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Permanent Transfer Claim

This document contains a claim form for travelling allowance on permanent transfer. It includes details of the claimant such as name, personal number, pay level, place transferred from and to. It also lists family members accompanying the claimant and details of the journeys performed including dates of travel, mode of transport, distance and amount claimed. The claimant certifies that the journeys were performed as detailed and that family members are wholly dependent. The form is countersigned by the controlling officer and includes instructions for submitting the claim.

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2K views2 pages

Permanent Transfer Claim

This document contains a claim form for travelling allowance on permanent transfer. It includes details of the claimant such as name, personal number, pay level, place transferred from and to. It also lists family members accompanying the claimant and details of the journeys performed including dates of travel, mode of transport, distance and amount claimed. The claimant certifies that the journeys were performed as detailed and that family members are wholly dependent. The form is countersigned by the controlling officer and includes instructions for submitting the claim.

Uploaded by

dpdohisar
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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I.A.F.T.

- 1715

TRAVELLING ALLOWANCE CLAIM FOR MOVES ON PERMANENT TRANSFER

Details in respect of the Claimant

Name…… Office…….

Personal No: Pay level… PayRs. /-

Transferred from… Rule in TR /SR

PCDA

TimeDate andPlace
Departure
Arrival

Details of family members Total No.

Wife / husband / father/ mother Children / Sisters / Minor


brothers
Name Age Relation

Date Particulars of journey Mode of Class Distance Rate Rs.


Conveyance
From To

By Bus 250KM 2x300/- 600/-

By Bus 250KM
300/- 300/-

By Bus 250 KM
300/- 300/-

Daily For Adults…


Allowance For Minors

Personal Effects By 250KM 50/- 13500/-


Luggage –House Hold Weight- 6000 KG Truck

Bike By 3000/-
Truck 250 KM

Transfer Grant ………… (36500 X 80%) 29200/-

Advance received from …Rs.Nil……………Total 46900/-

ReceivedpaymentRs.46900/- (Rupees Forty Six Thousand Nine Hundred Only)

Signature oftheClaimant RevenueStamp Cheque to be drawnon

A/c No

Actual time of departure and arrival and dated from Rly Station, Air Port etc. should be shown
**Details of members of family wholly dependent on Govt Servant for whom the claim is referred should be shown. (If claims
are preferred separately, reference to earlier claim should be given)
2

I certify, that (i) the journeys set out on the reverse have actually been performed by the mode and
class indicated against the relevant columns and distances stated in the claim are correct.

(ii) I certify that my legitimate child/children/step child/children/parent(s)/Unmarried Sister(s)/Minor


brother(s) for whom fares etc. have been claimed reside(s) with me and is/are wholly dependent on me and
that his/her/their individual income from all sources including pension (inclusive of temporary increase in
pension and pension equivalent of death-cum-Retirement gratuity) does not exceed Rs. 250/- P.M.

(iii)I certify that no Govt. transport was provided for the journeys for which mileage and/or cartage
have been claimed and that no Warrants, concession vouchers have been used by me/my family for
which a claim has beenpreferred.

(Note :- Score out certificates/portions not

applicable) Station: Hisar

Date: 23.06.2022. (Signature of theClaimant)…………………………


Countersigned as correct claim

(Signature of theControllingOfficer) (Name, Rank & Appointment of Officer Countersigning theclaim)

(FOR USE BY DEFENCE ACCOUNTS DEPARTMENT)

TA AuditRegisterPage……………………… Demand reg.Page……………………….

Classification……………………
PassedforRs……………..Debt.VrNo……………for………………….

Receipts Charges………………………... PaidRs……………………………………………..

Infavourof………………………….Pay ChequeNo………………Dt…………………

……………….on…………Treasuryon……………………on…Treasury

Auditor AAO AO/ACDA Auditor AAOAO/ACDA

INSTRUCTIONS

1. Copies of sanctions (except secret or confidential) should be attached with theclaim.


2. Sanction of competent authority where necessary should beattached.
3. Claim should be countersigned by the Controlling Officer at New DutyStation.
4. When journey is on Warrant, etc. full particulars should begiven.
5. Receipt Vouchers in support of payment made for transporting luggage and other conveyance
should be submitted with the claim.
6. The claim in adjustment of advance taken for the move should be submitted immediately after
completion ofjourney.

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