PANJAB UNIVERSITY Form A-41 (For Adjustment of Advance)

Remuneration bill of Chief Coordinator/Coordinator/Centre Supdt/Deputy Supdt./Clerk & Class IV staff etc. for the conduct of University Examinations held in the month of _______________
at PU Affilated College/University's Dept.__________________________________________________ from_______________to_______________ Examination Centre No.
____________________________

Sr. Name of officials & Designation Duty performed as Chief Total Remuneration (A) Local Conveyance Total Total Received
No. Coordinator/ Centre Sessions Total Total Amount payment (Signature)

Remuneration (Rs.)

Net Amount
received as
Deduction (Rs.)
Supdt./ Deputy Supdt./ (As per

Remuneration (Rs.)
Amount claimed for Local
Astt. Supdt./ Clerk etc. actual (Rs.) Convencye as per
Annexure

Rates of

5% TWHH
actual date visit at
'A') Centre Attached in
Annexure 41-A

(A) (B) (A+B)

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Left side 7

space for 8

Bill Punching 9
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Sr. Name of officials & Designation Duty performed as Chief Total Remuneration (A) Local Conveyance Total Total Received
No. Coordinator/ Centre Sessions Total Total Amount payment (Signature)

Remuneration (Rs.)

Deduction (Rs.)
Net Amount
received as
Supdt./ Deputy Supdt./ (As per

Remuneration (Rs.)
Amount claimed for Local
Astt. Supdt./ Clerk etc. actual (Rs.) Convencye as per
Annexure

5% TWHH
Rates of
actual date visit at
'A') Centre Attached in
Annexure 41-A

Note: Please printout the second page on the back side of this form Total 0 0 0
Sub total of Rs._________________C/f Turn over
 Page No. 2
Sr. Name of officials & Duty performed as Chief Total Remuneration (A) Local Conveyance Total Total Received payment
No. Designation Coordinator/ Centre Sessions Total Total Amount claimed (Signature)

Net Amount received

as Remuneration
Remuneration (Rs.)

Deduction (Rs.)
Supdt./ Deputy Supdt./ (As per Amount for Local Convencye
Astt. Supdt./ Clerk etc. actual (Rs.) as per actual date
Annexure

5% TWHH
Rates of
visit at Centre
'A') Attached in Annexure
41-A

(Rs.)
(A) (B) (A+B)
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18 Right side
19 space for
20 Bill Punching
Note: The bill be prepared only 20 Nos. of the beneficries of each bill. Total 0 0 0
Certified:
(i) That the above officials have actually performed the examination duty during the days noted against the name of each individual.
(Ii) That above official performed the examination duties and charged in this bill in the interest of the Panjab University work & have not claimed any
remuneration etc. during the above said period from any other sources.
(iii) Cutting, Overwriting & use of white fluid will not be admissble on the claim bill as per Accounts rules. Bill prepared by (Name): _________________________
Mobile No.______________________________________
Email ID:________________________________________
Appointment of the above Countersigned by Chief Cordinator/Principal Verified by Centre Supdt.
officials verfied A.R. (Conduct) of the college/institute/department Office Stamp
Office stamp Office stamp
Budget Code:_____________________

For use of Accounts Branch Audit Department For PAYMENT/BALANCE PAYMENT (if any)
Passed for payment of Rs.__________ Pre-audited & passed for Rs.________ Payment be reimmburssed to the Chief Coordinator(Principal)
Rupees (in words)________________ Rupees (in words)_________________ Bank Account No.__________________IFSC code___________
________________________________ ________________________________ (as per the Book of Instruction 2022, page no 50)

Clerk Sr. Assistant O.S.A. Auditor S.O./A.C.L.A. Chief coordinator/ Principal

with office stamp
PAY ORDER VERIFIED use by Cheque writing Section
Clerk Sr. Assistant Dealing Clerk Sr. Assistant
 PANJAB UNIVERSITY Form B-41 (For non-Advance cases)
Remuneration bill of Chief Coordinator/Coordinator/Centre Supdt/Deputy Supdt./Clerk & Class IV staff etc. for the conduct of University Examinations held in the month of _______________ at
PU Affilated College/University's Dept.__________________________________________________ from_______________to_______________ Examination Centre No.
____________________________

Sr. I.D/ P.F. IFSC Code (in Name of officials & Duty performed as Total Remuneration (A) Local Conveyance Total Total
No. Number/ case of no ID Designation Chief Coordinator/ Sessions Total Total Amount Received

Remuneration (Rs.)

