Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 1

KARNATAKA SOAPS AND DETERGENTS LIMITED, BANGALORE-55

HEAD OFFICE
NAME _____________________ DESIGNATION_____________________PAY SCALE ____________DEPT_____________
________________ MONTH TRAVELLING AND DAILY ALLOWANCES BILL FOR THE PERIOD FROM: ___________ TO: __________
DETAILS OF JOURNEY AND STAY

MODE OF
JOURNEY
PERRFORM NO OF DAYS DA CLAIMED For
ED BY PURPOSE
TRAIN OF
SL NO. WORKING (MAIL OF BUS/TRAIN/AIR/TA FARE AMOUNT JOURNEY REMARKS
HEAD QTR PRASSANGE XI/ JOURNEY FARE
DISTANCE OF JOURNEY UNDERTAKEN BY ROAD AND
DEPARATURE ARRIVAL R ) BY AIR STAY
BY ROAD APPLICABLE Mileage
(BUS OR APPLICABL
TAXI) E DALY
ALLOWAN Incedental
PLACE DATE TIME PLACE DATE TIME CATEGORYAMOUNT FARE IN GENERALOTHER FARE CE Expenses Stay uring Journey
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1 Certified that, the above TA/DA claim is made in accordance with TA/DA rules previling in the company and the above particulars given are true to the best my knowledge & belief
2 The tour programme approved by the competent authority is enclosed
3 The tour report for the above period is enclosed
4 The connected bills are enclosed.

Date signature of the Claimant

Recommended by the supervising Officer Singanture of the Head of Division/Branch Counter signed by the Approving Authroity

You might also like