~l1id(OI GJm ~ ~ cf; m Sl4lolq~

Certificate for Transfer T.A. Bill

1. w:nfUra"fW;rr ~ ~fct; ~ ~ WflJ ~ m~-qu ~ ------- ~ ~ ~ ~
___ ~,"WI ~~~ ~~q,l~m~®~([?iT'ri~~~1:I1::mflJlG~1
Certified that my family consisting my wife daughter aged -------
sons aged parents,sister minor brothers aged ------
who are residing with and wholly dependenton me accompaniedme on transfer.
2. w:nfUra"fW;rr ~ ~ fct; m~if -M ([?iT-qftcm: ~ ~ ~ 7.lBITq,l ~ ~ ~ CfiT GfCl1 ~ if ~ fW;rr l"flIl
~,
Certified that the Railwayfares claimed for the classes in which self and members of the family travelled
were actually paid.
3. w:nfUra"fW;rr~~fct;~mBR fcf;ffi if, ~o if ~ ~ 1:11:~
~ CJCfi~ ~ ~ "\ifICfI 7lGfI ?TT (f?TT ~ -q'"{ "S31T ~ ~ CfIT ~ ~ Cfili ~ %I
~~ ~CJCfi ~~q;yl{T~ ~m
Certified that personal effects, weighting Kgs. were actually transported by me from
A to B on the occassion of my transfer, in --------------------
20 and that the expenditure incurred therefore, was not less than sum claimed.
.\

Station from and to Modeof Conveyance Amount

Rs. _
4. w:nfUra"fW;rr ~ ~ fct;' '~~~" GRT ~ ~ ~([?iT Cffl" 31tR ~ 1:11:~ WflJ ~ ~ ~ l"flIl ?f[
Certifiedthat personaleffects were transferredbythe "Quick Transfer Service" and that they reachedthe
destination within the specified period.
5. wmurcr ~ fct;fi ~ ~ ~ ([?iT~ ~ ~ ~ ww:rr l"flIl ?iTam: fct;~ ~ ~ ~ ~ q1f q,l ql«tfClCfl7.lBlTfct;
~ ~ ~ GRT ~ ~ ~ CfiT ~ ~il
GfCl1fW;rr l"flIl ~
Certified that a chauffeur or cleaner,other than a domestic servant, was actually employed and that the
(the chauffeur or cleaner) actually travelled by rail on the section for which transportation charges of the
motor car by rail are claimed.
6. wufUro~fct;-qu~ /~-qfu~q,lm<t>Rtmit~([?iT~~ ~-----
if, ~ ~ ~-am:: ~ ~ ~ ~ ~ GfCl1~
~([?iT~ 1lff fW;rr ~ I
~ ~ ~
Certified that my wife/husband who.is employed under the Central Govt. and who has been transferred
from . to within six months of my transfer has not already claimed
any Transfer T.A. is consequence of her / his transfer.

Signatureand Date

f145101 3lf~ 'IDU Sl4IoIQ51

Certificates by Controlling Officer

1. ~ ~ ~ ~ fct;it.v;.~ if ~ l"flIl ~ I
1 to 3 as pOintedin T.A. Bills
4. w:nfUra"~ fct; 7.lBIT~ if q,l ~ ~ I
Certified that thejourney was performed in the interest of service.
5. w:nfUra"~ fct; ~ if ~ q,l '{Cfllf q;) ~ 'f.rtwf ([?iT'TffiR 1lff fW;rr l"flIl ~ I
Certified that the amount claimed in the bill was not drawn and paid previously.
6. w:nfUrq ~ fct; 7.lBITm<t>TU ~ ~ q,llll ~ ([?iT31ICflWlCfl W WTcrn ~ I
Certified that the journeys under taken were of official purpose and the casual leave was incidental
7. (~it.V;. ~ ~ if) w:nfUrq ~ fct; ~ ~ cll~fClCfl ~ q;) ~ fW;rr ?f[ (l?lT ~ 1:11: .
it.V;. ~ ~ fct; ftqf ~ q;) ~ fW;rr l"flIl ?iTI
(in the case of transfer T.A.) Certified that the details of actual expenditure for conveyance of personal
effects have been scrutinised and I am satisfied that the claim is correct and reasonable
8. (~l1i\1{OI "it.V;. ~ ~ if) w:nfUrq ~ fct;7.lBIT([?f[ mllR ~ ~ ~ ql~fClCfl ~ ~ fcrcRuT q,l ~ q,l'lll ~ ([?iTif .
~ fct;GfCl1 ~ am:~ I ~ ~
(in the case of transfer DA) Certified that the details of actual expenditure for conveyance of personal
effects have been scrutinised and I am satisfied that the claim is correct and reasonable.
0'Tfug
Date
~ 3if'f.TCfiTU cf; ~8R
Signatureof ControllingOfficer
 cq'flT-lg I PART - B

<m1 ~ cf; ~ ~ cf; ~ l fcrcRur F1~lfll< t I

The net entitlement on account of Travelling allowance works out ot Rs as detailed below :_

(Cfi) m / (lcU$\l1It\\l1 / GffI' / ~ <mT 'l1IST

(a) Railway I Air I Bus I Steamer fare .

