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I hereby certify that the above mentioned was absent on du ty from his headquarter's station during the perlod charged for in this bill on railway
business and thatthe officer performed the joumey by Rail/Sea/Road/Air and was allowed/not allowed free pass orlocomotion at the expenses ofGovernment localfund or
Govt. of lndia -s{
I ceftiry that no TA/DA or any other remuneration has been drawn fom any other source an respecl of the joumeys perfonned on duty pass and also forthe haltsforwhich TFJDA has
been claimed in this bill.

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fir eerwftal Countersrgned ftr+rfi rqfi{ort/Con trotling Ofticer dt itd4-sqa/ Head of Office Signature of Officer/Claimng T. A.

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Note :- On transfer from one Raitw?y to another, certfcate wheher or not a free pess of Locomotton at Govemment expenses was allowed, or not should be recoded on T. A. Bills