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.
