FOOD BILL CLAIM
G.A.R.14 (A)
SUB BILL NO………………………………………….
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)
PART-A (to be filled up by government servant)
1. NAME :- NO-065025807 RAJEEV SINGH
2. DESIGNATION :- INSP/GD
3. PAY :- Rs. 55200/--
4. HEADQUARTERS :-C/ 221 BN CRPF AT GC GREATER NOIDA (UTTAR PRADESH)
5. Details and purpose of journey(s) performed :-
Departure Arrival Mode of Fare paid Distance in Duration of Purpose
travel and Kms. for halt of
class of road journey
Date and From Date and Time To accommodati Rs. P. mileage Day Hours
Time on s
1 2 3 4 5 6 7 8 9
11/01/25 221 BN HQ 12/01/25 224 BN HQ GOVT. VEHICLE - - 651 km 02 DAY
(FN) NOIDA (AN) PRAYAGRAJ FOR
INDIVIDUAL HALTED AT 224 BN HQ PRAYAGRAJ WEF- 13/01/25 TO TOTAL-46 DAYS VIP
28/03/2025(FN). SECURI
28/02/25 224 BN HQ 01/03/25 221 BN HQ GOVT VEHICLE - - 651 KM 02 DAY TY
PRAYAGRAJ NOIDA DUTY
(FN) (AN)
TOTAL DAYS 50 DAYS
Note :- 1. R/Warrant E-ticket issuedfm
2. Railway warrant not issued
3. Railway journey fm
6. Mode of journey :-
(i) Air :
(a) Exchange voucher arranged by officer Yes/No.
(b) Ticket/Exchange voucher arranged by………..
(ii) Rail :-
(a) Whether traveled by mail/express/ordinary train ?
(b) Whether return tickets available ?
(c) If available, whether return tickets purchased ?
If not, state reasons.
(iii) Mode of conveyance used i.e. by Govt. transport/by taking
a single sheet in a bus or other public conveyance …..
7. Dates of absence from place of halt on account of (a) RH and CL
(b) Not being actually in camp on Sundays and Holidays :
8. Dates on board and/or lodging provided by the state or 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 DA is claimed for stay
in hotel/other establishments providing board and/or lodging at scheduled tariffs
PERIODS OF STAY NAME OF HOTEL DAILY RATE TOTAL AMT PAID
FROM TO
N/A--
10 .Particulars of journey for which higher class of accommodation than the one to which the Govt.
servant was used.
DATE NAME OF MODE OF CLASS TO CLASS BY FARE OF THE
PLACES CONVEYANCES WHICH WHICH ENTITLED
FROM - TO ENTITLED TRAVELED CLASS
--- N/A---
11. Details of journey performed by road between placed connected by rail
DATE NAME OF PLACES FARE PAID
FROM TO
--- N/A---
12. Amount of TA Advance, if any, drawn.
Certified that the information, as given above, is true to the best of my knowledge and belief.
Date : /03/2025
Signature of Govt. Servant
F/NO-065025807
INSP/GD RAJEEV SINGH
PART-B
(To be filled in the Bill Section)
The net entitlement of account of traveling allowances works out to Rs……….
as detailed below:
a) Railway Air/Bus/Steamer fare ……..
b) Road mileage for …….Kms @ Rs……….per Km.
c) Daily Allowances :
i)………………….Days @ Rs………. Pe Day
ii)…………………Days @ Rs………. Per Day
(d) Actual Expenses Rs..……………
Rs…..…………
GROSS AMOUNT Rs…..…………
(e) Less amount of T.A. Advance if any drawn vide Voucher No…… date………Rs….
Net amount Rs………….…….
2. The Expenditure is debatable to: Demand No.
Major head : 2055 POLICE
Minor Head : 102 CRPF
Detailed Head : 01.02.11 DTE
Signature of DDO
IRLA No.
APPROPRIATION
Budget Allotted for 201 : Rs.
Expdr. Including this Bill : Rs.
Balance : Rs. COUNTER-SIGNED
(Signature of Controlling Officer)
TOUR TA CERTIFICATE
1. The claim is genuine and has not been claimed previously.
2. The fare have been claimed for the class of accommodation actually used by me.
3. I was actually and not merely constructively in the camp during Sundays/holidays falling during
rout and for which TA/DA has been claimed.
