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Central Council for Research in Homoeopathy
जनकपुरी, नई दिल्ली, मुख्यालय
G.A.R. – 14{See Rules 66(1) & 90(I)(I)} Sub-bill No……………….
Travelling Allowance Bill for Tour.
Note: - This 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. Pay Level* :
4. Headquarters :
5. Bank Account Details, Bank Name*:
Account Number*:
IFSC Code* :
Details and purpose of journey (A) performed.
Mode of travel Distance
Departure Arrival and class of Fare paid in Kms. Duration of Purpose of
accommodation For road halt the journey.
mileage
Date Date
and From and To Rs. Ps. Days Hrs.
time time
*Signature of the Claimant*
-2-
Mode of Journey:
1 Air
(a) Exchange Voucher arranged by Office
(b) Ticket/Exchange voucher arranged by Yes / No
2 Rail:
a) Whether travelled by Mail/Express/Ordinary train?
b) Whether return ticket available? Yes / No
c) If available, whether return ticket purchased? If not state reasons.
3 Road:
Mode of conveyance used i.e. by Govt. transport/by taking a taxi,
Single seat in a bus or other public conveyance/by sharing with another
Govt. servant in car belonging to him or to a third person to be.
a) Date of absence from place of halt on account of :-
a) R.H. and C. L. :-
b) Not being actually in camp on Sunday and holidays.
ii) Dates on which free board and/or lodging provided by the State
or any organization financed by State funds:-
a) Board only.
b) Lodging only,
c) Board and lodging
iii) Particulars to be furnished along with hotel receipt etc. in cases where higher
rate of D. A. is claimed for stay in hotel other establishments providing
board and/or lodging at scheduled tariffs:
Period of stay Daily rate of
From To Name of the hotel lodging charged Total amount
paid.
-3-
i) Particulars of journey(s) for which higher class of accommodation than the one to which
the Government servant is entitled was used.
Name of places Class by Fare of the
Date From To Mode of Class to which entitled class.
conveyance which travelled Rs. Ps.
used entitled
If the journey(s) by higher class accommodation has been performed
with the approval of the Competent Authority, Number and date
of the sanction may be quoted.
v) Details of journey(s) performed by road between places connection by rail.
Name of the places Fare paid
Date
From To Rs. Ps
vi) Amount of T. A. advance, if any drawn: _______________________________________________________
Certified that the information as given above, is true to the best of my knowledge and belief.
*Signature of the Govt. Servant/ Claimant …………………………………*
Counter signed by the authority/ incharge/ section officer
Date:……………….
-4-
PART – B (To be filled in the Bill Section)
1. The 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. @ Rs……………………….. per Km.
I) ………………………………..Days @ Rs………………………… per day.
II) ………………………………..Days @ Rs………………………… per day.
III) ………………………………..Days @ Rs………………………… per day.
Actual expenses Rs…………………………………
………………………………….
………………………………….
Gross amount: Rs. ………………………………….
c) Less amount of T. A. advance if any, Rs…………………………………..
drawn vide voucher No……………… Dated…………………………………..
Net Amount: Rs…………………………………..
2. The expenditure is debit able to: _____________________________.
Initials of bill clerk. Signature of Drawing and Disbursing
Officer.
Countersigned.
Signature of the Controlling Officer.
GENERAL INSTRUCTIONS / CHECK LIST FOR
TRAVELLING ALLOWANCE BILL
With this TA Bill the claimant should provide the details as under:
1. Name & Designation of the Claimant
2. Whether in Service or Retired or from Private Sector.
i) If in Service: Designation / Level and Pay Drawn at Present.
ii) If Retired: Name & Designation and Post Equivalent to
iii) If in Private Sector: Equivalent to the Post Govt/ CCRH.
3. Copy of Invitation Letter.
4. Fare: Whether the Tickets provided by the Council or Purchased by
there on.
i) If provide by council: Tickets for Railway or by Air Provide
Boarding pass for the arrival and for departure provide a Copy
with TA format.
ii) If tickets purchased by own: Provide Tickets and Boarding
pass for the Arrival and for Departure provide a Copy with TA
format.
5. Bank Details: Account Number, Bank Name, IFSC.
6. Mobile Number for any query.
7. Signature of Claimant at appropriate place.
