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Travel Allowance Bill Form Template

The document is a T.A. Bill Form for members or inspectors associated with Dr. NTR University of Health Sciences in Vijayawada. It includes sections for basic pay, travel details, daily allowance, and total amounts, along with certification of correctness by the member. Additional notes outline requirements for advance payments and revenue stamps for claims exceeding Rs. 500.

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GCON KURNOOL
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394 views2 pages

Travel Allowance Bill Form Template

The document is a T.A. Bill Form for members or inspectors associated with Dr. NTR University of Health Sciences in Vijayawada. It includes sections for basic pay, travel details, daily allowance, and total amounts, along with certification of correctness by the member. Additional notes outline requirements for advance payments and revenue stamps for claims exceeding Rs. 500.

Uploaded by

GCON KURNOOL
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd
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Dr.

NTR UNIVERSITY OF HEALTH SCIENCES::AP::VIJAYAWADA- 520 008

T.A.BILL FORM
Full name and address of the : __________________________,
Inspector / member __________________________,
__________________________,
__________________________,
__________________________,

Basic pay & scale of pay : __________________________,

: __________________________,
__________________________,
__________________________,

Date of Inspection :
(1) TRAVELLING ALLOWANCE
From Date & To date & Distance in Mode of Fare payable Total
Departure time Arrival time KMs. the journey as per rules amount
by train / Rs. Rs. Ps.
road Ps.

(2) D.A
No. of days Daily rate Total amount
Rs. Ps. Rs. Ps.

Total No. (1) Rs.


Total No. (2) Rs.
Grand Total Rs.

I certify that the correctness of the distance shown in this bill. The expenditure on
conveyance here was actually incurred by me.

Received
Rs……………………………………………………………………..

Signature of the member


(NAME_________________________)

P.T.O.
::2::

NOTE:1. Certified that the advance amount of Rs._________/- has been sanctioned in way
of Demand Draft No. __________________, Dt. ______________ by the
University vide proceedings No. _____________________________,
Dt._________ of the Vice-Chancellor / Registrar, Dr. NTR University of Health
Sciences, Vijayawada.

2. When the claim is above Rs. 500/- Revenue stamp of Rs.1.00 is to be affixed.
3. He /She will paid T.A. and sitting fee as per rules of Dr. NTR UHS.

Date:
Signature

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