TRAVELLING ALLOWANCE BILL

Name Dept. Staff No.

Designation Basic Pay Rs.
Purpose of Journey Approved

DA Rate/day (Rs.)

Hotel Accommodation/ day (Rs.)

Sign. of Departmental Head
Details of Expenditure
Departure Arrival DA Hotel Other
Accommodation Expenditure
From Date Time At Date Time Days Amt. Days Amt. Particu Amt.
(A) (B) lars (C)

Mention all the stations visited till your return.

Enclose Original Vouchers for Expenses.
Total (A+B+C)
Note: balance out of Advance should be deposited with the Cash Section & Total Claim
references of receipt quoted.
Cash Receipt No. Date For Rs. Less Advance
I certified that : Drawn From
1) I have availed / not availed Hotel Accommodation at Company’s cost. …………..Rs.
2) I have performed journey by the class of Rail Accommodation for which
claim is made. …………Rs.
3) I have availed days CL/PL/SL other leave.
Total

Balance due
Signature of Employee to/from AASL
Authorisation for Payment
PCV No.
Ledge Folio No.
Pay Rs. Rupees )
DEBIT : TRAVELLING ALLOW.( )
MAXIMUM ADMISSIBLE AMOUNT :
Prepared by Checked by Passed by Payment received Cashier