Sub Bill No.
G.A.R. 14 – A[see Rules 66(I) & 90 (i) (i)]
TRAVELLING ALLOWANCE BILL FOR TOUR
Note: - This bill should be prepared in duplicate – one for payment and the other as
office copy PART – A ( To be filled up by Government Servant )
1. Name of the Government Servant RAMESH CHAND RANA
2. Designation SECTION OFFICER
3. PAY + SI + NPA AS PER RECORD
4. Headquarters DIRECTORATE OF FAMILY WELFARE, GNCTD
5. Details and purpose of journey (s) performed.
Departure Arrival Mode of Travel &
Distance in
class of Fair paid Duration of Purpose of
Kms for road
Date & Date & accommodation (in Rs.) Halt Journey
From To mileage
Time Time used
1 2 3 4 5 6 7 8 9
Webinfotron
technologies
Lake View
pvt.ltd, J J
Apartment,
16.03.24 16.03.24 Colony, Auto Rickshaw 455 40.2 Nil Exam Duty
Shakti Enclave,
Sawda, Khasra
Burari
No. 265, Delhi,
110081
Webinfotron
technologies Lake View
pvt.ltd, J J Apartment,
16.03.24 16.03.24 Auto Rickshaw 455 40.2 Nil Exam Duty
Colony, Sawda, Shakti Enclave,
Khasra No. 265, Burari
Delhi, 110081
910/-
6. Mode of journey:
Air
(i) (a) Exchange voucher arranged by office
No
(b) Ticket /Exchange voucher arranged by
(ii) Rail
(a) Whether traveled by mail /express/ordinary train? No
(b) Whether return tickets available?
(c) If available, whether return tickets purchased? If not, state reasons
Road
(iii) Mode of conveyance used, i.e. by Government transport/by taking a taxi, a single seat Auto Rickshaw
in a bus or other public conveyance/by sharing with another Government servant in a
car belonging to him or to a third per to be specified.
Dates of absence from place of halt on account of
7. (a) R.H. and C.L. NA
(b) Not being actually in camp on Sundays and holidays.
8. Dates on which free board and /or lodging provided by the State or NA
any organization financed by State funds:
(a) Board Only
(b) Lodging only
(c) Board and lodging.
9. Particulars to be furnished along with hotel receipts, etc., in cases where higher rate of D.A. is claimed for
stay in hotel / other establishments providing board and/or lodging at scheduled tariffs.
S.No Period of stay Name of the hotel Daily rate of lodging Total amount Paid Rs.
charged in Rs.
From To
1. NA NA NA NA NA
2. NA NA NA NA NA
3. NA NA NA NA NA
10. Particulars of journey(s) for which higher class of accommodation than the one to which the Government
servant is entitled was used.
S. No Date Name of places Mode of Class to Class by which Fare of the entitled
conveyance used which travelled class Rs. P.
From To entitled
1 2 3 4 5 6 7 8
1. NA NA NA NA NA NA NA
2. NA NA NA NA NA NA NA
3. NA NA NA NA NA NA NA
If the journey(s) by higher class of accommodation has been performed with the approval of competent authority, No and date of
the sanction may be quoted.
11. Details of journey (s) performed by road between places connected by rail.
S.No Date Nature of Place Rail fare
From To Rs. P.
1 2 3 4 5
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
12. Amount of T.A. advance, if any, drawn Rs. Nil
Certified that the Signature of the Government Servant Date
information, as given
above, is true to the best
of my knowledge and
belief.
Sub Bill No.
G.A.R. 14 – A[see Rules 66(I) & 90 (i) (i)]
TRAVELLING ALLOWANCE BILL FOR TOUR
Note: - This bill should be prepared in duplicate – one for
payment and the other as office copy PART – A ( To be filled up
by Government Servant )
