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Centre For Professional Development Education

1) This document is a claim form for remuneration and incidental charges submitted by teaching/non-teaching staff members of Anna University for part-time/full-time self-supporting programs. 2) It collects information such as the staff member's name, designation, department, bank account details, classes handled, dates and times of classes, topics covered, and amounts claimed for remuneration and incidental charges. 3) Signatures are required from the staff member, class advisor, and head of department to process the claim.

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Behin Sam
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37 views

Centre For Professional Development Education

1) This document is a claim form for remuneration and incidental charges submitted by teaching/non-teaching staff members of Anna University for part-time/full-time self-supporting programs. 2) It collects information such as the staff member's name, designation, department, bank account details, classes handled, dates and times of classes, topics covered, and amounts claimed for remuneration and incidental charges. 3) Signatures are required from the staff member, class advisor, and head of department to process the claim.

Uploaded by

Behin Sam
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CENTRE FOR PROFESSIONAL DEVELOPMENT EDUCATION

ANNA UNIVERSITY :: CHENNAI - 600 025.

Claim for Remuneration and Incidental Charges for Teaching / Non-Teaching staff
members for UG / PG (Part-Time / Full-time) Self-supporting programme
Period from ..... to.
Name of the Faculty Member

Designation and Department

Staff ID No.

PAN No.

Name of the Bank and A/c.No.

External Faculty
Designation

Department in which working

Name of the Institution

Residential address with Phone No.

Classes Handled
Name of the Course

Branch

Semester

Subject with code No.

B.E. / B.Tech / M.E / M.Tech / M.Arch / MCA / MBA /


M.Sc (PT/FT)
I / II / III / IV / V / VI / VII / VIII / IX / X

DATE WISE DETAILS OF CLASSES HANDLED


Sl.
No.

Time
Date

From

To

No. of
Hours

Remuneration
Topics covered

Theory
(Rs.)

Incidental Grand
charges
Total
Practical
(Rs.)
(Rs.)
(Rs.)

TOTAL
(Rupees...)

Signature of staff with date


Name of the staff

Signature of Class Advisor with date


Name with seal

Signature of HOD with date


Name with seal

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