Form for Travelling Allowance Bill No: Date: Name: Roll No: Department: Purpose: Particulars of Journey and Halts Departure Arrival Mode and Details of Bills/ Amount Rs. Class / Rd. Date Hour Station Date Hour Station PNR No. Kms Total Travel cost DA/Other Claims and summary: Particulars (if any) Amount Rs 1. Other Expenses, if any: (Encl. the list) 2. Grand Total (T.A) : 3. Net claim: Payable Certified that the expenses claimed are actual and true. Signature of the applicant Approval Grand Total Rs. Forwarded Approved as per Rules Recommended by Director HOD/DoAA Registrar/ DoRD For the use of F&A office only: Passed for an amount of Rs: In words: Assistant / Jr. Supdt. AR(F&A)/DR (F&A) Registrar Receipt:
Form for Travelling Allowance Bill No: Date: Name: Roll No: Department: Purpose: Particulars of Journey and Halts Departure Arrival Mode and Class / Rd. Kms Details of Bills/ PNR No. Amount Rs. Date Hour Station Date Hour Station Total Travel cost DA/Other Claims and summary: Particulars (if any) Amount Rs 1. Other Expenses, if any: (Encl. the list) 2. Grand Total (T.A) : 3. Net claim: Payable Certified that the expenses claimed are actual and true. Signature of the applicant Approval Grand Total Rs. Forwarded HOD/DoAA Recommended by Registrar/ DoRD Approved as per Rules Director For the use of F&A office only: Passed for an amount of Rs: In words: Assistant / Jr. Supdt. AR(F&A)/DR (F&A) Registrar Receipt:
form_ta_claim_students.docx