TADA13032018

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA

MEMO OF TRAVELLING ALLOWANCE


(For use by Non-Official Members of University bodies)
(To be filled in CAPITAL LETTERS only, all the columns are mandatory, bills are subject to rejection if
all the columns are not filled & are submitted within 06 months of the event)

1. Name …………………………..…………………………..……….Designation………………………………..
2. College Address…………………………..…………………………..…………………………………………..
..…..………………..…………………………..……………………………….Mobile No…………….............
3. Basic Pay…………………………..…………………………..………………………………………………….
4. For the month of …………………………..…………………………..………………………………………….
5. Purpose of journey …………………………..…………………………..………………......................................
Place of Journey Amount Claimed
Date Train/Bus/ Conveyance
From Hours To Hours D.A Mileage Total
Air Fare Allowance

Grand total (in figures and words) …………………..…………………………..…………………………..………


…………………..…………………………..…………………………..……....

PAN Number………………………………Account Number.………………..…………………..…………………

Bank Name .……………………………………………Branch Name.……………………………………………...

IFSC CODE ………………………………………… TIN Number…………………………………………………


1. Certified that I have travelled by Road ways/Rail/Bus/Air on this journey.
2. Certified that no.T.A and D.A have been claimed from any other sources.
“ACCEPTED” CONTENTS RECEIVED
Place ………………………..
Date: ……………………….. Receipt Stamp & Signature
Office of the Finance Officer, RGUHS, Karnataka, Bangalore (For use in Finance Branch)
(For Use in Finance Branch)
Head of Service………………………..………………………………… 1.Bill No………..……………
Passed for payment by cheque on the State Bank of India
2.Voucher No……..………..…
For Rs……………….(Rupees………..…………………………………
………..……………………………………..…………………….……… 3.Chq.No. ……..………..…….
In favour of ………………………………..…………………….………..
4.Date: ……..………..……….

Case Worker SO/AS AFO Finance Officer 5.Amount ……..………..…….


*The Certificate should be ticked and attested with full signature. If journey was performed by other mode of travelling the same
may be recorded and Air ticket, Boarding pass & supporting documents must be enclosed in original only.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy