નમૂનો-અ

(મુસાફરી ભ થું આકારવા માટે ની મા હતી)

સ ય ી નું નામ: Pradhyumansinh Mahipatsinh Jadeja

મત િવ તાર:/ નંબર : 1 - Abdasa

સ / સિમિતની િવગત : Testing From GIL

(રોકાણની માહીતી)

િત
ઉપ સિચવ ી,
ગુજરાત િવધાનસભા સિચવાલય,
ગાંધીનગર

મારો મુકામ તા. 01-11-2023 થી તા. 04-11-2023 સુધી ગાંધીનગર માં હતો. જેથી મને તા.

01-11-2023 થી તા. 04-11-2023 સુધીનું દૈિનક ભ થું આપવાની યવ થા કરવા િવનંતી છે મારા

વાસની િવગતો નીચે મુજબ છે

(વતનથી ગાાંધીનગર આવવા માટે )

કાયમ નું સરનામું: Darbargadh, Virani Moti, Ta.Nakhatrana, Dist. Kachchh-370655

હં મેશ ની રહે ઠાણની જ યા છો ાની તારીખ 01-11-2023 સમય 12:00

કરે લ મુસાફરીની િવગતો

જમીન માગ Abdasa થી ગાંધીનગર સુધી ( ક.મી.) 413.00

વાહન નંબર પેટોલ કાર / ડીઝલ કાર / કૂ ટર.

રે લ માગ થી ગાંધીનગર

એસ.ટી.માગ થી ગાંધીનગર ( ક.મી.)

ગાંધીનગર ખાતે આવી પહ યાની તારીખ 01-11-2023 સમય 12:00

(ગાાંધીનગરથી વતન જવા માટે )

ગાંધીનગર નું સરનામું: Sadasya Nivash, Sector-21, Gandhinagar

ગાંધીનગર છો ાની ઠરાવેલ તારીખ: 04-11-2023 સમય 23:55

કરે લ મુસાફરીની િવગતો

જમીન માગ ગાંધીનગરથી Abdasa સુધી ( ક.મી.) 413.00

વાહન નંબર પેટોલ કાર / ડીઝલ કાર / કૂ ટર.

રે લ માગ ગાંધીનગરથી

એસ.ટી.માગ ગાંધીનગરથી ( ક.મી.)

રહે ઠાણની જ યાએ પહો યાની તારીખ 04-11-2023 સમય: 23:55

તારીખ: સ ય:
થળ: ગુજરાત િવધાનસભા, ગાંધીનગર ગુજરાત િવધાનસભા

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 Bill No: 21

Constituency No: 1
TRAVELLING ALLOWANCE BILL
(For Members of the Assembly)

Name: Pradhyumansinh Mahipatsinh Jadeja ORIGINAL / Supplementory.

Month: November

Designation:Member of the Gujarat Legislative Assembly

Head Quarter:(Place Of Residence or business) Abdasa T.A both ways and D.A upto Have already been drawn
District Kutch in the previous Bill no. Dt.

Particulars of journey and halts Kind of Class No. of Amount Distance Allowance Purpose of Total
Journeys Fare Rs. Travelled Journey/Halt Rs.
Departure Arrival by No. of
Station Date Hour Station Date Hour Road/rail K.M No. of Rate
or Days for Rs.
Other which
D.A
is
Claimed
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Abdasa 01-11-2023 12:00 Gandhinagar 01-11-2023 12:00 By Road 413.00 11.00 4543.00
North
Gandhinagar 04-11-2023 23:55 Abdasa 04-11-2023 23:55 By Road 413.00 11.00 4543.00
North
4 1000.00 4000.00
To Attend The Testing
From GIL
Session of GLA/meeting
of the commitee
THIRTEEN THOUSAND AND EIGHTY SIX ONLY Total Rs. 13086

Total Amount claimed Rupees 13086

Signature

Member
Gujarat Legislative Assembly

Station:Gandhinagar
Date:

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 (Certificates not applicable should be struck off)

CERTIFICATE

vi. Certified that in respect of journey which were performed by road

i. Certified that I did not leave the place of session or meeting
in a hired conveyance the allowance claimed for the road journeys
during the period of break commencing on ending on for which
does not exceed the actual cost incurred by me for hiring the
daily allowance is claimed under the proviso to section 4.
conveyance.
ii. Certified that I do not ordinarily reside or carry on business at
vii. Certified that I attend the meeting or meetings of the committee
Gandhinagar.
is respect of which travelling allowance or daily allowance is
iii. Certified that distance travelled by road, sea or river are correct claimed for at least half the periods of the duration on that day/each
so far as I have been able to ascertain. of those days.

iv. Certified that I attend/could not attend on account of illness/ the viii. Certified that I have actually undertaken the journeys for which
meetings of the assembly on the day/days for which daily
allowance is claimed.
v. Certified that I resident at Gandhinagar on each of the days as
stated on the reverse for which daily allowance has been claimed
for the purpose of attending the session of the A Assembly/meeting
of the committee.
I have claimed travelling allowance under rule 7/8/10
ix. Certified that I reside at Gandhinagar during the period
commencing on and ending on for which daily allowance is claimed
by me under rule 3.
x. Certified that I have not already drawn travelling allowance for the
journey or daily allowance for the same half, in another capacity.

Member,
Gujarat Legislative Assembly.

Passed For Payment for Rs. (13086) THIRTEEN THOUSAND AND EIGHTY SIX ONLY

Paid by Check No, 112233 Dated: 04-11-2023 For Rs.13086

UNDER SECRETARY
Gujarat Legislature Secretariate.
TREASURY

Vr. NO of List Head Of Service Chaargeable 2011, State

for 20 Lagislature
"State Legislative Assembly -MLA
(Rs. )
Travel Expenses-voted"
(For use in the Accountant General's Office (For use in the pay and Accounts Office

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