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