Annexure - IV

SOUTH EASTERN COALFIELDS LTD.

JAMUNA KOTMA AREA
T.A. FINAL BILL
Area/ Sub Area : Jamuna Kotma Area/ Aamadand Sub Area... Colliery/Unit: Bartarai UG Mines...
Name KHEL PRAKASH Head quarters SECL Bill No. & 21/12/2022
SAHU Date
Designation MANAGEMENT Deptt./Section MINING Place of Visit
MRS,
TRAINEE (MINING) MANENDRAGAR
EIS No. 95001104 Basic Pay Rs. 50,000 H
Purpose of FIRST AID TRAINING, MANENDRAGARH
Journey
2. Details of outstanding advance, if any:Nil
3. Journey details:
Departure Arrival Mode Class Km Ticket Amoun
No. t (RS)
Date From Time Date At Time
07/12/22 JAMUNA 06:1 07/12/22 MANENDRAG 09:00 BY ROAD - 40 - 320
0 AM ARH AM
19/12/22 MANENDRA 06:1 19/12/22 JAMUNA 8:30 BY ROAD - 40 - 320
GARH 0 PM PM
07/12/22 MID TOWN 8:45 07/12/22 MRS 9:00 BY ROAD - 3*11 - 264
TO HOTEL & AM TO AM DAYS
19/12/22 VINAY 19/12/22
07/12/22 MRS 02:0 07/12/22 MID TOWN 2:15 BY ROAD - 3*11 - 264
TO 0 TO HOTEL & PM DAYS
19/12/22 PM 19/12/22 VINAY
Taxi fare / Road Mileage:
Date From At Distance km Remark Amount (in
Rs.)
07/12/22 JAMUNA MANENDRAGARH 40 BY ROAD 320
19/12/22 MANENDRAGARH JAMUNA 40 BY ROAD 320
07/12/22
HOTEL MID TOWN & BY ROAD (DAILY UP
TO MRS 3*11 DAYS = 33 264
HOTEL VINAY DOWN)
19/12/22
07/12/22
HOTEL MID TOWN BY ROAD (DAILY UP
TO MRS 3*11 DAYS = 33 264
& HOTEL VINAY DOWN)
19/12/22
- - - - - -
- - - - - -
Daily Allowance:
H.Q. Departure H.Q. Arrival Total Time Quantity D.A. Specified Total D.A.
Date Time Date Time Days Hrs For 13 days D.A. for -
Rs. 900 Per days @Rs. -
Day Per day
07/12/22 6:00 19/12/22 8:30 PM 13 00 11,700 - 11,700
AM

4. Hotel bill paid: Rs. 12,350 with Bill no. 9624 & 2055
5 Any other expenses claimed:
6. Total: Twenty Five Thousand Two Hundred Eighteen Only Rs. 25,218
7. Deduction: (i) T.A. Advance drawn on -----------------Nil----------------- From --------------------------------
(ii) Other if any ----------------------Nil-------------------------------------------------------------------
8. Net Amount payable / Refunded vide M.R. No. ----------------------------------------------dated
Net Amount words: Twenty Five Thousand Two Hundred Eighteen Only

Signature of the Controlling officer Signature of the Claimant

Note: - The format on the back side should be filled in, if the stay is in Hotel / Guest house otherwise bill passed for
payment.
Encloser: 1) Training Letter/Releasing Order
 2) Hotel Bill

CERTIFICATE
1. Certified that the expenditure shown in the bill has actually been incurred by me.
2. Certified that staff car was not made available, for which journey has been made by me by other modes of
transport.
3. Certified that I KHEL PRAKASH SAHU confirmed the journey from (Place): JAMUNA to MRS,
MANENDRAGARH & THEN MRS, MANENDRAGARH to JAMUNA by ROAD. Further confirmed that I did not
travel by stage carriage.

Date: 21/12/2022 Signature of Employee

(Space for certificate of competent authority for road mileage, higher charge of accommodation etc.). Allowed to travel
by road in the intoral of company’s work and to save time

Date: _________ Signature of Controlling Officer

Format to be filed in, if stay is in Hotel / Guest House.