4. Certified that I was not provided free loading / boarding during tour for days I have claimed DA.
5. I was provided free loading / boarding during tour for the following days.
6. I have not claimed Air fare of the journey which I performed on air exchange order.
7. I was not on C/L on any day for which DA has been claimed.
8. The distance by road for which mileage allowances has been claimed is correct to the best of my
knowledge and belief.
9. The journey ere in the interest of public service and on Govt. TPT. Was utilized for journey for
which road mileage has been claimed.
10. I stayed from ……………. ……………to ………………………………..At………………………. which provided
lodging/boarding at schedule tariff.
11. Certified that ------------------------------------------- (Place/State) for which daily declared sphere of
duty/touring vide IGP western sector O/O No. A-IX-221/2013-WS-TA(in Hindi) Date -26/11/13, ---
------------------------------------------- vide IGP western sector O/O No.A-IX-221/2014-15 WS TA (in
Hindi) dated 21/07/14
12. The date from which halt commenced (HECF) in the declared sphere of duty is ………… This
information has also been permanently shown in Red ink in the body of TA Bill.
13. The rate of DA charged in the bill are in conformity with the Rules.
14. Certified that the inner and outer columns of the TA Bill have been properly and completely filled
in.
Station :- G/NOIDA
Date :- / 03/2025
SIGNATURE OF GOVT. SERVANT
F/NO-065025807
INSP/GD-RAJEEV SINGH
CHECKING CERTIFICATE
1. This TA Bill has been examined in accordance with the rules instructions issued from time to
time.
2. All inner/outer columns of the TA bill have been properly filed and found correct.
3. The certificates recorded by the officer have been checked and found correct.
TA clerk Account Office
CERTIFICATE BY CONTROLLING OFFICER.
1. Certified that the journey was performed in the interest of service.
2. Certified that the amount claimed in the bill was not drawn previously.
3. Certified that the journey was undertake for a official propose and the CL was incidental.
4. Certified that the officer has carried our visit to Coys/outpost as per the laid shown
SIGNATURE OF CONTROLLING OFFICER
PARTICULARS FOR REMITTANCE
SL PARTICULARS DETAILS
NO
01 NAME of APPLICANT RAJEEV SINGH
02 NAME OF BANK IN FULL FORM STATE BANK OF INDIA
03 BANK CODE IF THE BANK IS SBI 6058
04 IFS CODE SBIN0006058
05 MICR CODE NIL
06 BANK ACCOUNT NO 20008328784
07 IN CASE OF BANK OTHER THAN SBI VIZ NIL
PNB, CANARA BANK ETC NEAREST SBI
WITH CODE NO
08 FULL POSTAL ADDRESS OF BANK TO STATE BANK OF INDIA
WHICH THE DUES ARE TO BE DISTT.-LUCKNOW
REMITTED(DISTRICT, STATE AND PIN STATE-U.P
CODE SHOULD INVARIABLY BE PIN-227105
SHOWN)
ATTESTED
F.NO :- 0650258071
RANK:-INSP/GD
NAME:-RAJEEV SINGH
UNIT:-C/221 BN
PARTICULARS FOR REMITTANCE
SL PARTICULARS DETAILS
NO
01 NAME of APPLICANT RAJEEV SINGH
02 NAME OF BANK IN FULL FORM STATE BANK OF INDIA
03 BANK CODE IF THE BANK IS SBI 6058
04 IFS CODE SBIN0006058
05 MICR CODE NIL
06 BANK ACCOUNT NO 20008328784
07 IN CASE OF BANK OTHER THAN SBI VIZ NIL
PNB, CANARA BANK ETC NEAREST SBI
WITH CODE NO
08 FULL POSTAL ADDRESS OF BANK TO STATE BANK OF INDIA
WHICH THE DUES ARE TO BE
REMITTED(DISTRICT, STATE AND PIN DISTT.-LUCKNOW
CODE SHOULD INVARIABLY BE
SHOWN) STATE-U.P
PIN-227105
ATTESTED
F.NO :- 065025807
RANK:-INSP/GD
NAME:-RAJEEV SINGH
UNIT:-C/221 BN
