vureena t31/INDIAN RAILWAYS: SR AMGASI Lage -
Basat sat nent. ¢ (Ga) Weiler B6/SRCIG. 167FIG. 6 (Old) Rev 96
ai wat s4e/TRAVELLING ALLOWANCE JOURNAL Paaerase
18 /Name... , ‘rat rafe/Claim for the petiod:.....
wfrez fr /Provident Fund No. sary refer EeevHd. Ors /Station nnn
aha Baz 4. / Staff Ticket No.... fet efe/BIll Unit...
‘eam/Designatior ee/Division.......
Pa oo 2 a WMABraNCh
ab rer & ares overeat ait are /Movements by all modes should be shown below.
fat fer a
No. of Days aa ST
Object of Journey
aaa a] ware «| ™
[Enhanced Ordinary|
Rate | Rate
tT
|
i
T
4
: T T
|
i
1
i
(Krove nk thewiier whiner tie hate theereh
A thre i claim tof Travel expanses for road journey et, delals scald be fumished gverest.
1 mabe fe were er § eg it sv Ob fete am er, eel emer free arcs ae, emit eee eae /
See eee) gee ko fea er oa Ratt | 2 we PAH we er a oh Certhedek oe
Fass tr Conveyance at the expenses of Government
2. ae Ber re fr ote wf a fe Prva. we ae aft ret af ra ere a fi
‘€/Catied tht no TA/D.A ot any ther amount has been claimed trough any ster bil for the sare ais menoned Fr te bi
GR a 5.8. a a. at a i > fen ee F ee FY)
(70 be scored out #T. AJD.-A. advancs hes been avaliec: or I allowance hes been elacved from any other authority)
‘tes ae /Conrokng ice stro /Headof fice ‘wun gecint iat m/ Sinaia of Employee oiing TA
feAt/P-T. 0.