1.

Certified that I/my family was neither allowed free transit by Rail under free pass or otherwise provided with
means of communication at expense of the state local round journey for the which T.A. has been claimed in
this bill.

2. Certified that I/my family actually traveled by the class for the TA claimed in this bill.
G.A.R. 14—A
3. Certified that number of kilometers shown in this is in accordance with the poly metenal tables of the Sub-bill No................................
establishment. TRAVELLING ALLOWANCE BILL FOR TOUR
Note: This bill should be prepared in duplicate—one for payment and the other as office copy.
4. Certified that journey on ……………………….. was performed by Mail/Express train in the interest of public Part A— (To be filled up by Government servant)
service.
1. Name : Dorothy Muansangi
5. Certified that I was actually not merely constructively in camp on Sundays and holidays for which daily 2. Designation: Deputy Director HEAD OF ACCOUNT
allowance is claimed.
3.Pay Rs.76200/- Level -11
6. Certified that I was not absent on casual leave during the period for which daily allowance has been claimed. 4. Head-quarters : Aizawl

7. Certified that during my halt at New Delhi from 14.5.2023 to 16.52023 while on inspection duty continue to 5. Details and purpose of journey (s) performed.
be in our expenditure after the first 10 days.
Departure Arrival Mode of Fare Duration of
8. Certified that I did not perform the road journey for which the kilometers allowances has been claimed at the
higher rates prescribed in Rule 46 of the Supplementary Rule by taking a single sent in a taxi motor or mini
Travel and paid Distance Halt
bus or lorry plying for hire. Date class of in Kms Purpose
Date and and accom- for road of
9. Certified that I incurred running expenses on a car in this journey. Time From Time To modation Rs. Mileage Days Hours Journey
1 2 3 4 5 6 7 8 9 10
10. Certified that the road journey for which kilometers has been claimed at the higher prescribed in 14.5.23
Supplementary Rule 46 performed in my own car.
Aizawl Lengpui Taxi 1000 30
11. Certified that the road journey for which mileage is claimed were performed by road but were charged by rail. 14.5.23 New

No.A.33025/1/2017 –CEO dated 12th May 2023

The number of kilometers actually traveled by raod being. Delhi
Lengpui Airport By Air 21544
12. Certified that the family members for whom TA has been claimed actually traveled with me or followed me New
on transfer. 14.5.23 Delhi Mizoram
13. Certified that actual expenses incurred as cost of transportation of personal was not less than the sum claimed
Airport House Taxi 900 26 1
15.5.2023 Taxi fare
in the bill.
Halted at New Delhi to from
Mizoram
14. Certified that I have transported ………………………. Kg ……………gms. of luggage on my transfer from attend National Level House to
……………………………………….. to. Master Trainers (NLMTs) IIIDEM
IIIDEM Campus, Dwarka. Campus 1800 1
New
16.5.23 Mizoram Delhi
Countersigned Signature of the Claimant House Airport Taxi 900 26
16.5.23 New
Delhi
Airport Lengpui By Air 21544
16.4.23
Signature and designation of the controlling officer
Lengpui Aizawl Taxi 1000 30 1

6. Mode of Journey:
(i) Air
(a) Exchange voucher arranged by office Yes/No
(b) Ticket/Exchange voucher arranged by ——————————
(ii) Rail
(a) Whether traveled by mail/express/ordinary train?
(b) Whether return tickets available? Yes/No
GRANT DDO CODE TREASURY CODE BANK CODE (c) If available, whether return tickets purchased? If not, state reasons.
(ii) Road 11. Details of journey (s) performed by road between places connected by rail.
Mode of conveyance used i.e. by Government transport/ by taking a taxi, a single seat in a bus or
other public conveyance/ by sharing with another Government servant in a car belonging to him or to Name of Places Fare Paid
a third person to be specified. Date From To Rs. P.
7. Dates of absence from place of halt on account of:— 1 2 3 4
(a) R.H. and C.L.
(b) not being actually in camp on Sundays and holidays.
8. Dates on which free board and/or lodging provided by the State or any organisation financed by State
funds:-
(a) Board only
(b) Lodging only
(c) Board and lodging
9. Particulars to be furnished alongwith hotel receipts etc. in cases where higher rate of D.A. is claimed for
stay in hotel/other establishments providing board and/or Iodging at scheduled tariffs:

Period of Stay Daily rate of

Lodging Total Amount
From To Name of Hotel charged paid
12. Amount of T.A. advance, if any, drawn.
Certified that the information, as given above, is true to the best of my knowledge and belief.

Date.......................... Signature of the Government servant

Part B—(To be filled in the Bill Section)

1. The net entitlement on account of travelling allowance works out to Rs..........................as detailed
below:—

10. Particulars of journey (s) for which higher class of accommodation than the one to which the (a) Railways/air/bus/steamer fare Rs.43088/=
Government servant is entitled was used:
(b) Taxi Fare Rs. 5600/=
Period of Stay and Mode Class to Class to Fare of the (c) Daily allowance
Places conveyance which which entitled
Date From To used entitled tavelled class/Rs. (i) .Transit D.A. for 2 days @Rs 700/-.per day. = Rs.1400/-
1 2 3 4 5 6 7 (ii) Halting D.A for 1 day @Rs 1000/-.per day. = Rs. 1000/-
(iii) ................... days @Rs....................per day.
Rs 2400/-
(d) Actual expenses Rs.51088/-

Gross amount Rs. 51088/=

(e} Less amount of T.A. advance, if any, drawn vide voucher No ............................
Dated.......................... Rs. NIL
Net amount Rs. 51088/=

2. The expenditure is debitable to

Signature of Drawing and Disbursing Officer.
If the journey (s) by higher class of accommodation has been performed with the approval of the competent
authority, No. and date of the sanction may be quoted. Initials of bill clerk

Countersigned

Signature of the Controller Officer

CERTIFICATE OF TOUR T.A. BILLS