TA Claim form

MAHARAJA RANJIT SIN GH PUNJA B TE CHNICAL UNIV ERSITY, BATHINDA

(E,tabll,h od by Govt. of Pu nja b vld c Punjab A~I.Jfo,-5 o f '.1015 )

T r ave ll ing All owance B Iii o f th e Establi shment o f _ __ ______ Bathlnde for tho mo n th o f _ _ _ __ _ _ _ 20. _ _ _ _ _ N am e _ _ _ _ __ __ _ _ _ _ _ _ __ _ Desi gnati on - - - ~- -- - - - ' -_H eadqua rt ers .!!!!!h!rn!!!

TA CLAIM FORM

Pertlculers of Journey/h ell

Means of Actu al

MIieage by Rall/Road .

Delall

or Looel De lly

_Tolal

C on veyance Rell/B us means Convene:, All owance

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To

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Amount _{Amount Amounl}

Da l e Houra

S tallon S ta tion

Dale _Hours

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i°e~ e:nd c ertified 1fi at , i ' .' .fl · . ₁₁ CONTROLLING OFFICER

1) The p erson mentioned here In eolually look per1 In lhe malch/Gonlesl/debale/m eel!ng_ ·

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2_) The amount of R s. hes been disburs ed lo eauh ,;,I Iha persons mentioned herelri':,

JJ The class of Rallway accommodallon actually TraVelled by haa be en charg ed ·

₁ 4) Th e ra llway re turn llch:eVcOncesslon was nol ava lled of since

5) No enler1alnment o f dinner or lunch w as served by Iha Iha host college/Unlversl i y 6) No P aym eril of par11here or has been·recelved In lhls re spect lhro ugh any other bill

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Reve nue Stamp

Signa ture

Purpose o f Journ ey

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CERTIFICATES OF TOUR

Name or omclel _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___c.Daslgnallons _ _ _ _ _ _ _ _ __ __ _:__ _ __ _ _ _ _ _ _ _

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_ 1. Certlned thel I was

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{I) provided wllh meene of locall9n et lhe expense of Governmenl1/Jocel fund or court of wards eslah,:for Journey by .f'OBd (Rule

2 .02 lo 2 .05) for any Journey ofy~urT.A. hee been clelmed.

2. Certlned thel I travelled by rell / steamer on ell days, In Iha class of acoommodallon which I am enlllled except _ _ _ __ _ when !ravelled by _ _ _ _ _ _ _ _

3. Certified lhal between slellon connected by rOII, viz.~. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ lo _ _ _ _ _ _ _ _ _ I performe~e Journey by road transport motor omnibus, etc end Incurred a sum of Rs. _ _ _ _ _ _ es road fair, which Is supported by enclosed Octuel bus car tic ket 4. CertlOed lhat Journey by road was performed by molar cycle/molar car.

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(I) Which ~as hired one end ell l~e eccommodallon of which was got reserved by me . (II_) Which was prlvele property delalls of which Ore glveri below.

(Ill) Being my own property.

(Iv) Being e Governmenl vehlcle .

6 . Certlned lhat I did not perform Iha road Journey for which mlleege allowance' haa been clalmed al Iha higher rales presc ribed In rule 2 .24 9(d) of lhe T.A. rules by lejdng a slngle seal In any cor1veyance excludlng a steamer which plles regularly for hire between nxod points & charges Hxed ral89 I also certify that Jciurfley was nol performed In another vehicle without payment

CertlOed tlull lhe Journey b·y road was perfomiad by laldng a slogle seal In laxl, motor omnibus or lorry.

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CertlOed ;1~et the J_ourpey beybnd JurlsdlcUon was perfartned~under proper authority . n. Cer1Uled that Iha iu.1_mbe{_ of.[1llles shown In Iha blll ere correct.

9. ·Certlned 1h01 lhe Journey on tour war, J)ertormed by mall/ express train In the lnleresl of Iha publlc service.

10. Certlfi~d lhat I was ecluafly

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merely construcllvely In ca_se of Sunday and holidays for which dally allowance has been clelmed 11. Certified that I was not absent on causal leave during lhe period for which dally allowance has been clalmed .

12 . Certlned lhat the during my h811 el _ _ __ _ __ from _ _ .:,_ _ _ _ _ _ lo _ _ _ _ ..c... _ _ _ _ whlle on duty I conllnued lo ekpendilure afler first 10 days.

13. Certlfi8d lhal,lhe famlly members, for .whom T.A. hes been. clalmed, actually lreve~led wllh me or proceeded followed within the lime llmlt prescribed for Journey transfer.

14 . Certlned that lhe actual expenses Incurred es cost

or

lrenaportlng personal eftecls wea ·not less than the sum clalffied In the blll . 15. CertlOed lhat I lransported ~ - - - -- Olis. Of lugg~ge on ,:ny transfer ..

Dated

Nole : 1. Slrll{B out whal eo ever not eppllceble

2. Attach (a) the Programme pemphlel (biiacelpte of conveyance charges (c) aulhorlty of Iha Principal lo partlclpele In lh•-...,.---~-·' -·-

3. Poster charges ere not ellowed . ,

4 . Affh< rAvAnue slemo In each cBee If the ~ovnient 8:xceeds Rs . 500/- Slonnh1rft