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TA Claim Form

This document is a travel expense claim form from Steel Authority of India Limited's Refractory Unit in Bokaro Steel City. It contains details for reimbursement of travel expenses for a candidate who attended an interview on a specified date at a given location. The form collects information about the mode and dates of travel for the onward and return journeys, along with ticket numbers and distances traveled. It provides instructions for railway employees and those who traveled on travel passes. The total expenses claimed and receiving signatures from verifying and sanctioning authorities are also included.

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debabratrath786
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32 views

TA Claim Form

This document is a travel expense claim form from Steel Authority of India Limited's Refractory Unit in Bokaro Steel City. It contains details for reimbursement of travel expenses for a candidate who attended an interview on a specified date at a given location. The form collects information about the mode and dates of travel for the onward and return journeys, along with ticket numbers and distances traveled. It provides instructions for railway employees and those who traveled on travel passes. The total expenses claimed and receiving signatures from verifying and sanctioning authorities are also included.

Uploaded by

debabratrath786
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STEEL AUTHORITY OF INDIA LIMITED

SAIL REFRACTORY UNIT


Indira Gandhi Marg, Sector-4, Bokaro Steel City-827004

TRAVELLING EXPENSES CLAIM FORM (Recruitment2014)


Post Applied For. Name.. Roll No
Date of Interview

Place of Interview

JOURNEY PARTICULARS
Onward Journey
From
To

Return Journey
From
To

Mode of
travel(Rail/Road/Air)

Date of
Journey

Ticket Number

Distance (Km)

Amount

Mode of
travel(Rail/Road/Air)

Date of
Journey

Ticket Number

Distance (Km)

Amount

TOTAL (In figures) (In words)


Date..

Signature of Candidate

INSTRUCTIONS
1. In case your residence is not connected by Rail state the name of the nearest railway station and its
distance from your residence :-..
2. If you are an Indian Railway employee, enclose a certificate from the appropriate authority to the
effect that you were not provided with Free Railway Pass or P.T.O. In case you travelled on a P.T.O.,
the reimbursement shall be limited only to the amount spent on P.T.O.

FOR OFFICE USE ONLY


Pay (In figure). (In words)...

Signature

Signature

(Verifying Official)

(Sanctioning Authority)
RECEIVING

Received (In figure).. (In words)

Date.

Signature of Candidate
(Affix one rupee revenue stamp)

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