TRAVELLNG ALLOWANCE BILL FOR TOUR

Note: This bill should be prepared in duplicate one for payment and the others as office copy PART A (to be filled up by Govemment Servant

Name :Designation :Pay:Headquarters :Derails and purpose of journey (S) performed :Departure Date and time From Arrival Date and time to Mode of travel ant class of accomm od ation Fare paid Rs. P. Distance in kms.For road mileage Duration of Halt Day Hou s rs Purpose of Journey

Certified that the above journey were performed under by order instruction and in public interest

6. (i)

Mode of Journey :Air (a) (b) Exchange voucher arranged by office Ticket/Exchange voucher arranged by :

(ii)

Rail (a) (b) (c) Whether traveled by Mail/Express/Ordinary train?........................................ Whether return ticket available : If available, whether return ticket purchased? If not, state reasons

(iii)

Road Mode of conveyance used i.e. by Govt. Transport/by taking a taxi, single seat in a bus or other public conveyance/by sharing with another Govt. servant in car belonging to him or to a third person to be

7.

Date of absence from place of halt on account of a. R.H. and C.I.

b. Not being actually in camp on Sundays and holidays. 8. Dates of which free board and / or lodging provided by The state or any organization financed by State Funds: a. b. c. Boated only Lodging only Board and logging

8.

Particulars to be furnished along with hotel receipt etc. in cases where higher rebate of D.A. is claimed for stay in hotel other establishments providing board and/ or lodging at scheduled tariffs :

10. Period of Stay From To Name of the hotel Daily rate of Lodging charged Total amount paid

(3) 10 Particulars of journey(S) for which higher class of accommodation than the one to which the Government servant is entitled was used. Date Period of Stay From 2 Mode of Conveyance used 4 Class to which entitled 5 Class to which traveled 6 Fare of the entitled class Rs. P. 7

To 3

If the journey(s) by higher class accommodation has been performed with the approval of the competent authority. No and date of sanction may be quoted.

11.

Details of journey(s) performed by road between placed connected by rail Date From Name of Places To Fare Paid

12.

Amount of T.A. advance. If any drawn Certified that the information as given above. is true. the best of my knowledge and belief.

Date :-

Signature of the Govt. Servant

(4) PART-B (To be filled in the Bill Section) The net entitlement on account of traveling allowance works out to Rs As detailed below:(a) Railway/air/bus steamer fare RsRs. (b) Road mileage for..Kms @ Rs..P/Km. (c) Daily allowance (i) (ii) (iii) (iV) .days @ Rs.per day .days @ Rs.per day .days @ Rsper day .days @ Rsper day 1.

(d)

Actual expenses Rs .. . Gross Amount ..

(e)

Less amount of T.A. advance. If any, drawn vide voucher No. Dated...Rs..

Gross amount..

2. The expenditure is debatable to__________________________ Initials of Bill Clerk

Signature of Drawing & Disbursing Officer

Counter Singed

Signature of Controlling Officer