scannedy* = 1 Sign (With Seal)/ e-Sign/ Digital Sign of DDO Disclaimer: Al contents related to this bill are provided by Head of Ofiice/DDO and helshe is solely vesponsible fort Group Neme Print Date & Time + Enclosures marked ()arelo be printed in he billas per selection fom dropdown mena according tothe roquiremente defined under relevant wales,A109 New Form No. 65 GFAR 230, Government of Rajasthan Rule 219, Reference No. Abstract Contingent Bill (Outer Sheet) Month/Year : Detailed bill for Abstract Contingent of: (Office Name) Office ID [euro Date DDO Code “Name of DDO ‘Object Head ‘Budget Head. 0000-00-000-00-00 NP/P_VIC. Demand No. : 00 Plan: 0.00 ‘Non Plan : 0.00 TAN No. — To The Treasury Officer, (Concerning Treasury) Please Order to pay RS. as per claim contained in this bill. Sign of Clerk Sign of JACC/AAO-Ill Sign (With Seal)/ e-Sign/ ___Digital Sign of DDO Certificates : 4. Tho Amount claimed in this bill has not been drawn earlier. 2. itis further certified that | have personally ensured observance of al frmaities regarding necessary entries, 3. The Amount ofthis bil is within the limits of elloted budget for the Year (Current Financial Year). Sign (With Seal)/ e-Sign’ Digitat Sign of DDO Tobe Filed by the DDO ‘Treasury Voucher Sanction No. No. Date: Sanction Date For Troasury Use ‘Sanction Amount Pay Rs. Sanctioning Authority (Im words) = (in Cash) (In words): Sign (With Seal)/ e-Sign! Digital Sign of DDO For Accountant General Office Total Credit Rs. Admitted (RS.) Objected (RS.) ‘Auditor AAOMItL ‘Treasury Officer Auditor ‘Supa Gaz. officer Disclaimer: All contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible fori Group Name: Print Date & Time aeGovernment of Rajasthan New Form No. 85 Reference No. Abstract Contingent Bill (Inner Sheet) Month/Year : Detailed bill will be sent for countersignaiure in one month Office 10 Sater Bill No. Date DDO Code Name of DDO ‘Treasury Bill for contingent ‘Month in which presented for payment at charge of :_ (Office Name) Treasury: (Greasury Name) | Head of Account ‘Object Head 00 ‘Vouchers No. of list of (0000-00-000-00-00 Payment for : Detail ofnumber | Detailed Head of charge (with description, where necessary) & ‘Amount of sub-voucher | Quotation of charges requiring sanction, (Sanction Authority : DDO) Description (@urpave as Rule 219 Appendix A) OR (ature of Power as per Delegation of Power) Tata fear aia tS aM we aie ate oa Rat F waa 4 Pgs states aS fea Precaar mitard ay sree are RA TAS ger rater A wlfenfter (RES) awe AA Ta BL Total Amount: ‘Amount in words = Previous AC Bills which don’t have a corresponding DC Bill : ‘SENo, BiINo. & Date Reason ‘Amount I 2. Note: The Government Officer drawing this bill is responsible for having initialled the date of each payment in the contingent register. The cash register is required to be sent up with bills and sub-vouchers for this purpose. Certificates = 4, Certfed that! have personally examined nd satised myself about the genuineness of ebm. It is futher cartiéd that | have personaly ensured observance of al formatiies regarding necessary aavios 2. _Itisalso certify that {have carefully examined & verified the master data ofthe said cl oclosures (System generated/Seanned)* + 1 2. Date: Sign (With Seal)’ e-Sign’ Digital Sign of DDO NLB. - The Treasury Officer will make payment on this form as required but the Drawer should be earcful to include the detailed contingeat bill of month only the amount of all abstract cncashed at the treasury during that month. Disclaimer: All contents related to this bill are provided by Flead of Office/DDO and he/she is solely responsible for it Group Name: Print Date & Time: ‘Enclosures marked (")are to be printed in ie bill as per selection Rom Gropdown menu accarding tothe requireisenls Gfined unde relevant ulesSATO — Government of Rajasthan Reference No. Detailed Contingent Bill Month/Year New For No, GA 66 Note : Government floors whose bills are counlersigned before Payment Ey the Controlling Officers should use form 111 GFAR OFiee ‘DDO Code Nae of 000 BING: Date Staie Treasury Bill for contingent Month for which the bill charge of: (Office Name) is presented (Treasury Name) | Head of Account : ‘Object