Transfer T.a.& GPF FORM
Transfer T.a.& GPF FORM
Bill No. -
Date -
1. Name :-_________________________________
2. Designation :-____________________________
4. Headquarters :-
5. Residential address :-
_________________________________ ________________________
6. Particulars of the members of the family as on the date of transfer {vide S.R. 2(8)}
GRAND TOTAL :-
Certified that the information , as given above, is true to the best of my knowledge and belief.
Note :- this bill should be prepared in duplicate one for payment and the other as office copy
PART A(To be filled up by Government servant)
1. Name __________________________________________________________________________
2. Designation _____________________________________________________________________
3. Payment ________________________________________________________________________
4. Headquarter _____________________________________________________________________
5. Detail and purpose of journey(s) performed :-___________________________________________
Departure Arrival Mode of travel Fair Paid Distance Duration of halt purpose
and class of in Kms. of
accommodatio for road journey
n mileage
Date and From Date and To Rs. P. Days Hours
Time Time
6. Mode of Journey :-
(1) Air:-
(II) Rail :-
(c ) if, available , who that return ticket purchased if not state reason.
(III) Road :-
(10) Particulars of journey (s) for which higher class of accommodation than the one to which the Govt. servant is
entitled was used :-
Date Name of Places Mode of Class to Class by Fare of the entitled class
From To conveyance which which Rs. P.
used entitled travelled
If the journey(s) by higher class of accommodation has been performed with the approval of the competent
authority , No, and date of the sanction may by quote.
(11) Details of journey(s) performed by road between places connected by rail :-
Date Name of Places Fare paid
Counter singed