Sri G.Pulla Reddy Govt Polytechnic, B.Thandrapadu, Kurnool, A.P
  TA & DA Bill form
 
STATE BOARD OF TECHNICAL EDUCATION AND TRAINING

STATE BOARD OF TECHNICAL EDUCATION AND TRAINING

ANDHRA PRADESH :: HYDERABAD.

 

“T.A & D.A  BILL FORM”

 

01.  Name, Designation and Address of the Officer:

 

02.  a) Basic pay and the Scale of pay in which pay drawn:

  b) Head Quarters:

         ONWARD JOURNEY:

03.  Purpose of Journey:        

 

04.  a) Places between which traveled           From                          To                                        

 

  b) Date and Time of Departure and        Date:                         Date:    

      Arrival.                                              Time:                         Time:

 

05.  Mode of Travel & the Class in which

       Traveled & Distance. (If traveled in 1st Class

       or  II nd  Class A.C the Ticket No . Should be furnished.) :

   

06.  Actual Fare paid.                                    :

 

07.  Lodging charges if any incurred              :

(Receipt to be enclosed).

 

    RETURN JOURNEY: -      

08.  a) Place  between which traveled             From:                          To:

 

       b) Date & Time of Departure and arrival. Date:                          Date:

                                                                      Time:                          Time:

 

09.            Mode of Travel and the class in which traveled and

                 Distance.(If traveled in 1st class or in II nd class A.C.

       the Ticket Number should be furnished)                       :

 

10.  Actual Fare paid.                                                           : 

 

11.  Number of days taken from the date & time of

       commencement of onward journey to the date and

       minute of arrival to the Head quarters on return journey. :

 

12.  Normal Daily Allowances claimed for the Number of Days

        shown in column 11.   If Lodging charges are claimed,

        the normal D.A. Should be reduced by 25%.                    :

 

13. Risk Allowance (Halting allowance) @Rs. 250/ per day       :

 

14.  Gross Amount of T.A,  D.A. & Risk allowance  Claimed

       (Column No. 6+7+10+12 +13 )                                           :

 

15.  Amount of Advance Taken and Date on which Taken.       :

 

16.  If so, the net amount of T.A & D.A claimed

       after deducting   such advances.                                       :

 

 

 

SIGNATURE OF THE CLAIMANT

 

 

 

 

 

C E R T I FI C A T E

 

01.  I do hereby certify that I have taken pains to ascertain the distance shown in

       the T.A. Bill & have shown them according to the best of knowledge and

       belief.

 

02.  I certify that no D.A. has been drawn for ……………..   Days of casual Leave

      or Sunday or Holiday not actually spent in camp.

 

03.  I certify that concessional fares were not obtained for any of the Railway

      Journeys Covered by the Bill.

 

04.  I certify that for Rail journeys included in this bill.  I traveled by the …..

       Class and I claimed T.A. for the same class.

 

05.  I agree to refund to the State Board of Technical Education and Training, A.P.,

       Hyderabad any amount that may be objected to in audit from out of the 

       Amount Paid to me in this claim.

 

06.  I certify that I have not drawn nor do I intended to draw T.A. & D.A for this

       Journey from any other sources.

 

 

COUNTER SIGNED.                                              Signature of the claimant.

Designation.

 

 

 

 

 

 

                                      ATTENDANCE CERTIFICATE

 

           Certified that Sri …………………………………………………………………………

 

working as …………………………………………………..  at …………………….

 

Appointed as per Board’s orders No. …………………. Dated:………………..  actually

 

reported for duty by …………(TIME) on …………………the date of examination/

 

Camp from ………………… to …………… He completed the Examinations on

 

…………………      (Dates to be specified)  

 

 He was relieved by.  ……………Time…..……….  on  …………………..

 

 

 

 

                                                                             SIGNATURE OF THE CHIEF

                                                                   SUPERINTENDENT/CAMP OFFICER

 

                                            FOR OFFICIAL USE ONLY

 

 

Passed for Rs……………….(Rupees ……………………………………………………………….)

 

 

 

SUPERINTENDENT/ ASST.SECRETARY/JOINT. SECRETARY          SECRETARY.

 
 

 Last Updated on: 06.11.2014 16:00    

 
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