Form T.R. 25

GAR 14-A (Sub bill)

(Tour)

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 in by the Government Servant)

1 / Name: VISHVESHWAR MATHUR / 2 / Designation: Upper Division Clerk
3 / Pay 12580-00 / 4 / Headquarters: MSME-DI, Kanpur
5 / Details and purposes of journey(s) performed:
Departure / Arrival / Mode of Travel & class of accommodation / Fare paid / Distance in Kms. For Road Mileage / Duration of halt / Purpose of Journey
Date / Time / From / Date / Time / To /
12.2.12 / 6.00 AM / POR Kanpur / 12.2.12 / 6.45 AM / Bus Stand, Kanpur / Auto / 32 / 00 / 8 KM / 2 days / To Pursue the case No. 64084 and Case of Kodai Ram Vs UOI
12.2.12 / 7.00 AM / Bus Stand, Kanpur / 12.2.12 / 12.00 PM / Bus Stand Alld. / Bus / 135 / 00
12.2.12 / 12.00 PM / Bus Stand Alld. / 12.2.12 / 12.45 PM / GTB Nagar, Alld / Auto / 32 / 00 / 8 KM
12.2.12 / 1.00 PM / GTB Nagar / 12.2.12 / 1.30 PM / POR Alld. / Auto / 16 / 00 / 4 KM
STAY AT ALLAHABAD FROM 12.2.12 TO 13.2.12
13.2.12 / 10.30 AM / POR Alld. / 13.2.12 / 10.40 AM / High Court Alld. / Auto / 8 / 00 / 2 KM
13.2.12 / 4.00 PM / High Court Alld. / 13.2.12 / 4.20 PM / Bus Stand Alld. / Auto / 12 / 00 / 3 KM
13.2.12 / 6.00 PM / Bus Stand Alld / 13.2.12 / 11.00 PM / Bus Stand Kanpur / Bus / 135 / 00
13.2.12 / 11.00 PM / Bus Stand Kanpur / 13.2.12 / 11.45 PM / POR Kanpur / Auto / 32 / 00 / 8 KM

2

6 Mode of Journey (s)

(i) AIR (a) Exchange voucher arranged by office …………………………………. Yes/No

(b)  Ticket/Exchange voucher arranged by …………………………………………….

……………………………………………………………………………………..

(ii) RAIL (a) Whether traveled by mail/express/ordinary train ……………………… Yes/No

(b)  Whether return tickets available ………………………………………………..

(c)  If available, whether return tickets purchased? If not, state reason …………………………………………………………………………………………

(iii) ROAD Mode of conveyance used (i.e. by Government Transport/by taking a Taxi, a single seat in a bus of other public conveyance, by sharing with another Government servant in a car belonging to him or to a third person to be specified ………………………………….. …………………………..

7 Dates of absence from place of halt on account of:

(a) Restricted Holidays and Casual Leave ………………………………………………………..

(b) Not being actually in camp on Sundays and Holidays ………………………………………..

8 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) Boarding and lodging …………………………………………………………………………

9 Particulars to be furnished along with hotel receipts etc. In cases where higher rate of Daily Allowance is claimed for stay in hotel/other establishments providing board and/ or lodging at scheduled tariff.

Period of Stay / Name of the Hotel / Daily rate of lodging charged / Total Amount paid
From / To / /

3

10 Particulars of Journey(s) for which higher class of accommodation than the one to which the Government Servant is entitled was used:

Date / Name of Places / Mode of conveyance used / Class to which entitled / Class by which traveled / Fare of the entitled class
From / To /

If the journey(s) by higher class of accommodation has been performed with the approval of the competent authority, No. and date of the sanction may be quoted.

11 Details of journey(s) performed by road between places connected by rail:-

Date / Names of places / Faire paid
From / To /

12 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 Govt. Servant

Date………………………….


