PALIKA KENDRA :
From T.R.25
Sub-bill No
(Sub-bill)
Tour
TRAVELLING ALLOWANCE BILL FOR TOUR
(Note- This bill should be prepared in duplicate- one for payment
for the other as office copy
PART A
(To be find in by the
Government Servant)
1.
Name
. 2. Designation
3.
Pay Rs
4.
Headquarter
5.
Details and purposes pf journey (s) performed:-
|
Departure |
Arrival |
Mode Of Travel&
Class
Of Accommodation |
Fare
paid |
Distance In kms. for
Road mileage |
Duration Of
half |
Purpose Of
Journey |
||||
|
Date Time From |
Date Time
To |
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6.
Mode of journey s):
(i) AIR (a) Exchange voucher arranged by
office
..
..Yes/No
(b) ticket/Exchange voucher
arranged by
.............
.
(ii) RAIL (a)
Whether traveled by mail/express/ordinary train
..
.Yes/No
(b) Whether return tickets
available
..
.
© If available whether return tickets
purchased? If not, state reason
.
.
(iii) ROAD
Mode jof
conveyance used (i.e., by Government transport/by taking
A
taxi, a single seat in a bus or other I a public conveyance, by
Sharing
with another Government servant in a car belonging to
Him
or to a third person on be specified.)
.
7.
Dates of absence from place of half on account of:-
a)
Restriction
Holidays and Casual leave
b)
Not being actually
in camp on Sunday and Holidays
.
8.
Dates on which
free board and /or lodging provided by the State or any organization by State
Funds:-
(a) Board only
.
(b) Lodging only
.
(c) Boarding and lodging
.
9. Particulars to be furnished along with hotel
receipts, etc,. in cases
where higher rate of Daily
Allowance is Claimed
for stay in hotel/other establishments providing. Board and/ or lodging
at scheduled
tariff:
|
Period of Stay |
Name
of the Hotel |
Daily
rate of lodging
charged |
Total Amount Paid |
|
|
From To |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOUR
10 Particulars
of journey (s) for which higher class of accommodation than the
Government
Servant is entitled to was used.
|
Date |
Name of places |
Mode
of Conveyance used |
Class
to Which entitled |
Class
to Which traveled |
Fare
of the Entitled Class Rs. P |
|
|
|
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.
11. Details of Journey(s) performed by road
between places connected by rail.
|
Date |
Name of Places |
Fare
paid |
Remarks |
|
|
|
From |
To |
Rs. P |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12.
Amount of advance of Travelling allowance, if any, drawn. Rs
Certified that the information, as given
above, is true to the best of my knowledge
and belief.
Date
..
Signature of the Government servant
Countersigned
Rs.
P.
PART-B
(To filled be in by the Bill Section)
1.
The net
entitlement on account of traveling allowance work out
to Rs
(Rupees
..)
as detailed below:
(a)
Railway/Air/Steamer
fares
Road
mileage for
Km
Fairs
.Paise/Km
Allowance:
(i)
..
..days @ Rs
.per
day Rs
.
(ii)
...
.days @ Rs
.per
day Rs
.
(iii)
...
.days @ Rs
.per
day Rs
.
(iv)
.days @ Rs
.per
day Rs
.
(d) Actual expenses
..
Gross Amount
(g)
Less amount of
advance(s) of Travelling Allowance, if any, drawn vide
Voucher
(s) No
..dated
.......
Net Amount
..
2.
The expenditrure
is debitable to
Bill
Clerk
Drawing and Disbursing Officer
(initial) (Signature)