1. Name of the Government Servant RAJAN KUMAR
2. Designation JUNIOR ASSISTANT
3. PAY + SI + NPA AS PER RECORD
4. Headquarters DIRECTORATE OF FAMILY WELFARE, GNCTD
5. Details and purpose of journey (s) performed.
Departure Arrival
Mode of Travel Fair Distance
Date Purpose
& class of paid in Kms Duration
Date & & of
From To accommodatio (in for road of Halt
Time Tim Journey
n used Rs.) mileage
e
1 2 34 5 6 7 8 9
Mandawali, ION Digital
West Vinod Zone-I Exam
03.03.24 03.03.24 Auto Rickshaw 110 9.4 Nil
Nagar, Delhi- Sector62 Duty
110092 Noida
Mandawali,
ION Digital
West Vinod
Zone-I Exam
03.03.24 03.03.24 Nagar, Auto Rickshaw 110 9.4 Nil
Sector62 Duty
Delhi-
Noida
110092
220/-
Mode of journey:
Air
(i) (c) Exchange voucher arranged by office
No
(d) Ticket /Exchange voucher arranged by
Rail
(d) Whether traveled by mail /express/ordinary train?
6. (ii) (e) Whether return tickets available?
No
(f) If available, whether return tickets purchased? If not, state
reasons
Road
Mode of conveyance used, i.e. by Government transport/by taking
(iii) a taxi, a single seat in a bus or other public conveyance/by Auto Rickshaw
sharing with another Government servant in a car belonging to
him or to a third per to be specified.
Dates of absence from place of halt on account of
7. (c) R.H. and C.L. NA
(d) Not being actually in camp on Sundays and holidays.
8. Dates on which free board and /or lodging provided by the NA
State or any organization financed by State funds:
(d) Board Only
(e) Lodging only
(f) Board and lodging.
9. Particulars to be furnished along with hotel receipts, etc., in cases where higher rate of D.A. is
claimed for stay in hotel / other establishments providing board and/or lodging at scheduled
tariffs.
S.No Period of stay Name of the hotel Daily rate of lodging Total amount
From T charged in Rs. Paid Rs.
o
1. NA NA NA NA NA
2. NA NA NA NA NA
3. NA NA NA NA NA
10. Particulars of journey(s) for which higher class of accommodation than the one to which the
Government servant is entitled was used.
S. Dat Name of places Mode of Class to Class by Fare of the
No e From To conveyance which which entitled class
used entitled travelled Rs. P.
1 2 5 6 7 8
3 4
1. NA NA NA NA NA NA NA
2. NA NA NA NA NA NA NA
3. NA NA NA NA NA NA NA
If the journey(s) by higher class of accommodation has been performed with the approval of competent
authority, No and date of the sanction may be quoted.
11. Details of journey (s) performed by road between places connected by rail.
S.No Date Nature of Place Rail fare
From To Rs. P.
1 2 3 4 5
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
12. Amount of T.A. advance, if any, Rs. Nil
drawn
To,
Certified that the
The Head of Office,
information, as given
Directorate of Family
above, is true to the
best of my knowledge Welfare,
and belief. B&C wing. 7TH Level,
Vikas Bhawan-II
Near Metcalf House
Civil Lines,
Signature of the Government Servant
Date Delhi-110054.
Sub: duty on the following duty
points:-
Applic
ation Sl. No. Duty point
for T. 2 ION digital Zone 1, Noida Sector-62 U.P.
A.
Claim. In this regard,
Sir, following documents are
enclosed:-
W
ith due 1. Duly filled T. A.
Claim Bill.
respect
2. Attendance
, it is Certificate issued
submit by Overall Incharge
ted of exam center,
that I DSSSB.
was 3. Copy of notification
deploye from Transport
Deptt for auto
d in
rickshaw fare.
DSSSB
Exam In view of above, it is
functio requested to reimburse the
nary fare paid for the journey for
for above mentioned exam
conduc duty.
t of
online
examin Yours faithfully,
ation
by Dated: 12.02.2024
DSSSB
(RAJAN KUMAR)
/Servic
JR. ASSISTANT (ADMN.)
es.
During
the
course
of
deploy
ment
in
DSSSB
, I
perfor
med
Sub Bill No.
