Professional Documents
Culture Documents
TA Claim Form
TA Claim Form
Place of Interview
JOURNEY PARTICULARS
Onward Journey
From
To
Return Journey
From
To
Mode of
travel(Rail/Road/Air)
Date of
Journey
Ticket Number
Distance (Km)
Amount
Mode of
travel(Rail/Road/Air)
Date of
Journey
Ticket Number
Distance (Km)
Amount
Signature of Candidate
INSTRUCTIONS
1. In case your residence is not connected by Rail state the name of the nearest railway station and its
distance from your residence :-..
2. If you are an Indian Railway employee, enclose a certificate from the appropriate authority to the
effect that you were not provided with Free Railway Pass or P.T.O. In case you travelled on a P.T.O.,
the reimbursement shall be limited only to the amount spent on P.T.O.
Signature
Signature
(Verifying Official)
(Sanctioning Authority)
RECEIVING
Date.
Signature of Candidate
(Affix one rupee revenue stamp)