G.A.

R-14A
Sub-bill (Tour)
T.R.25-(A)

CENTRAL
Sub-bill No.

GOVERNMENT OF INDIA
MINISTRY OF MINES
GEOLOGICAL SURVEY OF INDIA

TRAVELLING ALLOWANCE BILL FOR TOUR.

Part A (To be filled up by Government Servant)

1: Employee ID : 120306

2: Name : MRS. ARCHANA KISHAN SINGH GIRIJA

3: Designation : Senior Geologist

4: Pay : 71800

5: Headquarters : Western Region, Jaipur

6: Application No : WR/RJ/2023/1067135

7: Application Date : 22/01/2023

8: Tour Proposal No : WR/RJ/2022/1031419

9: Purpose of Journey : Field work

10: Pay Level : 11

11: PFMS Code :

12: Group : Group A(GAZETTED)

13: Tour Type : Official Tour

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

Departure Arrival Distance

Mode of Class of Fare of Kms
Travel Accommodation Paid for road
Date Time From Date Time To mileage

13/12/2022 13/12/2022 Other (Neem ka

Jaipur Road NonAc 0 145
10:00 14:00 thana)
21/12/2022 Other (Neem ka 21/12/2022
Jaipur Road NonAc 0 145
09:30 thana) 13:00

2. Mode of Journey

(i) Air

(a) Exchange Voucher arranged by office:

(b) Ticket/Exchange Voucher arranged by:

(ii) Rail

(a) Whether travelled by mail/express/ordinary train? :

(b) Whether return tickets available?:

 (c) If available, whether return tickets purchased? If not,state reasons:

(iii) Road

Mode of Conveyance used i.e., by Govt. transport/by taking a taxi, a single seat in a bus or other public

conveyance/by sharing with another govt. servant in a car belonging to him or to a third person to be specified.

3. Date of absence from place of halt on account of : -

(a) R.H and C.L.

(b) Not being actually in camp on Sundays and Holidays

4. Dates on which free board and/or lodging provided by the State or any organistion financed by State funds : -
(a) Board only :
(b) Lodging only :
(c) Board and Lodging :

5.(a) Particulars to be furnished along with hotel receipts etc.,in case where higher rate of D.A.is for stay in hotel/other
establishments providing board and/or a lodging at scheduled tarrifs:-

Name of
Type Of Daily Total Amount Paid Dates of absence from Place of Halt on
Period of stay the
Stay Rate (Rs.) account of:-
Hotel/Place

Not being actually in camp on Sundays

From To RH and CL
and Holidays
Tirupati
Hotel and
13/12/2022 21/12/2022 Hotel 1456 11648
Marriage
Garden

(c) Particulars of fooding

(b) Particulars of travel within city Period of stay Total Amount Paid (Rs.)

Period of stay Total Amount Paid (Rs.)

From To

From To 13/12/2022 21/12/2022 0

6 (a) Particulars of journey(s) for which higher class of accommodation than the one to which the Govt. servant is entitled was
used:-

Name of Mode of Conveyance Mode of Class to which Class by which Fare of the Entitled Class
Date
Places Used Entitled Travelled (Rs.)

From To

NOTE:

If the journey by higher class of accommodation has been performed with the approval of the competent authority, the number and date of
sanction may be quoted.

7.Details of journey(s) performed by road between places connected by rail:-

Period of Stay Name of Places Fare Paid (Rs.)

From To

8. Tour Dairy :

Date. How Employed

 13/12/2022 Departure to field, Depart from Jaipur residence from 10am and arrived Neem ka thana at 02.00pm, Halt at Neem ka thana.

14/12/2022 Carried out field work in and around at Karanpura and Narasinhpuri area.

15/12/2022 Carried out field work in and around at Guhala area.

16/12/2022 Carried out field work in and around at Nawado ki dhani and Katsa ki dhani area.

17/12/2022 Carried out field work in and around at Mandoera and Naharvadi area.

18/12/2022 Carried out field work in and around at Chowka bass and Gata area.

19/12/2022 Carried out Sample processing work at Camp

20/12/2022 Carried out field work in and around at Gumman Singh ki dhani and Saladipura area.

Departure to Head quarter, Depart from Neem ka thana at 09.00am arrived Jaipur residence at 01.00pm. Carried out en
21/12/2022
route field work in and around Khandela area.

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

.........................

Signature of the Govt. Servant:

Date: ...............

TA Certificate

1 Certified that the mileage claimed in the TA bill is correct to the best of my knowledge.

Certified that I did not perform the journey for which mileage allowance has been claimed at the higher rates prescribed in the rule 46
of the supplementaryRules by taking a single seat in any public conveyance (including a steamer) which plies regularly for hire
2 between fixed points and charges fixed rates I alsocertify that the journey was not performed in any other vehicle without paying for its
hire charges or incurring its running expenses further certify that the placesfor which road journeys were performed were not
connected with Railways

Certified that I actually traveled in the class of accommodation to which I am entitled and fares claimed were actually paid to the
3
Railways authorities

4 Certified that I actually traveled by Mail / Express train in the public interest

Certified that I was actually and not merely constructively in the camp on Sundays and holidays and did not avail of any casual leave
5
for the period for whichDA is claimed

6 Certified that no such traveling allowance bill has been submitted before

Certified that I did not avail of free board and /or lodging at the expense of State Govt. or any organization financed from state funds
7
during the days for whichfull DA has been claimed in the bill

8 Certified that I used Government vehicle for Govt. work.

....................

Signature of the Govt. Servant:

Date: ...............