Particulars Amount paid by other / self under (a) to (e)

Amount paid by others Name of paying Amount paid by Self
Authority
(a) Fare
(b) Conveyance Allowance
( c) Dearness Allowance
(d) Hotel/ Guest House etc.
(e) Others, if any

(For use in Accounts Officer only)

Bill Receipt No. Amount claimed Rs.

Date Amount admitted Rs.

Entry in Advance / TA Deduction / Adjustment Rs.

Ledger Folio Net Amount paid / Refunded Rs.

Accounts Code

Accountant /Supdt. Acctts. /Finance Officer.

 Annexure - IV
SOUTH EASTERN COALFIELDS LTD.
JAMUNA KOTMA AREA
T.A. FINAL BILL
Area/ Sub Area : Jamuna Kotma Area/ Aamadand Sub Area... Colliery/Unit: Bartarai UG Mines...
Name KHEL PRAKASH Head quarters SECL Bill No. & 21/12/2022
SAHU Date
Designation MANAGEMENT Deptt./Section MINING Place of Visit SECL HQ & J&K,
TRAINEE (MINING) GM OFFICE
EIS No. 95001104 Basic Pay Rs. 50,000
Purpose of Reporting at SECL HQ then GM Office, J&K Area
Journey
2. Details of outstanding advance, if any:Nil
3. Journey details:
Departure Arrival Mode Class Km Ticket Amoun
No. t (RS)
Date From Time Date At Time
11/11/22 JAMGAHA 06:1 11/11/22 SECL HQ, 09:00 BY ROAD - 130 - 1300
N 0 AM BILASPUR AM
16/11/22 SECL HQ, 06:1 16/11/22 GM 12:00 BY ROAD - 156 - 1560
BILASPUR 0 AM OFFICE, PM
J&K AREA
- - - - - - - - - - -
- - - - - - - - - - -
Taxi fare / Road Mileage:
Date From At Distance km Remark Amount (in
Rs.)
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
Daily Allowance:
H.Q. Departure H.Q. Arrival Total Time Quantity D.A. Specified Total D.A.
Date Time Date Time Days Hrs For 13 days D.A. for -
Rs. 900 Per days @Rs. -
Day Per day
11/11/22 9:00 16/11/22 12:30 PM 6 00 5,400 - 5,400
AM

4. Hotel bill paid:

5 Any other expenses claimed:
6. Total: Seven Thousand Two Hundred Sixty Only Rs. 7,260
7. Deduction: (i) T.A. Advance drawn on -----------------Nil----------------- From --------------------------------
(ii) Other if any ----------------------Nil-------------------------------------------------------------------
8. Net Amount payable / Refunded vide M.R. No. ----------------------------------------------dated
Net Amount words: Seven Thousand Two Hundred Sixty Only

Signature of the Controlling officer Signature of the Claimant

Note: - The format on the back side should be filled in, if the stay is in Hotel / Guest house otherwise bill passed for
payment.
Encloser: 1) Training Letter/Releasing Order
2) Hotel Bill
 CERTIFICATE
4. Certified that the expenditure shown in the bill has actually been incurred by me.
5. Certified that staff car was not made available, for which journey has been made by me by other modes of
transport.
6. Certified that I KHEL PRAKASH SAHU confirmed the journey from (Place): JAMGAHAN to SECL HQ, BSP &
Then SECL HQ, BSP to GM OFFICE, J&k by ROAD. Further confirmed that I did not travel by stage carriage.

Date: 21/12/2022 Signature of Employee

(Space for certificate of competent authority for road mileage, higher charge of accommodation etc.). Allowed to travel
by road in the intoral of company’s work and to save time

Date: _________ Signature of Controlling Officer

Format to be filed in, if stay is in Hotel / Guest House.

Particulars Amount paid by other / self under (a) to (e)

Amount paid by others Name of paying Amount paid by Self
Authority
(a) Fare
(b) Conveyance Allowance
( c) Dearness Allowance
(d) Hotel/ Guest House etc.
(e) Others, if any

(For use in Accounts Officer only)

Bill Receipt No. Amount claimed Rs.

Date Amount admitted Rs.

Entry in Advance / TA Deduction / Adjustment Rs.

Ledger Folio Net Amount paid / Refunded Rs.

Accounts Code

Accountant /Supdt. Acctts. /Finance Officer.