Sub Bill No. ..

[(See Rule 66(1)&90(1) (i)]

TRAVELLING ALLOWANCE BILL

T hi s b i ll s ho u ld b e p r ep ared i n d up l ica te O ne fo r p a y me n t a nd t he o t h er a s
o f f ice co p y.

No te : -

PART A (TO BE FILLED BY THE GOVERNMENT SERVANT)

1.

Name

SURENDRA PAL

2.

Designation

ASSISTANT

3.

Pay

13000/-

4.

Headquarters

5.

Detail and purpose of journey (A) performed

Departure

Date
and
Time

TEC, KL Bhawan, New Delhi

Arrival

Form

Date and
Time

To

Mode of
travel
and
class of
accommo
dation

6.
Mode of journey: (i) Air
(a)
Exchange voucher arranged by office
(b)
Ticket/Exchange voucher arranged by

Fare
paid

Rs.

Distance
in Kms.
for road
mileage

P
.

Duratio
n of
half

Day
s

Yes/No

H
r
s
.

Purpose of
journey

(ii) Rail
(A) Whether traveled by Mail/Express/Ordinary train?
Yes/No
(B) Whether return ticket available?
(C) If available, whether return ticket purchased? If not state reasons.

(iii) Road
Mode of conveyance used i.e. by Govt. transport/by
Taking a taxi, single sead in a bus or other public
conveyance/by sharing with another Govt. servant
in car belonging to him or to a third person to be.
7.

Date of absence from place of halt on account of: (b) Not being actually in camp on Sunday and holidays

8.

Dates on which free board and/ or lodging provided by

the state or any organization financed by State funds: -

(a) B o a r d o n l y
(b) L o d g i n g o n l y
(c) B o a r d a n d l o d g i n g
9. P a r t i c u l a r t o b e f u r n i s h e d a l o n g w i t h h o t e l r e c e i p t e t c . i n c a s e s w h e r e h i g h e r r a t e
of
D.A. is claimed for stay in hotel other establishment providing board and /or
lodging at scheduled tarrifs
Period of stay
From
To

Name of the hotel

Daily rate of
lodging charged

Total amount
paid

10. P a r t i c u l a r s o f j o u r n e y ( s ) f o r w h i c h h i g h e r c l a s s o f a c c o m m o d a t i o n t h a n t h e o n e t o
which the Government servant is entitled was used.
Date

Name of Place
From
To

Mode of
conveyance used

Class to
which
entitled

Class to
which
traveled

Fare of the
entitled class
Rs
P

If the journey (s) by higher class accommodation has been preformed with the
approval of the competent authority No and date of the sanction may be quoted
11. Details of journey (s) performed by road between places connected by rail
Date

Name of Place
From

Fare paid
To

Rs

12. Amount of T.A. advance. If any drawn.

Certified that the information as given above, is true, the boss of my kno wledge and
belief.

Date

Signature of the Govt. Servant

PART B (TO BE FILLED IN THE BILL SECTION)

1. The not entitlement on account of travelling allowance works out to Rs. ______ as
detailed below:
a) Railway/air/bus/steamer fare Rs. ------------------Rs.
b) Road mileage for ________________ Kms. @ Rs. _______ ________ P/Km.
(c)Daily allowance
(i) __________________ Days Rs.__________________ Per day
(ii) __________________ Days Rs.__________________ Per day
(iii) __________________ Days Rs.__________________ Per day

(d) A c t u a l

expenses

Rs. _________________
_________________
_________________

Gross amount

_________________

(c) Less amount of advances if any, drawn vide voucher No.__ dated_____ Rs. _____
Net amount Rs._________________________

2. The expenditure is debit able to _____________________

Initials of bill clerk

Signature of Drawing & disbursing officer

Countersign

Signature of Controlling Officer

.

Passed For Rs.

Rupees

Pay For Rs. Rs.

Rupees

/-

Accounts Officer (Cash)