H.P.T.R.

-7

Travelling Expenses Claim Bill

1. Establishment... GSSS SALOH Month... JULY-AUGUST

2. Name & Designation... PANKAJ RNA VOCATIONAL TRAINER (ITES)

3. Basic Pay... 15549 FIXED Head Qrs... GSSS SALOH

DEPARTURE ARRIVAL Mode Rate/ Actual DAILY ALLOWANCE Total

Station Date & Station Date & of Class Fare Hotel No Rate Amount of
(1) Hour (2) (3) Hour (4) Conve- of Paid Charges of Admi- (11) Line
yance Travel (7) (If Any) Days ssible (12)
(5) (6) (8) (9) (10)
GSSS 31-07-2023 WONDER 04-08-2023 BY BUS Ordinary 77 2125 1 91 91 2293
SALOH 8:30 PM WORLD 10:00 AM 35 KM
RESORT
CHATRU
DHARAMSHALA
Halt at WONDER WORLD RESORT CHATRU DHARAMSHALA w.e.f 31-07-2023 to 04- 4 130 520 520
08-2023
WONDER 04-08-2023 GSSS 04-08-2023 BY BUS Ordinary 77 - 1 91 91 168
WORLD 5:00 PM SALOH 6:30 PM 35 KM
RESORT
CHATRU
DHARAMSHALA

a GRAND TOTAL 154 702 2981

INSTRUCTIONS
1. Tour Dairy should invariably be attached with the claim.
2. In case of Transfer claim, the details of members of the family with age alongwith details of personal effects given.
3. The Receipt Nos of Hotel and carriage charge will be quoted against the relevant column.
4. Ticket Nos should be quoted, when journeys are performed in class higher than the Ordinary claims.