Deduction (Rs.)
Net Amount
received as
Bank Account and PF Centre Supdt./ (As per payment

Remuneration (Rs.)
Amount claimed for Local
Number number) Deputy Supdt./ actual (Rs.) Convencye as per (Signature)
Astt. Supdt./ Clerk Annexure

5% TWHH
Rates of
actual date visit at
etc. 'A') Centre Attached in
Annexure 41-A

(A) (B) (A+B)

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2
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6

Left side 7

space for 8

Bill Punching 9
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Note: Please printout the second page on the back side of this form Total
Sub total of Rs._________________C/f Turn over
 Page 2
Sr. I.D/ P.F. IFSC Code Name of Duty performed as Total Remuneration (A) Local Conveyance Total Total Received
No. Number/ (in case of officials & Chief Coordinator/ Sessions (As Total Total Amount claimed payment

Remuneration (Rs.)

Deduction (Rs.)
Net Amount received
Bank no ID and Designation Centre Supdt./ per actual (Signature)

as Remuneration (Rs.)
Amount for Local Convencye
Account PF Deputy Supdt./ Annexure 'A') (Rs.) as per actual date
Number number) Astt. Supdt./ Clerk

Rates of

5% TWHH
visit at Centre
etc. Attached in Annexure
41-A

(A) (B) (A+B)

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18 Right side
19
space for
20 Bill Punching

Note: The bill be prepared only 20 Nos. of the beneficries of each bill. Total
Certified:
(i) That the above officials have actually performed the examination duty during the days noted against the name of each individual.
(Ii) That above official performed the examination duties and charged in this bill in the interest of the Panjab University work & have not claimed any
remuneration etc. during the above said period from any other sources.
(iii) Cutting, Overwriting & use of white fluid will not be admissble on the claim bill as per Accounts rules. Bill prepared by (Name): _________________________
Mobile No.______________________________________
Email ID:________________________________________
Appointment of the above Countersigned by Chief Cordinator/Principal Verified by Centre Supdt.
officials verfied A.R. (Conduct) of the college/institute/department Office Stamp
Office stamp Office stamp
Budget Code:_____________________

For use of Accounts Branch Audit Department For PAYMENT/BALANCE PAYMENT (if any)
Passed for payment of Rs.________________ Pre-audited & passed for Rs.________ Payment be reimmburssed to the Chief Coordinator(Principal)
Rupees (in words)_______________________ Rupees (in words)_________________ Bank Account No.__________________IFSC code___________
_______________________________________ _________________________________ (as per the Book of Instruction 2022, page no 50)

Clerk Sr. Assistant O.S.A. Auditor S.O./A.C.L.A. Chief coordinator/ Principal

PAY ORDER VERIFIED use by Cheque writing Section with office stamp
Clerk Sr. Assistant Dealing Clerk Sr. Assistant
 Annexure 'A'
Detail of No's of Supervisory staff appointed for conducting of University examination held in the months of JUNE /JULY 2023 at R.S.D College Ferozepur City . For
BA/B.SC./B.COM./BCA/ MA/ M.Com/ M.Sc. IT etc. Examination Centre No. FZR 09 Block II from 01 -05-2023 to 01-06-2023
Date Session Actual no. of Number of Supervisory Staff appointed as per the Book of Instructions Remarks for additional
Strength of Centre Deputy Assistant Assistant Centre Clerk to Chief Electician Daftri/ Waterman/ Cleaner/ Chowkidar appointment of staff with prior
students Supdt. Supdt. Supdt. Supdt. for Clerk coordiantor Peon Waterwomen Sweeper approval of the competent
blind/ Physical authority (copy of the approval
handicapped attached)
candidates

