G.A.R.-14-A [See Rules 66(I)(i)] Sub-bill No. . . . . . . . . . . . . . . . . . . ..

TRAVELLING ALLOWANCE BILL FOR TOUR

(NOTE: - This bill should be prepared in duplicate-one for payment and the others as office copy)
PART-A (To be filled up by Government servant)

1. Name: Ramvath Ashok Kumar 2. Designation: Met-A

3 Pay: Level-7, 49000 /- 4. Headquarter: RMC Chennai.

5. Details and purpose of journey(s) performed:

Mode of Duration of
Departure Arrival travel and Distanc Purpose
Halt
class of Fare Paid e in journey
accommodati (Rs) Km.
on

Date and
Date and
From Time (hrs To Days Hr s
Time (hrs
IST)
IST)

19.03.20 Machilipatnam 19.03.20 Machilipatnam Auto 40

0:00 16:00 Bus Stand
19.03.20 Machilipatnam 19.03.20 Vijayawada Bus Bus
11:00 Bus Stand 14:00 Stand
19.03.20 Vijayawada 19.03.20 Vijayawada Auto 50
12:00 Bus Stand 16:00 Railway station
19.03.20 Vijayawada 20.03.20 Anantapur Train 1228.60 AWS
19:15 Railway station 06:30 Railway Station INSTALL
20.03.20 Anantapur 20.03.20 Hotel Auto 50 ATION
07:00 Railway 07:20 Rajahamsa,
Station Anantapur
20.03.20 Hotel 20.03.20 AWS Anantapur Office
08:00 Rajahamsa, 09:00 Vehicle
Anantapur
20.03.20 AWS 20.03.20 AWS Kadiri Office
12:00 Anantapur 14:00 Vehicle
20.03.20 AWS Kadiri 20.03.20 Anantapur Office
19:00 21:00 Vehicle
21.03.20 Anantapur 21.03.20 Hyderabad Office
09:00 21:00 Vehicle
6. Mode ofjourney(s):
(i) Air:
(a) Exchange voucher arranged by office: . . . . . . . . . . . . . . . ..

(b) Ticket/Exchange voucher arranged by: . . . . . . . . . . . . . . . ...

(ii) Rail:
(a) Whether travelled by Mail/Expresstrain?: YES /NO

(b) Whether return ticketwasavailable? : YES /NO

(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 seat 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 specified:

7. Dates of absence from place of halt on account of:

(i) R H.and C.L. : . . . . . . . . . . . . . . . . . . . . . . . . . ..
(ii) 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) Boarding only : . . . . . . . . . . . . . . . . . . . . . . . . ..
(b) Lodging only : . . . . . . . . . . . . . . . . . . . . . . . . ..
(c) Boarding and lodging : . . . . . . . . . . . . . . . . . . . . . . . . ..

9. Particulars to be furnished along with hotel receipts etc., in cases here higher rate of D.A. is claimed
for stay in hotel / other establishments providing board and/or lodging at scheduled tariffs:

Period of Stay(IST) Daily rate of

Name Total Amount paid
Lodging (with GST)
From To charged
20.03.20 21.03.20 Hotel Rajahamsa 750 750 (1 Day)
10. Particulars of journey(s) for which higher class of accommodation than the one to which the
Government servant is entitled wasused:-

Period of Stay & Place Mode of Class to Class to Fare of the

Date Conveyance which which entitled
From To used entitled travelled Class
1. 2. 3. 4. 5. 6. 7.

If the journey(s) by higher class accommodation has been performed with the approval of the competent
authority. No. and date of sanction may be quoted.

11. Details of journey(s) performed by road between places connected byrail:

Date Name ofPlace

Fare Paid Remarks
From To

12. Amount of T.A. advance, if any, drawn: . . . ... . . . . . .NIL . . . . . . . . . ..

Certified that the information as given above is true to the best of my knowledge and belief.