4

PART-B (To be filled in the Bill Section)

1  The net entitlement of account of traveling allowance works out to 402-00 as detailed below:

(a) / Railways/air/bus/steamer fare:- 270-00 / 270 / 00
(b) / Road mileage for 33 Km. @ 4-00 Paise/km / 132 / 00
(c) / Daily Allowance :
(i) / …………….Days @ . ……………….. per day ………….
(ii) / …………….Days @ . ……………….. per day ………….
(iii) / …………….Days @ ……………….. per day ………….
(iv) / …………….Days @ . ……………….. per day ………….
(d) / Actual expenses …………………………………
…………………………………
……………………………….. / 402 / 00
Gross Amount…………………………
(e) / Less amount of advance(s) of Travelling Allowance, if any drawn vide Voucher(s) No…………………… dated …………………..
Net Amount ………………………. / 402 / 00

2 The expenditure is debitable to ………………………………………………………………………

……………………………….. …………………………………

(Bill Clerk) (Drawing & Disbursing Officer)

(initial) (Signature)

Countersigned

…………………………………………………

Controlling Officer

(Signature)


Form T.R. 25

GAR 14-A (Sub bill)

(Tour)

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 in by the Government Servant)

1 / Name: VISHVESHWAR MATHUR / 2 / Designation: Upper Division Clerk
3 / Pay 12580-00 / 4 / Headquarters: MSME-DI, Kanpur
5 / Details and purposes of journey(s) performed:
Departure / Arrival / Mode of Travel & class of accommodation / Fare paid / Distance in Kms. For Road Mileage / Duration of halt / Purpose of Journey
Date / Time / From / Date / Time / To /
02.2.12 / 6.00 AM / POR Kanpur / 02.2.12 / 6.45 AM / Bus Stand, Kanpur / Auto / 32 / 00 / 8 KM / 5 days / To Pursue the case No. 64084 and Case of Kodai Ram Vs UOI
02.2.12 / 7.00 AM / Bus Stand, Kanpur / 02.2.12 / 12.00 PM / Bus Stand Alld. / Bus / 135 / 00
02.2.12 / 12.00 PM / Bus Stand Alld. / 02.2.12 / 12.45 PM / High Court Alld. / Auto / 12 / 00 / 3 KM
02.2.12 / 2.30 PM / High Court Alld. / 02.2.12 / 3.00 PM / POR Alld. / Auto / 8 / 00 / 4 KM
STAY AT ALLAHABAD FROM 02.2.12 TO 06.2.12 (4th & 5th Sat. & Sun.)
03.2.12 / 10.30 AM / POR Alld. / 03.2.12 / 10.40 AM / High Court Alld. / Auto / 8 / 00 / 2 KM
03.2.12 / 12.15 PM / High Court Alld. / 03.2.12 / 12.25 PM / POR Alld. / Auto / 8 / 00 / 2 KM
06.2.12 / 10.00 AM / POR Alld. / 06.2.12 / 10.10 AM / High Court Alld. / Auto / 8 / 00 / 2 KM
06.2.12 / 3.00 PM / High Court Alld. / 06.02.12 / 3.15 PM / Bus Stand Alld. / Auto / 12 / 00 / 3 KM
06.2.12 / 3.30 PM / Bus Stand Alld / 06.2.12 PM / 7.00 PM / Bus Stand Kanpur / Bus / 135 / 00
06.2.12 / 7.00 PM / Bus Stand Kanpur / 06.2.12 / 7.45 PM / POR Kanpur / Auto / 32 / 00 / 8 KM

2

6 Mode of Journey (s)

(i) AIR (a) Exchange voucher arranged by office …………………………………. Yes/No

(c)  Ticket/Exchange voucher arranged by …………………………………………….

……………………………………………………………………………………..

(ii) RAIL (a) Whether traveled by mail/express/ordinary train ……………………… Yes/No

(d)  Whether return tickets available ………………………………………………..

(e)  If available, whether return tickets purchased? If not, state reason …………………………………………………………………………………………

(iii) ROAD Mode of conveyance used (i.e. by Government Transport/by taking a Taxi, a single seat in a bus of other public conveyance, by sharing with another Government servant in a car belonging to him or to a third person to be specified ………………………………….. …………………………..