M OPENING 1 1

on to one day after of the examination From________to ________

1/5/2023
E
M 245 1 1 8 1 2 1 1 1
2/5/2023
E 80 1 1 3 1 1 1 1
M 208 1 1 6 1 2 1 1 1
3/5/2023
E 195 1 1 6 1 1 1 1 1
Left side M MERGER
4/5/2023
space for E 145 1 1 5 1 1 1 1
bill punching M 155 1 1 5 1 1 1 1 1
5/5/2023
E 333 1 2 10 1 2 1 1 1
M 186 1 1 6 1 1 1 1 1
6/5/2023
E 62 1 1 3 1 1 1 1
M 132 1 1 4 1 1 1 1 1
8/5/2023
E MERGER
M 166 1 1 6 1 1 1 1
9/5/2023
E 169 1 1 6 1 1 1 1
M 80 1 1 3 1 1 1 1 1
10/5/2023
E MERGER
M 188 1 1 6 1 1 1 1 1
11/5/2023
E 308 1 2 9 2 1 1 1
M 353 1 2 10 1 2 1 1 1
12/5/2023
E MERGER
M 154 1 1 5 1 1 1 1 1
13/5/2023
E 250 1 1 7 1 2 1 1 1
M 275 1 1 8 1 2 1 1 1
15/5/2023
E 151 1 1 5 1 1 1 1
M MERGER
16/5/2023
E 192 1 1 6 1 1 1 1
 Note: Chowkidar be appointed from one day before of examination to
M MERGER
17/5/2023
E 151 1 1 5 1 1 1 1
M 129 1 1 5 1 1 1 1 1
18/5/2023
E 212 1 1 7 1 2 1 1 1
M MERGER
19/5/2023
E 210 1 1 6 2 1 1 1
M 166 1 1 6 1 1 1 1 1
20/5/2023
E 164 1 1 6 1 1 1 1
M 196 1 1 6 1 1 1 1 1
22/5/2023
E 225 1 1 7 1 2 1 1 1
M 239 1 1 7 1 2 1 1 1
24/5/2023
E 212 1 1 7 1 2 1 1 1
M 176 1 1 6 1 1 1 1 1
25/5/2023
E 201 1 1 6 1 2 1 1 1
M 169 1 1 6 1 1 1 1
26/5/2023
E 111 1 1 4 1 1 1 1
M MERGER
27/05/2023
E 236 1 1 7 2 1 1 1
M MERGER
29/05/2023
E 188 1 1 6 1 1 1 1 1
M 57 1 1 3 1 1 1 1
30/05/2023
E MERGER
M CLOSEING 1 1
1/6/2023
E

TOTAL 40 41 227 23 54 0 0 38 38 38
Note: The other terms & conditions regarding number of candidates each days (Boys & Girls etc.) are applicable and college should be maintained the record and same will be forwarded
to the University authority seperately. Please see the Book of Instructions for latest updation (if any)

Record prepared by dealing clerk:

Appointment of the above officials verified Countersigned by Chief Cordinator / Principal Name________________________________
A.R. (Conduct) of the college/Head of Department of University Verified by Centre Supdt. Mobile No.___________________________
Office stamp office stamp Office Stamp Email ID:______________________________
 PANJAB UNIVERSITY
Detail of LOCAL CONVEYANCE claim by of Supervisory & other staff who have performed duties in the _______________Semeter________________examination held in the months of _____june /july 2023
Institute / Department ____Rsd college ________________________________Examination Centre No._09 Block II__________________
Sr. Name of Officers/ Officials Duty Performed as Residence/ College Address Name of the Dates of Duties performed during examination Local Total
No. & Designation Centre Supdt./Deputy College/Institute/ Deptt. Conveyene Days
Supdt./Asstt. where employee fixed Rate
Supdt./Clerk etc (Rs.)

1 2 3 3 4 5 6
1
Dev samaj collge for women 01/05/2023
Dr. Khushwant kaur gill Superintendent kirit nagar # 51 fzr city 2,3,4,5,6,8,9,10,11,12,13,15,16,17,18,19,20,22,2 100 22
2 fzr city 9,30, 01/06/2023
Left side
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Space for
4
Bill Punching
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10 Total

Certified that :-
(i) The above officiers/officials have actually visited in the examination centre. The distance claimed correct to the best of my knowledge and is within 25 Kms..
(ii) The above College staff have claimed Local Conveyance only during vacations and others outsider of the College (appointed by the competent authority) have resided/stayed as per address mentioned

(iii) The above officers/officials have not claimed any local conveyance during the examination days from any other sources.
Appointment of the above officials and dates of duties as per their schedule have been
verified & payment may be made as per approved rate of the University.
 Countersigned by Chief Cordinator / Principal
Assistant Registrar (Conduct) of the College/University Department
Office Stamp office stamp
 Form A-41-A
_____june /july 2023____ at College /

Total Signature of the officer/

amount
claimed official. Certify that I
have not claimed any
conveyence/TA etc.
from any other sources
for these days.
7 8

2200

2200

er address mentioned in column no.3

Verified by Centre Supdt
Office Stamp
Mobile No.___________