Date: . Signature of the Govt.servant

(Ramvath Ashok Kumar)

Met-A
 PART-B (To be filled in the Bill Section)

1. The net entitlement on account of travelling allowance works out to ` . . . . . . . . . . . . . . . ..

Rupees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . only as detailed below:

a) Railway /Air / Bus / Steamer fare `: . . . . . . . . . . . . . . . . . . . . . . . . .. .

b) Road mileage for . . . . . . . . . . . . . Kms. @ ` . . . . . . . . . . . . . . . . . . . ..

c) DailyAllowance:

i) . . . . . . . . . . . . . . . . . . . . Days @ `. . . . . . . . . . . . . . . . . . . . . .

ii) . . . . . . . . . . . . . . . . . . . . Days @ `. . . . . . . . . . . . . . . . . . . . . .

iii) . . . . . . . . . . . . . . . . . . . . Days @ `. . . . . . . . . . . . . . . . . . . . . .

iv) . . . . . . . . . . . . . . . . . . . . Days @ ` . . . . . . . . . . . . . . . . . . . . ..

v) . . . . . . . . . . . . . . . . . . . . Days @ `. . . . . . . . . . . . . . . . . . . . . .

Total: . . . . . . . . . . . . . . . . . . . ..

d) Actual expenses ` . . . . . . . . . . . . . . . . . . . ..

Gross Amount ` . . . . . . . . . . . . . . . . . . . . .

e) Less amount of T.A. advance. If any, drawnvide

Voucher No. . . . . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . ` . . . . . . . . . . . . . . . . . . . .

Net amount ` . . . . . . . . . . . . . . . . . . . .

2. Theexpenditureisdebatableto....... ............. ............ ..............

InitialBillClerk Signature ofD.D.O.

Countersigned

Signature of Controlling Officer

 CERTIFICATE FOR TOUR T.A. BILLS
1. Certified that I/my family was neither allowed free transit by Rail under free pass nor otherwise provided with
means of communication at expense of the state or local round journey for thewhich T.A. has been claimed in the
bill.
2. Certified that I/my family actually travelled by the class for the T.A. claimed in thisbill.
3. Certifiedthatnumberofkilometersshowninthisbillisinaccordancewiththepolymaternal tablesofthe
establishment.
4. Certified thatjourneyon was performed by Mail/Express train in the interest ofpublic
service.
5. Certified that I was actually not merely continusivelyin camp on Sundays and holidays for which daily allowance
isclaimed.
6. CertifiedthatIwasnotabsent oncasualleaveduringtheperiodforwhichdailyallowancehasbeenclaimed.
7. Certified that during myhaltat from to
while on
inspection duty continue to be in our expenditure after the first 10days.
8. Certified that I did not perform the road journey for which the kilometer allowance has been claimed at the
higherratesprescribedinRule46ofthesupplementaryRulebytakingasinglesentinataxi motorormini busor lorry
plying forhire.
9. Certified that I incurred running expenses on a car in thisjourney.
10. Certified that the road journeys for which kilometer has been claimed at the higher prescribed in supplementary
Rule 46 were performed in my owncar.
11. Certified that the road journeys for which mileage is claimed were performed by road but were charged by rail.
The number of kilometers actually travelled by roadbeing.
12. Certified that the family members for whom T.A. has been claimed actually travelled with me or followed me on
transfer.
13. Certified that actual expenses incurred as cost of transportation of personal was not less than the sum claimed in
thebill.
14. Certified that Ihavetransported Kg gms of luggage on my transferfrom
to

Countersigned Signature of theclaimant

(Signature & Designation of the controlling officer)
 ANNEXURE IV
ESTIMATE OF TA/DA
(To be attached while submitting the TA/DA Claim)

Sr. DETAILS ELIGIBILITY ACTUAL

No. (mode/Fare in Rs) (mode/Fare in Rs)
1) Travel
Train/ Airfare/ Road TRAIN&APSRTC BUS

Local Auto/ Taxi RS 10 PER KM

2) Food charges 800 PER DAY 4000 (5 DAYS)

3) Lodge 750 PER DAY 3000(4DAYS)

4) Conveyance 225 PER DAY

TOTAL Rs.
 SELF CERTIFICATE for LODGE:
Period of Stay(IST) Daily rate of
Name Total Amount paid
From To Lodging charged (with GST)
17.03.20 18.03.20 Hotel Suraj Grand 750 750(1 Day)
18.03.20 19.03.20 Adithya residency 750 750 (1 Day)
19.03.20 21.03.20 Hotel Rajahamsa 750 1500(2 Day)

Certified that I have spent towards Lodging total amount of Rs.3000- ( RupeesThree Thousand) @ Rs.750/-
per day for 04 days with effect from 17.03.2020 to 21.03.2020 in connection of AWS Installation

(E NIKHILESWAR GOWD)
SA
 Bank Account Details

NAME : EDIGA NIKHILESWAR GOWD

SBI ACCOUNT : 62299593246

IFSC : SBIN0021644

BRANCH : KALYANADURG ROAD BRANCH