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TravellingExpensesClaimForm Fillable

This document is a travel expenses claim form for an employee of an establishment. It collects information about the employee such as name, designation, basic pay and headquarters. It also collects details of the purpose, dates and locations of travel. There are columns to enter details of daily allowance, transportation costs, hotel charges and a calculation of gross and net amounts payable. Instructions are provided for completing the form and attaching supporting documents like tour diaries and receipts.

Uploaded by

Arvind Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
230 views

TravellingExpensesClaimForm Fillable

This document is a travel expenses claim form for an employee of an establishment. It collects information about the employee such as name, designation, basic pay and headquarters. It also collects details of the purpose, dates and locations of travel. There are columns to enter details of daily allowance, transportation costs, hotel charges and a calculation of gross and net amounts payable. Instructions are provided for completing the form and attaching supporting documents like tour diaries and receipts.

Uploaded by

Arvind Kumar
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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PRINT FORM

HPTR 7

TRAVELLING EXPENSES CLAIM FORM

1. Establishment: ____________________________________Month: SELECT


________ 20_____

2. Name & Designation: _____________________________________________________________

3. Basic Pay: ______________________________ Head Qrs.: ___________________

4. Purpose of Journey: ___________________________________________________________________

Departure Arrival Km./ Rate/ Actual Daily Allowance Amount Total of


fare Line
Station Date Station Date Hotel No. Rates
Mode Class paid
& & Of Admissible
Hour of of
Charges
Hour Days
Travel Travel
(if any)

1 2 3 4 5 6 7 8 9 10 11 12

Grand Total
PRINT FORM

(DETAILS OF THE CLAIMS)

1. Total of Column No. 12 (B.F.) ₹ :_____________________________________________________

2. Terminal Transportation Charges ₹ :_____________________________________________________

3. Local Transportation Allowance ₹ :_____________________________________________________

4. Transfer Grant ₹ :_____________________________________________________

5. Personal Effects ₹ :_____________________________________________________

Wt. Rate: Amount ₹ :_____________________________________________________

6. Conveyance Charges ₹ :______________________________________________________

7. Miscellaneous (Specify) ₹ :______________________________________________________

8. GROSS AMOUNT ₹ :______________________________________________________

9. Less Advance of TA/TTA drawn vide

T/V No. _____________ Dt: _______________ ₹ ____________________________________________________

10. NET AMOUNT PAYABLE ₹ :_____________________________________________________

(Signature of Claimant)

Passed for ₹________________ (Rupees) _______________________________________________________________

(Signature of Controlling Officer) (Signature of D.D.O.)

(TO BE USED IN AUDIT OFFICE)

Admitted for ₹ :__________________________________________________________

Objected to ₹ :__________________________________________________________

Reason for Objection: ______________________________________________________________

(Accounts Officer)

INSTRUCTIONS

1. Tour Diary should invariably be attached with the claim.


2. In case of transfer claim, the details of members of the family with age along with details of personal effects
be given.
3. The Receipt Nos. of Hotel and carriage charges bills be quoted against the relevant Column.
4. Ticket Nos. should be quoted, when journeys are performed in a class higher than the ordinary class.

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