SER sa ETE
ee Geaed nena «grr dein 9B/SACIC, 187716. 6 (O16) Rev 9
‘amen ort TRAVELLING ALLOWANCE JOURNAL
ai #} safa/Claim for the period.
gar araiea/eurlHd.Ors./Station...
ani/ Name.
faq (21 =1/Provident Fund No.
sasha fewe ¥,/StalTicket No. feet aPPBl Unit nt
‘seue/Designation... sevDivision. =
“aeaPay. . ees reyBranch...
sah sree th aren te tara aed ea are /Movements by all modes shouid be shown below.
i 2
ata | aa
ed
ImanNov!
Fligct Now
es a ER ib A Ra TAT
‘isc or Tee xen auoy sa sud Be tried od =
1. siieieirter ieemetssgpreror se tty oy te et age tena a to
Ree a eine amare atien may cof te Ho a ger eaer tne ag aad ye/oues el
Rae ee eras inultedasove wr vere, ecu of Roleyefeuing ay on route ot
See ee re el ays ava ato datos on paral unre. HafSe was awe nt alowed Foe
=
aan ae eee sn Aaa fe fare fare fs we fon
PET res PADD A san onc oman ben ine! frown oe bab gr aes merorec nv
ot ti tet it mB 3
(fe be scored out iT AD, A advance has been availed orifallonance has been eisimed trom any other authority).
4 fen /Cantoting Ofcer serene endol Oto resi wir nda set SaSignatueof Employee caining TA
: ipse/P 10caee/are art a arar & Ferg erat
‘Claims for. Journey, ‘by roadiwaterway:
le ew hace
mite | mwas a we | teat eetimcmerse]xt/Amount
Date City/Towns From. 0 km. | Taxv/Autol | oARs.
Locality | _ Bus/Boat =
Sono ic |
sweet BEF aa at gar eC werd eR
Head of Office ‘Signature of Employee claiming TA
pals aes Ge Se ea
apn ter ae afore
‘TRAVELLING ALLOWANCE JOURNAL CALCULATION SHEET
arc zwuCity Type| _ FevDays wee eee
etd
vA ee aa
we | oe
we
iE evTowal
I
fad & Het fa, Ss “cfevAmour
Mode km. Rate =URS. os
‘ri/rax! :
wa/adto| | z
: wBus a
APBoat |
sea/Any diher o
| | peFTotal
‘Pereie/Grove Total 2)
-. ani /feeVOffice Supdt Bis