NORTH ZONE CULTURAL CENTRE, PATIALA

ARTISTS REPORTING FORM

1. Name of Programme : ____________________________________________

2. Date of Programme : ____________________________________________
3. Place of Programme : ____________________________________________
4. Name of Troupe Incharge/Contact No. : ____________________________________________
5. Address : ____________________________________________
____________________________________________
____________________________________________
6. State : ____________________________________________
7. Art Form : ____________________________________________
8. Sponsored Organization : ____________________________________________
9. Total No. of Artists : Male: __________ Female: _________ Total: ______
10. Arrival of the Group : Date: __________________ Time: _______________
11. Departure of the Group : Date: __________________ Time: _______________

S.No. Name of the Artists Sex S.No. Name of the Artists Sex
(in Capital Letters) (in Capital Letters)
1. 12.

2. 13.

3. 14.

4. 15.

5. 16.

6. 17.

7. 18.

8. 19.

9. 20.

10. 21.

11. 22

Signature of the Officer/Official Signature of the Troupe Incharge

of Sponsored Organization
 NORTH ZONE CULTURAL CENTRE, PATIALA
TA/DA & Performance Fee to Artists __________________________________________________________
In connection with Troupe Participation in the___________________________________________________
______________________________________ from __________________ to ________________.

Sr. No. Name of Artists Traveling Daily Performance Total Payee’s

Fare Allowance Fee Signature

Received Rs._______________ (Rs. ____________________________________________________)

from Director North Zone Cultural Centre, Patiala on account of TA/DA and performance fee.

Verified by Signature of the Troupe Incharge

 NORTH ZONE CULTURAL CENTRE, PATIALA
Name of the Programme and Place ………………………………………… Name of Art Form ………...…………………..
S.No. Name of Artist Bank & Address Account Number IFS Code Amount

Verification by Programme Incharge Name and Signature of Troupe Leader