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)