Head : 00 (Name of Month) 0000-00-000-00-00 . AC Bill No & Date AC Bill Amount : Detail @fmumber oF Detaled Head of charge (with description, whore necessary) & Quotation of charges requiring sanction Amount subsvoueher (Sanction Authority: DDO) Payment Details: | Party Name | Invoice No. Invoice Date Invoice Amount 1 2. It 3. l Sub Total Chalian CrallanAdvance Details/ Advance Amount) ‘Amount in words: Total Amount: Certificates : 1. T certify that the expenditure included in this bill could not, which due regard to the interests of the public service be avoided. I have satisfied myself that the charges entered in ths bill have been really paid, Vouchers fr all tems of expenditure above Rs. 1000/-in amount, and all work bis ae attached to the bills. {have certify, as far as possible, obtained vouchers for other sums, and am responsible that they have been destroyed or so defaced cor mutilated that they cannot be sea again 2. Cerifie that all the articles detsled in the vouchers attached to the bill and in those retained in my office have been account fori the Stock Register. (This certificate is required when proper store accounts of materials and stores purchased are required to be mentioned.) 3 Certified that the purchases billed for have been received in good order, tha their quantities are comect and their qualities good, that the rates pd are notin excess ofthe accepted and the market rates and that suitable notes of payments have been recorded against the indents and invoice concerned to prevent double payment 4. Cenlfied that 4. The expenditure on conveyance hire included inthis bill was actually inurred, was unavoidable and is within the scheduled scale of charges for the conveyance used, and ‘The Government servant concerned isnot entitled to draw travelling allowance under the ordinary rules for the journey, and he isnot granted any compensatory leave and does not and will not otherwise receive any special remuneration for the performance of the duty which necessitated the joumey. b Sign (With Seal)/ e-Sign/ Digital Sign of DDO.For use of Controlling Officer Botered a tem no... of tegister in Form GA 105, Disallowed from sub-voucher no No] Sub-VousherNe, Amour ( ass for Rs. (Amount) \erify that in support of evecy charge of move than RS. /- made in dhs bil a receipt for other vousier has been given to me. The receipt and vouchers for items in excess OF Re. are attached tothe bill, and Tam responsible thatthe receips and vouchers forall tems of more than Rs. /~ in Droper form and order and are in my possession and that chey have been So cancelled that chey cannot be again used to support claims against the Government. All work bill are also appended, Forwarded tothe Accountant Genera of Rajasthan, Jaipur. Enclosures (System generated/Seanned)" + 1 2 Date Sign (With Sealy e-Siga/ Digital Sign of Controlling Officer Disclaimer: All contents elated to this bill are provided by Head of Office/DDO and helshe is solely responsible for it Group Name + Print Date & Time ‘aclosures marked (are wo be printed io he Dll as pe selection From Gropdawn menu according to the requirements Geined under relevant rule, slThe Treasury Officer, (Concerning Treasury) Please Order to pay Rs. as per claim contained in this bil. Sign of Clerk Sign of Jr.ACCIAAOsIII CATT Naw Form No. 100 GFAR 303 a Government of Rajasthan Rule 255 (i Reference No Revenue Refund Bill (Outer Sheet) Month/Year : Detailed bil for Refund of Revenue of (Office Name) Office 1D Bill No. Date DDO Code Name 6 ODO Object Head Budget Head: 0000-00-000-00-00 NP/P_ VIC. Demand No. - 00 Pian: 0.00 Non Plan = 0.00 TAN No. To Sign (With Seal)! e-Sign! Digital Sign of DDO Certificates : 4, The Amount claimed in this bll has not been drawn eztler. 2 3, The amount of tis bit within the limit of budget allotment for the year (Current Financial Yea). 4 ‘order for refund of same sum has not been issued. 