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DELHI LOK SABHA ELECTION DUTY TA BILL - 2019

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TA BILL FOR JOURNEY UNDERTAKEN FOR PERFORMANCE OF LOK SABHA ELECTION -2019 DUTY

1 NAME OF EMPLOYEE
2 DESIGNATION
3 SCHOOL/OFFICE
4 BASIC PAY/GRADE PAY
5 DEPARTMENT
6 RESIDENTIAL ADDRESS
7 ELECTION FOR WHICH DUTY UNDERTAKEN LOK SABHA ELECTION-2019
8 DATE OF ELECTION/POLLING 12-05-2019
9 DETAIL OF JOURNEY
MODE OF DISTANCE
DATE FROM `TO TRAVEL IN KM. RATE/KM TOTAL

8
GRAND TOTAL
1. TA Advance drawn if any………………………………
2. It is certified that no govt. vehicle was provided for journey for which TA claim has been claimed in the bill.
3. I have undertaken the journey by the mode indicated in the bill.
Encl:-` (Signature of Individual)
1. Appointment Letter
2. Training Duty Letter
3. Photo I-Card
(Signature & Name of Presiding Officer)

Verified Verified

Name & Sign. of Sector Officer Name & Sign. of ARO/RO

To Download this form login : www.myedudel.blogspot.in (DELHI SCHOOL TEACHERS FORUM)

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