N.P.C.C.Ltd. (A Govt. of India Enterprise) An ISO-9001-2000 Company
N.P.C.C.Ltd. (A Govt. of India Enterprise) An ISO-9001-2000 Company
1. Certified that I was on tour from..(dated( to ..(Hrs.)(Date) and that I trveled by the class and model of conveyance as indicated below: Mode of Class Amount of Purpose Departure Arrival convey and PNR fare ance No. Date Time Station Date Time Station
2. Details of Local Conveyance charges incurred: Distance Place visited, KM Travelled Date Station From To
Mode of Conveyance
Amount
Remarks
3. I stay in hotels which I was charged as follows ( Bill are to be enclosed) Period of stay Station Name of Hotel From To No. of Days Amount charged towards lodging only Remarks
4. Daily Allowance: Station (a) Halt at 1. 2. 3. (b) Journey Time (c) Total (d) Leave/CL if any availed (e) Total No. of days of which D.A.i.e.claimed of Days Rate of DA Amount.
5. Summary (a) (i) (ii) (iii) (iv) (v) Fare Conveyance Charges. Hotel/Accommodation expense Daily Allowance Other claims (details to be furnished) TOTAL (b) Less:-Amount of Advance taked Rs. Rs. Rs. Rs. Rs. Rs. Rs. On
NET AMOUNT Rs. Rs. No. Being unspent T.A. remitted back of the Company. Vide Cheqe Date Drawn on Bank Name
Signature of Travelling Officer Desgination Certified that Provision exists under the budget estimate Date SIGNATURE OF CONTROLLING OFFICER Passed for payment of Rupees. Assistant/ Sr.Assistant Gr-I Paid/Credited through A/C. Payee Cheque/ECS Manager (F) Dated.