8. Compliance of Rule 254, 255 & 263 has been ensured itis further certifes that | have personally ensured observance of all formaiies regarding necessary entries. Certified thatthe order of refund have been registered and noted against the original receipt entry in the departmental account under my initials end previous Sign (With Seal)/ e-Signi Print Date & Time: Group Name Digital Sign of DDO ‘Fobe Filed by the ODO ‘Treasury Voucher Original Deposit Amount Aready Refund Amount : Refund Sanction Amount Ne ForTreasuy/ Use Refund Sanction No. Refund Sanction Date Pay Rs. Nea teeme cus, Sign (With Seat/e-Sign) (in Cash) tal Sign of DDO (in words) For Accountant General Office ByB.. Admitted (RS.j Objected (RS) __| Total Creait Rs. Auditor ‘Supat Gaz. officer Auditor AAO-UIL Treasury Officer Disclaimer: All contents related to this bill are provided by Head of Office/DDO and he/she is solely responsible for it, 32.‘Government of Rajasthan New Form No, 100, Reference No. Revenue Refund Bill (Inner Sheet) Month/Year : Detailed bill for Refund of Revenue of (Office Name) Office 1D Bill No. Date DDO Code? Rane FDO Coject Head Budget Head, 0000-00-000-00-00 NPIP_VIC Demand No 00 Pran: 0.00 Non Plan: 0,00 TAN No. So. Name Bank Name] Sanction No. | Challan Type (Mamal | Total Challan Amount Deduction Budget Head | __Net Amount Branch Name | Sanction Date | receipwe-receipt) Already Refunded Amount Deduction Amount Gross Amount Bank A/CNo, Challan No. ‘Amount Claimed in his bill Deposit Date T Gross Amount Deduction Amount : Net Amount : ‘Amount in words: Certificates : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the Revenue Refund Bill of the individual/Third Party included in this bill are strictly in accordance with rules and that the said Individual/Third Party are entitled to such Revenue Refund Bill. It is further certified that | have personally ensured observance of ali formalities regarding necessary entries. 2. All required information including Bank Account Details in this bill has been checked and verified. 3. Allenctosed vouchers has been discharged and if there is any case of double payment, | will be responsible for it. 4. Itis certify that | have carefully examined & verified the master data of the said claim, Enclosures (System generated/Scanned)* : 1 2 Sign (With Seal)! e-Sign/ Digital Sign of DDO Disclaimer: All Contents lated to this bill are provided by Head of Office/DDO and helshe is solely responsible for it. Group Name. Print Date & Time ‘Enclosures marked () are to be priniad in dhe billas po scleation rom Gropdowa mena according o he roquivoments defined under relevant rules, SB‘Naw Fort No, GA 100A _____ Government of Rajasthan __ Rule 255 Reference No. VAT Refund Bill (Quter Sheet) __ Month/Year : l Detailed CTD Payment Bill of: (Office Name) Office 1D Bil No. Date DDO Code: Name of DDO Object Head: Budget Head: 0000-00-000-00-00 NPIP_ViC — Demand No. : 00 Pian : 0.00 Non Pian : 0.00 TAN No. To The Treasury Officer, (Gonceming Treasury) Please Order to pay Rs. ‘as per claim contained in this bill. Sign of Cferk Sign of Jr ACCIAAO-MIL Sign (With Seal)/ e-Sigr/ Digital Sign of DDO Certificates : 1. The Amount claimed in this bill has not been drawn earlier. 2. itis further certified that | have personally ensured observance of all formalities regarding necessary entri Sign (With Seal)! e-Sign! - Digital Sign of DDO ssury Voucher | Certified that the Compliance of Direction’ Instruction under form no. GA, 100A (Rule 255 GF & AR) has been ensured. No. Date For Treasury Use Pay Rs (in words) : Sign (With Seal (in Cash) For Accountant General Office (in words) Admitted (RS, Objected (RS. , recto (RS) | stat Crogit Re. Auditor Supa. Gaz. officer Auditor AAO-INI Treasury Officer Disclaimer: All contents related 10 this bit! are provided by Head of Office/DDO and he/she is solely responsible for it Growp Name Print Date & Time =‘Government of Rajasthan New Form No. GA 100A | Reference No. VAT Refund Bill (inner Sheet) Month/Year Detaled CTD Payment Bilof (Office Name) Office 1D Bill No. Date _ DDO Code “Name of DDO: bject read : Budget Head: 0000-60-000-00-00 NPIP_VIC. Demand No. : 00 Plan: 0.00 Non Plan: 0.00 TAN No. S.No. | Dealer Name Bank Name. | Refund Order No. Period of Refund Total Amount TIN No. Bank Account No. Refund Order Date 1. Total Amount : Amount in words _ Certificates : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the CTD Payment Bill of the IndivicualThird Party included in this bill