«(9) f<n.lft. cf; ~ -us ~ ~ f<n.lft. cf; ~ "if.
(b) Road mileage for Kms @ P/Km.

on ~~
(c) TransferGrant
(tf) ~ SlI~nICf)
(c) TransferIncidentals

.......................... ~cf;~ mcf;~"ifm.--q:.

D.A. for days @ Rs Per day
C~) "fITllR ~ "\l1R "CflT 'l1IST

(e) Transportationof personaleffects.

C~) OIOlf"d)lld ~ ~"\l1R CfiT ~
Gross Amount
(0 Transportationof privateconveyance
(~) ~ -;to ~ ~ ~ 3lfiFl <tt ~~, "lffG i-m
(g) Less amount of advances (s) if any, drawn

vide voucher (s) No .

~~
Net Amount Rs.
mfug
Date

~(f2lT ~ ~ cf;~a;n:
Signature of the Drawing & DisbursingOfficer
~. ~~ cf;~if~~.
2. The expenditure is debitable·to

f.ffi ~ cf; ~a;n: SI Rl(I~ I antI

Intials of Bill Clerk Countersigned

~ 3lf~ cf; ~a;n:

Signatureof ControllingOfficer
8 "WllR"#l.~ <fiT mm (~~ \l{flf) b ttached)
Transportation charges of personal effects (Money receipts to ea.

Date
m~L-
Mode·
--~~~~--~=-~
~ iI'
From
~
~ I STATION

~ ~
To
~

Weight in
Kgs.
it
~
Date
~
Amount Remarks

7 8
5 6
3 4 P.
1 2 Rs.

9. "#l~ cf; ~ CfiT ~ ~ \l{flf I d)

=sportation charges of personal conveyance eff~=~e~~iPts to be attache
(en) "WllR "¬ ll~ <fiT mt};fl1 Cf~ m~ ~ ~ .
(a) mode of Transport and Station to which transported.
\Cfilf / Amount Rs.
10. <W!: 31ftp:( fu<n ~ m~ \Cfilf
Amount of advance: if any drawn Rs. ~ .....'+ ~ ~ ~ ~
7:.lffi <fiT fcrcn:uT ~ ~ 311Fft ~ ~ 7:.lffi Cfll \'?I I ~"ct '-PI .
11. Particulars of Journey (s) for which higher class of accommodation than the one With
the Govt. Servant is entitled was use d .
~mup:J"B' ~~cf; ~~~ ~~if3RT
mfug ~/PLACES
~iT <mnctt~ fq;if lJ71T ~
Date
<mn-tt~
CflID -q"{ Mode of convey- Class to which Class to which Class to which
~"B'
To anceused entitled Travelled entitled
From
3 4 5 6 7
J 2

<W!: <mIT, ~ ~ iI' ~llFJ >rf~ cf; ~ ~ CfiT ~ en ~ ~ CfiT ~ Cf~~. ~ I

If the journey by higher class of accommodation has been performed with approval of the Competent
authority No. and date of the sanction may be quoted.
12. ~ <mIT:m "fiT fcfcRur ~ ~ &ro ¥~
CfiT Us &ro <mIT Cift ~ ~ I
Datails of Journey (s) performed by road between places connectioned by Rail.

"ffitf& ~ cf;";flll / Name of Place ~~~~

Date Fare Paid
~~/From c:nm1RI To
1 2 3 - 4
Rs. Ps.

wrrfTJrn M~ % fcfl ~ ~ -qu "111Cf'l1<l am: fcf"'8m ~ ~ % I

Certified that the information as shown above is to the best of my knowledge and belief.
qrfug
Date
mCf>lft ~ cf; ~a.n:
Signature of Government Servant
 '3Q"-~~. Sub Bill No.
'fl:~.f.r.14-1GAR -14-B
~1;ijhHor cf;~'lffilT ~~
Travelling Allowance Bill for Transfer
~: ~ftn;r~~~, ~~cr;~ am-~
ijilClfMCI ~cr;~, ~~'SIRT~ I
Note: This Bill Should be prepared in duplicate-one for payment and the other as office copy.
~ -Cfi' / PART-A
(fHCfilfr-mrcn~ 'qU';ifATt) To be filled by the Govt. Servant
1. m~ q;r ';fTlf / Name
2. ~ / DeSignation
3. ~~~~ / Pay at the time of Transfer
4. s&m.'1lT / Head-quarter
~/Old
~/New
5. ~ q;r 'lfflT / Residential Address
~/Old
~/New i
6. mr. am ~(t) ~ ~ ~ Cf>1crrfug 1Jpr~ ~~ q;r fcrcRur
Particulars of the members of the family as on the date of Transfer vide S. R. 2(8)
~ ';fTlf
S. No. ~ ~~~'*i~
Name Age Relationship with the Govt.
1 Servant
2 3 4
1

2
.
3

8
<mIT <liT fcrcRur
7
Details of journey (s) performe d by th e Govt . Servant as we II a s members of his/her family

~ / Departure 3lflTlR / Arrival

<mrr~ ~CfIl 3lGT fcf;lrr m~~
~a~~ ~ lTGIT fcfiwrT (Cf>1.m.) .q
mfuga~ ~acfi ~.qCf>1~ No of Fare Paid Distance
mfuga~ ~~ Mode of trave Fares
w:r:r From w:r:r To and class of ~. ~. in Kms.
Date Date accommoda- byRoad
& Time tion used Rs. Ps.
& Time 8
3 4 5 6 7
1 2

-
-
-
-
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