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Modified TA Form

This document is a travel allowance bill form for an employee or student of the Indian Institute of Technology Bhilai. The form collects essential information like name, designation, department, travel details including dates of departure and arrival, mode of transport and associated costs. It also collects details of other expenses incurred during travel like accommodation, food etc. along with supporting documents. Instructions are provided on the reverse for correctly filling the form and claiming reimbursement within 7 days of travel completion. The traveler needs to certify details of travel class, journey payment and leave taken. The approving authority then indicates the payable or recoverable amount.

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suryansh gupta
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0% found this document useful (0 votes)
223 views2 pages

Modified TA Form

This document is a travel allowance bill form for an employee or student of the Indian Institute of Technology Bhilai. The form collects essential information like name, designation, department, travel details including dates of departure and arrival, mode of transport and associated costs. It also collects details of other expenses incurred during travel like accommodation, food etc. along with supporting documents. Instructions are provided on the reverse for correctly filling the form and claiming reimbursement within 7 days of travel completion. The traveler needs to certify details of travel class, journey payment and leave taken. The approving authority then indicates the payable or recoverable amount.

Uploaded by

suryansh gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INDIAN INSTITUTE OF TECHNOLOGY BHILAI

Temporary Campus, GEC Campus, Sejbahar, Raipur, Chhattisgarh -


492015

Travelling Allowance Bill


Name: Staff ID No./Roll No.:

Designation: Department: Institute:

Basic Pay Rs : Institute A/c/Project A/c No.

Purpose of Journey
(See instructions for filling the Travelling Allowance Bill on the reverse side.)

A. TRAVELLING EXPENSES INCURRED


Departure Arrival Mode of
Journey Road Flight/Train
Class Fare(Rs)
(rail/air/ (kms) Ticket No.
Station Date Hour Station Date Hour
road)

(A) Total Claimed


(Rs).
B. OTHER EXPENSES INCURRED
(Accommodation, Food, Porter, Registration Fee, etc.)
Cash Bill
S.No. Item of expenditure Amount (Rs.)
Details

(B) Total Claimed (Rs).


No. of Enclosures: __________
Date: ___________

Total Amount Admissible (A) : Rs. _____________ (B): Rs. ____________ Employee/Student/Invitee

(A+B) : Rs. _____________


PYMT Voucher No.:
Date:
(C) Advance Draw : Rs. _____________

Net Claim Admissible (A+B-C) : Rs. _____________

Excess to be paid by IIT Bhilai : Rs. _____________

Excess to be recovered by IIT Bhilai : Rs. _____________

Dealing Assistant Deputy Registrar (F&A)


INSTRUCTIONS FOR PREPARING TRAVELLING ALLOWANCE BILLS

1. Each leg of journey (including local transportation) shall be entered on a fresh line.
2. Duly filled TA Bill shall be submitted within 7 days of completion of journey. Failure to do so, may entail
recovery of the advance drawn, if any in a single instalment through the next Salary Bill/Scholarship of
Employee/Student.
3. Originals of cash Receipts and Tickets should be furnished along with the TA Bill.
4. When journey is performed by road, sea or river, the exact details of the transport vessel shall be furnished .

CERTIFICATE
It is certified that
a. I have actually travelled in the class for which was approved;
b. I did not perform the road journey for which the mileages have been claimed at the higher rates by
taking many seats in any public conveyance, excluding steamer which plies regularly for hire between
two fixed points at fixed rates;
c. I did not perform any journey free of charge, without payment or incurring only running expenses; and
in case of hiring a taxi, the hiring of taxi was essential and road mileage was not claimed from any other
source.
d. I have availed/not availed (strike out which is not applicable) leave in combination with the official tour
and I have made/not made (strike out which is not applicable) the journey during leave or while
proceeding on or returning from leave.

Employee/Student/Invitee

Pay/Recover Rs. ____________


(Rupees___________________________________________________________________________________________only).

Dealing Assistant
Deputy Registrar (F&A)

*Mandatory Information for reimbursement

Name of Account Holder (In Capital) :

Account Number :

IFS Code :
Bank :

Branch :

Email ID :

Mobile :

PAN :

Date: Employee/Student/Invitee

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