G.A.R. 14 - A
Sub Bill No._________________
TRAVELLING ALLOWANCE BILL FOR TOUR
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 of the Government Servant | |
2 | Designation | |
3 | Pay + GP+ NPA | |
4 | Headquarters | |
5 | Details and purpose of Journey (s) performed. |
Departure | Arrival | |||||||||||||
Date & Time | From | Date & Time | To | Mode of Travel & class of Accommodation used | Fair paid | Distance in Kms for road mileage | Duration of Halt | Purpose of Journey | ||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | ||||||
6 | Mode of Journey | |||||||||||||
(i) | Air (a) Exchange Voucher arrange by office (b) Ticket/ Exchange voucher arrange by | Yes/No | ||||||||||||
(ii) | Rail (a) Whether travel by Mail/Express/ ordinary train? (b) Whether return ticket available ? (c) If available, whether return ticket purchased? If not , state reason | Yes/No | ||||||||||||
(iii) | Road Mode of conveyance used, i.e. by government transport / by taking a taxi, a single seat in a bus or other public conveyance/by sharing with another Government servant in a car belonging to him or to a third per to be specified | |||||||||||||
7 | Dates of absence from place of halt on account of | |||||||||||||
(a)R.H. and C.L. | ||||||||||||||
(b)Not being actually in camp on Sundays and holidays | ||||||||||||||
8 | Dates on which free board and /or lodging provided by the state or nay organization financed by State funds: a) Board Only b) Lodging only Board and lodging. | |||||||||||||
9. | Particulars to be furnished along with hotel receipts , etc, in cases where higher rate of DA is claimed for stay in hotel/ other establishments providing board and / or lodging at scheduled tariffs. | |||||||||||||
S.No | Period of Stay | Name of the Hotel | Daily rate of lodging charged in Rs. | Total amount Paid Rs. | ||||||||||
From | To | |||||||||||||
10 | Particulars of journey(s) for which higher class of accommodation than the one to which the government servant is entitled was used. | |||||||||||||
Sl.no | Date | Name of Places | Mode of Conveyance used | Class to which entitled | Class by which travelled | Fare of the entitled class | ||||||||
From | To | Rs. | P. | |||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |||||||
1 | ||||||||||||||
2 | ||||||||||||||
3 | ||||||||||||||
4 | ||||||||||||||
5 | ||||||||||||||
If the journey(s) by higher class of accommodation has been performed with the approval of competent authority, No and date of the sanction may be quoted. | ||||||||||||||
11 | Details of journey(s) performed by road between places connected by rail. | |||||||||||||
S.No | Date | Nature of Place | Rail fare | |||||||||||
From | To | Rs. | P | |||||||||||
1 | 2 | 3 | 4 | 5 | ||||||||||
12 | Amount of T.A. advance , if any , drawn | Rs. | ||||||||||||
Certified that the information, as given above, is true to the best of my knowledge and belief.
Signature of the Government Servant
Date ____________________________
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Part –B (to be filled in the Bill Section)
1. The net entitlement on account of Travelling Allowance works out to Rs. ________________________ as detailed below:-
(a) Railway/Air/Bus/Steamer fare Rs._________________________
(b) Road Mileage for _____________________ Kms. @ ___________________ per/Kms.
(c) Daily allowance
(i) ____________________ days @ Rs. ___________________ per day.
(ii) ___________________days @ Rs. ____________________ per day
(iii) ___________________ days @ Rs. ___________________ per day.
Rs. ________________________
(d) Actual expenses
Rs. ________________________
Gross amount
Rs. ________________________
(e) Less amount of T.A. Advance, if any, drawn vide
Voucher No ____________ dated ____________ Rs. _____________________
Net Amount Rs. _____________________
2. The expenditure is debitable to
Initial of Bill Clerk
Signature of DDO
Counter signed
Signature of the Controlling Officer
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CERTIFICATES
- Certified that I/my family was neither allowed free transit by Rail under free pass or otherwise provided with means of communication at expense of the state or Local Bodies journey for which T.A. has been claimed in this bill.
- Certified that i/my family actually traveled by the class for which T.A. has been claimed in this bill.
- Certified that the number of kilometers shown in the bill is in accordance with the poly maternal table of the establishment.
- Certified that the journey on ………… was performed by mail/ Express train in the interest of public service.
- Certified that I was actually not merely constructively in camp on Sundays and holidays for which daily allowances is claimed.
- Certified that I was not absent on Casual Leave during the period for which daily allowances has been claimed.
- Certified that during my halt at ………………………………. From ………………….. to ………………………………………… while on inspection duty continue to incur expenditure after first 10 days.
- Certified that I did not perform the road journey for which the kilometer allowance has been claimed at the higher rates rule 46 of Supplementary rule by taking a single seat in a taxi/motor or mini bus or lorry playing for hire.
- Certified that I incurred running expenses in a car for which claimed at the higher prescribed in Supplementary rule 46 was performed by my own car.
- Certified that the road journeys for which Kilometer has been claimed at the higher prescribed in Supplementary rule 46 was performed by my own car.
- Certified that the road journey for which mileage is claimed were performed by road but were charged by rail. The number of kilometers actually traveled by road being …………………
- Certified that the family members for whom T.A has been claimed actually traveled with me or followed me on transfer. They were wholly dependent upon me & residing with me.
- Certified that actual expenses incurred as cost or transportation of personal effects were not less than the sum claimed in the bill.
- Certified that I have transported ………………………………. Kms. Of luggage on my transfer from ……………………………. To …………………………….
Signature of the claimant
Counter signed
(Signature & Designation of the Controlling Officer)
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Links:
CGEGIS | FAMILY DECLARATION FORM | 6TH CPC PAY FIXATION FORM | DCRG NOMINATION FORM | ANNUAL INCREMENT CERTIFICATE | INTIMATION OF MOVABLE PROPERTY | LTC ADVANCE FORM | MEDICAL BILL FORM ||
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