( शिक्षा शिभाग, मानि संसाधन शिकास मंत्रालय, भारत सरकार के तहत एक स्वायत्त संगठन)

(An autonomous organization under the Department of Higher Education, Ministry of Human Resource Development, Government of India)

Annexure A-5
RC’S ADVANCE SETTLEMENT FOR ISOR & NHAIR Exam

RC's Name Mrs. Deepshikha Shrivastva Contact number 9820531752

Allotted State(s) 1 RC’s PAN no. AGGPS7552R
No. of Allotted CCs 1 No. of Allotted Centres 4

Advance received on Advance amount Purpose

Rs.12,780/- & Rs.12,330/-

Total amount

I have utilized funds for ISOR & NHAIR exam conducted on 3rd April’ 2022 My actual expense details
are as under:

Local Total
S.n Head Actual duty Net
Designation Actual Rem. Paid Conveyance Food Exp
o count days (With payment
paid paid
dates)
1 RC 1 1 6300*1 6,300/-
2 City Coordinator 1 1 5400*1 5,400/-
3 Observer 4 1 3600*4*1=14,400/- 1000*4*1=4000 300*3*1=900 19,300/-
4 Observer (Mockdrill) 4 1 1800*4*1=7,200/- 1000*4*1=4000 11,200/-
5

Total (A) 42,200/-

Misc. Expenses
S.no. Expense head Details Amount Doc. Evidence
attached at S.no.
Scribe
Administration Staff 1,500/-

Total (B) 1,500/-

Heads Amount
(INR)
Total Expense (A+B) 42,200 +1,500 = Rs.43,700/-
(Less) Advance received 12,780+12,330/- = Rs.25,110/-
Settlement amount (in Rs) 18,590/-
Kindly settle my advance related to ISOR & NHAIR Exam.

RC's signature and stamp Date 13-05-2022

Key points:
This form is to be filled by Regional Coordinator and to be submitted to NTA Finance Department .
 ( शिक्षा शिभाग, मानि संसाधन शिकास मंत्रालय, भारत सरकार के तहत एक स्वायत्त संगठन)
(An autonomous organization under the Department of Higher Education, Ministry of Human Resource Development, Government of India)
1.) Excess advance shall be refunded back to NTA as directed by Finance NTA.
2.) It is important for RC’s admin to recheck PAN number in forms, before sending documents for settlement.
3.) Observers and Special observer’s designation and head count must be written separately.
4.) Regional Coordinator shall ensure to send SOFT VERSION of the validated advance settlement format along with other documents at
finance@nta.ac.in (Within 7 working days of completion of Exam).
3.) Physical copy of Advance settlement format along with all other original documents must be sent to NTA, Noida office. (Within 10
working days of completion of Exam).
4.) Copy of cancelled cheque, appointment letter, Pan card copy to be attached. It is highly recommended to keep a copy of all
documents while settling the advance.
 ( शिक्षा शिभाग, मानि संसाधन शिकास मंत्रालय, भारत सरकार के तहत एक स्वायत्त संगठन)
(An autonomous organization under the Department of Higher Education, Ministry of Human Resource Development, Government of India)

For NTA FINANCE

Advance as per NTA records

Validated Expenses

Settlement amount

Final settlement

Additional Remarks:

Verified by Cons (Finance) DDO

Date: