Sub Bill No………. T.R.25B (GAR-14B)
NOTE :- This bill should be prepared in duplicate- one for payment and the other as office copy.
PART – A –(To be filled by the Government servant)
1.Name of Govt. Servant: 2. Designation:
3. Pay at the time of transfer:__________(Basic) 4. Headquarter: Old:________________
__________(Grade pay) New: _______________
5. Residential address: OLD:-
NEW:-
6. Particulars of the member of the family as on the date of transfer [vide S.R.2(8)]:
Sl.No.
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Name
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Age
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Relationship with Govt. servant
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2
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4
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5
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7. Details of journey(s) performed by the Govt.servant as well as members of his family:
Departure
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Arrival
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Mode of travel and class of accommodation used
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No.of fares
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Fare paid
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Distance in Kms. By road
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Date & Time
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From
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Date & Time
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To
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1
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2
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3
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4
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5
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6
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7
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8
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:: page 2 ::
8. Transportation charges of personal effects (Money receipts to be attached):
Date
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Mode
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Station
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Weight in Kgs.
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Rate
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Amount
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Remarks
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From
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To
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Rs.
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Rs.
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9. transportation charges of personal conveyance(Money-receipts to be attached):
(a) Mode of transport and station to which transported.
(b) Amount
10. Amount of advance, if any, drawn : Rs. ________________
11. Particulars of journey(s) for which higher clas of accommodation that the one to which the Govt.servant is entitled was used.
If the journey by higher class of accommodation has been performed with the approval of the competent authority, No. & date of the sanction may be quoted.
12Details of journey(s) performed by road between places connected by rail:
Date
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Name of places
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Fare paid
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From
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To
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Rs.
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Certified that the information as given above, is true to the best of my knowledge and belief.
Date:
Name and Designation
:: page 3 ::
PART B (To be filled in the Bills Section)
The entitlement on account of TA works out to Rs___________. as detailed below:-
(a) Railways / air / bus / steamer fare Rs.______________
(b) Road mileage for _________ Kms. @ ___________ Rs._____________
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Transfer grant ………………………………………….. …. Rs. ______________
(d) Transfer incidentals (DA for _______ days @ Rs.______ Rs._______________
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Transportation of personal effects…………………….…. …Rs._______________
(f) Transportation of private conveyance…………………... …Rs._______________
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Less amount of advance(s) if any, drawn …………..……..Rs._______________
vide voucher(s) No……………………….
2. The expenditure is debitable to ……………………………………………
Initials of Bill Clerk Signature of Drawing and Disbursing Officer
Countersigned
Signature of Controlling Officer
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