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Travelling Allowance Form: Total Fare Rs

The document is a travelling allowance form containing details of a trip taken from [date] to [date] for the purpose of [purpose]. It includes information on claimed fares for rail, road, and air travel between places and dates. Local conveyance charges within places and dates with distance and mode of travel are listed. Food bills incurred on dates are detailed. The claimant provides a signature and summary of claimed amounts for fares, conveyance, and food. The form is then countersigned and forwarded for necessary action and audit before final payment.

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Balvinder
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0% found this document useful (0 votes)
281 views2 pages

Travelling Allowance Form: Total Fare Rs

The document is a travelling allowance form containing details of a trip taken from [date] to [date] for the purpose of [purpose]. It includes information on claimed fares for rail, road, and air travel between places and dates. Local conveyance charges within places and dates with distance and mode of travel are listed. Food bills incurred on dates are detailed. The claimant provides a signature and summary of claimed amounts for fares, conveyance, and food. The form is then countersigned and forwarded for necessary action and audit before final payment.

Uploaded by

Balvinder
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TRAVELLING ALLOWANCE FORM

RC ID .

Date..

Full Name .............


Designation Department .
Institute Name ..
Grade Pay .. Pay Rs in Pay band
Or Consolidated Salary
Certified that I was on tour from (dt.) to (dt.) for the purpose ..
and that I travelled by the class and mode of conveyance as indicated below:
1. Claimed Fares (Air / Rail / Bus)
Place

Departure
Date & Time

Place

Arrival
Date & Time

Mode of
Journey
Rail/Road/Air

Class of Journey
Air/Rail/Bus

PNR No.
(if applicable)

Fare in Rs

Train/Flight
No.

Total Fare Rs
2. Details of Local Conveyance Charges Incurred
Date

Station

Place Visited/Travelled
From
To

Distance (Km)

Mode of Travel
Taxi/Auto/Other

Total Local Conveyance

Fare in Rs

Remarks

3. Reimbursement of Food Bills (Bills to be enclosed):

Sr. No

Date

Bill Details

Amount in Rs.

Sr. No

Date

Amount in
Rs.

Bill Details

Total Food

4.

Summary of Claimed Amount

To be completed by the Claimant

1.

To be filled by Office

(a) Total Fare (as in 1) Rs


(b) Total Conveyance Charges (as in 2) Rs
(c) Food Charges (as in 3) Rs
Total Amount

Signature of Claimant
_______________________________________________________________________________________________________________________________________
Countersigned
DIRECTOR/DEAN (R&D) / REGISTRAR/ H.O.D.
________________________________________________________________________________________________________________________________________
Forwarded herewith T.A. claim for necessary action
Admn.
To
Accounts Section
Admitted for .
Passed for .
Disallowed /Added ..
Asstt. Registrar (Audit).
Passed for Rs .
Asstt. Registrar (F&A)

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