G.A.R. 14 – A[see Rules 66(I) & 90 (i) (i)]
TRAVELLING ALLOWANCE BILL FOR TOUR
Note: - This bill should be prepared in duplicate – one for
payment and the other as office copy PART – A ( To be filled up
by Government Servant )
1. Name of the Government Servant RAMESH CHAND RANA
2. Designation SECTION OFFICER
3. PAY + SI + NPA AS PER RECORD
4. Headquarters DIRECTORATE OF FAMILY WELFARE, GNCTD
5. Details and purpose of journey (s) performed.
Departure Arrival
Mode of Travel Fair Distance
Date Purpose
& class of paid in Kms Duration
Date & & of
From To accommodatio (in for road of Halt
Time Tim Journey
n used Rs.) mileage
e
1 2 3 4 5 6 7 8 9
16.03.24 Lake View 16.03.24 Webinfotron Auto Rickshaw 455 40.2 Nil Exam Duty
Apartment, technologies
Shakti Enclave, pvt.ltd, J J
Burari Colony,
Sawda, Khasra
No. 265, Delhi,
110081
Webinfotron
technologies Lake View
pvt.ltd, J J Apartment,
16.03.24 16.03.24 Auto Rickshaw 455 40.2 Nil Exam Duty
Colony, Sawda, Shakti Enclave,
Khasra No. 265, Burari
Delhi, 110081
910/-
Mode of journey:
Air
(i) (e) Exchange voucher arranged by office
No
(f) Ticket /Exchange voucher arranged by
Rail
(g) Whether traveled by mail /express/ordinary train?
6. (ii) (h) Whether return tickets available?
No
(i) If available, whether return tickets purchased? If not, state
reasons
Road
Mode of conveyance used, i.e. by Government transport/by taking
(iii) a taxi, a single seat in a bus or other public conveyance/by Auto Rickshaw
sharing with another Government servant in a car belonging to
him or to a third per to be specified.
8. Dates on which free board and /or lodging provided by the NA
State or any organization financed by State funds:
(g) Board Only
(h) Lodging only
(i) Board and lodging.
9. Particulars to be furnished along with hotel receipts, etc., in cases where higher rate of D.A. is
claimed for stay in hotel / other establishments providing board and/or lodging at scheduled
tariffs.
S.No Period of stay Name of the hotel Daily rate of lodging Total amount
From T charged in Rs. Paid Rs.
o
1. NA NA NA NA NA
2. NA NA NA NA NA
3. NA NA NA NA NA
10. Particulars of journey(s) for which higher class of accommodation than the one to which the
Government servant is entitled was used.
S. Dat Name of places Mode of Class to Class by Fare of the
No e From To conveyance which which entitled class
used entitled travelled Rs. P.
1 2 5 6 7 8
3 4
1. NA NA NA NA NA NA NA
2. NA NA NA NA NA NA NA
3. NA NA NA NA NA NA NA
If the journey(s) by higher class of accommodation has been performed with the approval of competent
authority, No and date of the sanction may be quoted.
11. Details of journey (s) performed by road between places connected by rail.
S.No Date Nature of Place Rail fare
From To Rs. P.
1 2 3 4 5
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
12. Amount of T.A. advance, if any, Rs. Nil
drawn
Dates of absence from place of halt on account of
7. (e) R.H. and C.L. NA
(f) Not being actually in camp on Sundays and holidays.
Certified that the information, as given above, is true to the best of my
knowledge and belief.
Signature of
the
Government
Servant
To,
The Head of Office,
Directorate of Family Welfare,
B&C wing. 7TH Level, Vikas Bhawan-II
Near Metcalf House Civil Lines,
Delhi-110054.
Sub: Application for T. A. Claim.
Sir,
With due respect it is submitted that I was
deployed as Observer-Cum-CI in DSSSB Exam Duty for
conduct of online examination by DSSSB. During the
course of deployment in DSSSB, I performed duty on
the following duty points:-
Sl. No. Duty point Date
Webinfotron technologies pvt.ltd, J J 16.03.2024
1 Colony, Sawda, Khasra No. 265, Delhi,
110081
In this regard, following documents are
enclosed:-
4. Duly filled T. A. Claim Bill.
5. Attendance Certificate issued by Overall
Incharge of exam center, DSSSB.
6. Copy of notification from Transport Deptt for
auto rickshaw fare.
In view of above, it is requested to reimburse the
fare paid for the journey for above mentioned exam
duty.
Yours faithfully,
Dated: 18.03.2024
(RAMESH CHAND RANA)
SECTION OFFICER (ADMN.)
