Claim format for Community Auditors for performing different activities

unde Anandadhara in the district of Murshidabad

To,
The Project Direcotr, DRDC &
Additional District Mission Director, DMMU, Anandadhara
Murshidabad

Sub : Request for payment of honorarium for performing different activities under Anandadhara

Ref: Your good office memo no - 326(26)/En/DRDC/I-23, dated-01/02/2024

Sir,
As per approved plan of work I have performed different activitities under Anandadhara as Community Auditor. Kindly
make arrangement for payment of my honorarium in my SB Account mentioned below.

Name of CA : SAFINA SULTANA Designation : Commuity Auditor

Claim for the month with year : FEBRUARY' 2024 Grade of CA : B
SB A/c No. : 1848010074096, IFSC : PUNB0184820 , Bank : PNB, Bank Branch : PURBAGRAM ( SALAR)

Date of work Honorarium Travel expense Total Amount

S.N Description of duty performed
chronologically claimd (Rs.) claimed (Rs.) claimed (Rs.)
1 2-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
2 3-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
3 4-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
4 5-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
5 6-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
6 7-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
7 8-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
8 9-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
9 10-Feb-2024 SHG INTERNAL AUDIT 300.00 100.00 400.00
10 11-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
11 12-Feb-2024 SHG INTERNAL AUDIT 200.00 100.00 300.00
12 15-Feb-2024 SHG INTERNAL AUDIT 300.00 100.00 400.00
13 16-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
14 17-Feb-2024 SHG INTERNAL AUDIT 300.00 100.00 400.00
15 18-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
16 19-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
17 20-Feb-2024 SHG INTERNAL AUDIT 300.00 100.00 400.00
18 21-Feb-2024 SHG INTERNAL AUDIT 100.00 100.00 200.00
19 22-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
20 23-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
21 24-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
22 25-Feb-2024 SHG INTERNAL AUDIT 300.00 100.00 400.00
23 27-Feb-2024 SHG INTERNAL AUDIT 300.00 100.00 400.00
24 28-Feb-2024 SHG INTERNAL AUDIT 400.00 100.00 500.00
25 29-Feb-2024 SHG INTERNAL AUDIT 300.00 100.00 400.00
Rupees in word : Rupees Eleven Thousand Three Hundred Only) Total => 8,800.00 2,500.00 11,300.00

Signature of CA with Date

Certified that SAFINA SULTANA has successfully performed the work
for which bill claimed and online entry of data has been completed
(where applicable)
Memo No. ___________ Date : ________
Recommended and forwarded for payment of
honorarium amounting to Rs. 11,300.00 to the
Project Director, DRDC & ADMD, Anandadhara,
Murhsidabad

Signatur eof WDO/BNO, Anandadhara BDO & BMD/Anandadhara