are strictly in accordance with rules and that the said IndividuaThird Party are entitled to such CTD Payment Bill Itis further certified that | have personally ensured observance of all formalities regarding necessary entries All required information including Bank Accaunt Details in this bil! has been checked and verified 3. itis certify that | have carefully examined & verified the master data of the said claim. Sign (With Seal)/ e-Sign/ Digital Sign of DDO Disclaimer All contents related to this bill are provided by Head of Office/DDO and helshe is solely responsible for it Group Name 2 _Print Date & Time— New Form No 1037) _ Government of Rajasthan Flo 263 tc) 7 _ Deposit Repayment Bill (Outer Sheet) MonthiYear : ‘Detailed bill for Repayments of Deposits of: (Office Name} ‘Office ID: Bill No. Date _ DDO Code Name of DDG Object Head Badger Hse 6OO-G05O0-- OT NPIE Vi ——— Demand Ne: 0) Plans 0.00 ‘Non Pian 16.00 YANN. =I To ‘The Treasury Officer, (Concerning Treasury) Please Order to pay Rs....... ‘as per claim contained in this bil. Sign of Clerk Sign of Jr-ACCIAAG-II Sign (With Seat)/ e-Sign/ - _ _ Digital Sign of DDO Certificates + 1. The Amount claimad in this bill has not been drawn earlier. 2, itis further certified that | have personally ensured observance of all formalities regarding necessary entries, | 3. The Amount of this bifl is within the limits of allotted budget for the Year (Curent Financial Year). Sign (With Sealy’ e-Sign’ aia 0 — EET Digital Sign of DDO Original Deposit Amount ‘Tregsury Voucher Already Refund Amount Date Refund Sanction Amount For Treagury Use Refund Sanction No. < rages, Refund Sanction Dale: Nature of Deposit {in Cash) {In words): By BT. Sign (With Seal)! e-Sign! | Total credit Rs. _ Digital Sign of DDO For Accountant Geheral Office Admitted (RS.) ‘Objected (RS.) Auditor Supat. Gaz. officer Auditor An Treasury Officer ‘Disclaimer: All contents related to this bill are provided by Head of Oftice/DDO and helste is solely responsible fort Group Nene. Print Date & Time: SSGovernment of Rajasthan ‘ew Form No. 103 Reference No, Deposit Repayment Bill inner Sheet) Monthrvear : Detaled bil for Repayments of Deposits of: (Office Name) Office 1D | Bill No. : Date DDO Code: Name of DDO” Object Head Budget Head: 0000-00-000-00-00 NP/P_ViC Demand No.» 00 Pian: 0.00 Non Plan: 0.00 TAN No. ‘S.No. | Name ] Bank Name Sanction No._| Challan Type (Manual | Total Challan Amount ‘| Deduction Budget Head ‘Net Amount, Bank ACNo, | Branch Name | Sanction Dace | receipve-recept) Already Refunded Amount Deduction Amount | Gross Amount Challan Ne. “Amount Claimed in tis bil Deposit Date 1 | Remarks : I Total Amount _ - ‘Amount in words Certificates : 1. Certified that | have personally examined and satisfied myself about the genuineness of claim that the Deposit Repayment Bill of the Ingividual/Third Party included in this bill are strictly in accordance with rules and that the said Individual/Third Party are entitled to such Deposit Repayment Bill It is further certified that I have personally ensured observance of all formalities regarding necessary entries. 2. All reauited information including Bank Account Details in this bill has been checked and verified, 3. All enclosed vouchers has been discharged and if there is any case of double payment, | will be responsible for i 4. Itis certify that | have carefully examined & verified the master data of the said claim. Enclosures (System geverated/Scanmedy* : 1 2 ‘Sign (With Seal/ e-Sign/ Digital Sign of DDO Disclaimer Al conte aed sl are provided by cad of OFfceIDDO and hohe slay responsible Trt. Group Name Print Date & Time ‘Enclosures marked (*)aze to be printed inthe Bill as per selection hom dropdown menu according tothe requirements defined under relevant rues sys GA 1h New Form No. 105 FAR 20 Government of Rajasthan Rule 265 (3) Reference No. Refund of Lapse Deposit Bill (Outer Sheet) MonthiYear : etal bil for Refund of Lapse Deposit of: _(Otice Name) Office 1 Bil No. Date DDO Code Name of B00 ‘Object Head: 00 [Budget Head: 0000-00-000-00-00 — Damand No, 00 TAN No. To ‘The Treasury Officer, (Conceming Treasury) Please Order to pay Rs Sign Certificates + 1. The Amount claimed in this bill has not been drawn earlier. 2. Compliance of Rule 265 has been ensured, 3. as per claim contained in this bill of Clerk. Sign of JrACCIAAO-Hil Sign (With Seal)! e-Sign Digital Sign of DDO itis further certified thet | have personally ensured observance of all formalities regarding necessary entries. 4, The Amount of this bill is within the limits of allotted budget for the Year (Current Financial Year}. Sign (With Seal)/ e-Sign! Toba Filed by the DDO Original Deposit Amount Aceady Refund Amount (if Any) Refund Sanction Amount Refund Sanction No. Refund Sanction Date Nature of Deposit: Sign (With Seal)! e-Sign’ Digital Sign of DDO Treasury Voucher No. Date: For Treasury Use Pay Ret (lawords) : (in Cash) (in words) Digital Sign of DDO Admitted (RS.) Objected (RS.) Auditor Supat Gaz. officer Group Name: ‘Disclaimer: All contents related to this bill are provided by Head of Office/DDO and he/she is solely cesponsible fori By BT. ‘Total Credit Rs. Auditor AAO. Treasury Officer Print Date & Time :Government of Rajasthan New Form No, 105 Reference No, Refund of Lapse Deposit Bill (Inner Sheet) Month/Year : Detaled bil for Refund of Lapse Depost of (fice Name) Office TS Bilt No. Date ‘DDO Code Name of DDO ‘Object Head = 1 [Budget Head: 0000:00-000-00-00 NPIP VIC Demand No. :00 Plan: 0.00 Non Pian: 0.00 TAN No. SN. | Name Chailan Type Goma ] Amount Lapsed | Sanction No. | Total Challan Amoant Deduction Budget Head | Net Amount Bank AICNo. | receivereceips) | Date of Lapsed | Sanction Date Already Refunded Amount Dedvetion Amount | Gross Amount BankName | Challan No ‘Amount Claimed in this bill Branch Name | Deposit Date 1 Remark _ __ Gross Amount Deduction Amount ‘Net Amount ‘Amount in words : Certificates 1. Certified that | have personaily examined and satisfied myself about the genuineness of claim that the Refund of Lapse Deposit Bill of the Individuai/Third Party included in this bill are strictly in aocordance with rules and that the said IndividualThird Party are entitled to such Refund ot Lapse Deposit Bill. It is further certified that | have personally ensured observance of all formalities regarding necessary entries. 2. [hereby identified the claimant & found satisfactory, 3. All required information including Bank Account Details in this bill has been checked and verified. 4. Itis certify that I have carefully examined & verified the master data of the said cl Exelosures (System generated/Scannedy* : 2 Sign (With Seal)/ e-Sign/ Digital Sign of DDO Disclaimer All contents related to this bil are provided by Head of OfficelDDO and helshe is solely responsible fort Group Name : Print Date & Time Enclosures marked ("Jaret be printed i te bill per selection rom dropdown menu aecording tothe requirements defined under relevant rales,GAIT New Form No, GA TIO GEAR 311 Government of Rajasthan Rule 287(a) Reference No. Grant In Aid Bill/Contribution etc. (Outer Sheet) MonthiYear Bill for Grant-in-AidiContnibution ete. of _(Offes Name) ‘Office 1D Bil Ne. Date ‘DOO Code Name of DDO ‘Object Head Budget Hack: 0000-00-000-00-00 NPP _VIC Demand No. : 00 Pian : 0.00 Non Pian: 0.00) TAN No. _ To The Treasury Officer, (Concerning Treasury) Please Order to pay RS...... as per claim contained in this bill Sign of Clerk Sign of Jr. ACC/AAO-IIt Sign (With Seal)/ e-Sign/ Digital Sign of DDO Certificates = 1. The Amount claimed in this bill has not been drawn earlier. 2. itis further certified that | have personally ensured observance of all formalities regarding necessary entries. 3. The Amount of this bill is within the limits of allotted budget for the Year (Current Financia! Year). Sign (With Seal)! e-Sign/ _ Digital Sign of DDO ‘Treasury Voucher CounterSignaturs——SSSCSCS~S~S~«SY Passed for Rs. No, Date Amount in words For Treasury Use Pay Rs. {in words) Sign (With Sealjie-Signi | Gn cash) Digitat Sign of Controlling Officer | (In words) For Accountant General Office ByB.T. Admitted (RS.) Total Credit Rs. Rejected (RS.) Reasons for Rejection Supat. Gaz. Officer Auditor AAO-UIL Treasury Officer ‘Disclaimer: All contents related to this bill ae provided by Head of Office/DDO and he/she is solely responsible for it Group Name Print Date & Time oo