7 Dates of absence from place of halt on account of:

(a) Restricted Holidays and Casual Leave ………………………………………………………..

(b) Not being actually in camp on Sundays and Holidays ………………………………………..

8 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) Boarding and lodging …………………………………………………………………………

9 Particulars to be furnished along with hotel receipts etc. In cases where higher rate of Daily Allowance is claimed for stay in hotel/other establishments providing board and/ or lodging at scheduled tariff.

Period of Stay / Name of the Hotel / Daily rate of lodging charged / Total Amount paid
From / To / /

3

10 Particulars of Journey(s) for which higher class of accommodation than the one to which the Government Servant is entitled was used:

Date / Name of Places / Mode of conveyance used / Class to which entitled / Class by which traveled / Fare of the entitled class
From / To /

If the journey(s) by higher class of accommodation has been performed with the approval of the competent authority, No. and date of the sanction may be quoted.

11 Details of journey(s) performed by road between places connected by rail:-

Date / Names of places / Faire paid
From / To /

12 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 Govt. Servant

Date………………………….


4

PART-B (To be filled in the Bill Section)

1  The net entitlement of account of traveling allowance works out to 398-00 as detailed below:

(a) / Railways/air/bus/steamer fare:- 270-00 / 270 / 00
(b) / Road mileage for 32 Km. @ 4-00 Paise/km / 128 / 00
(c) / Daily Allowance :
(i) / …………….Days @ . ……………….. per day ………….
(ii) / …………….Days @ . ……………….. per day ………….
(iii) / …………….Days @ ……………….. per day ………….
(iv) / …………….Days @ . ……………….. per day ………….
(d) / Actual expenses……………………………………… / 398 / 00
Gross Amount…………………………
(e) / Less amount of advance(s) of Travelling Allowance, if any drawn vide Voucher(s) No………………… dated …………………..
Net Amount ………………………. / 398 / 00

2 The expenditure is debitable to ………………………………………………………………………

……………………………….. …………………………………

(Bill Clerk) (Drawing & Disbursing Officer)

(initial) (Signature)

Countersigned

…………………………………………………

Controlling Officer

(Signature)

Form T.R. 25

GAR 14-A (Sub bill)

(Tour)

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 in by the Government Servant)

1 / Name: ……………………………………….. / 2 / Designation: …………………………
3 / Pay / 4 / Headquarters:
5 / Details and purposes of journey(s) performed:
Departure / Arrival / Mode of Travel & class of accommodation / Fare paid / Distance in Kms. For Road Mileage / Duration of halt / Purpose of Journey
Date / Time / From / Date / Time / To /

2

6 Mode of Journey (s)

(i) AIR (a) Exchange voucher arranged by office …………………………………. Yes/No

(d)  Ticket/Exchange voucher arranged by …………………………………………….

……………………………………………………………………………………..

(ii) RAIL (a) Whether traveled by mail/express/ordinary train ……………………… Yes/No

(f)  Whether return tickets available ………………………………………………..

(g)  If available, whether return tickets purchased? If not, state reason …………………………………………………………………………………………

(iii) ROAD Mode of conveyance used (i.e. by Government Transport/by taking a Taxi, a single seat in a bus of other public conveyance, by sharing with another Government servant in a car belonging to him or to a third person to be specified ………………………………….. …………………………..

7 Dates of absence from place of halt on account of:

(a) Restricted Holidays and Casual Leave ………………………………………………………..

(b) Not being actually in camp on Sundays and Holidays ………………………………………..

8 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) Boarding and lodging …………………………………………………………………………

9 Particulars to be furnished along with hotel receipts etc. In cases where higher rate of Daily Allowance is claimed for stay in hotel/other establishments providing board and/ or lodging at scheduled tariff.

Period of Stay / Name of the Hotel / Daily rate of lodging charged / Total Amount paid
From / To / /

3

10 Particulars of Journey(s) for which higher class of accommodation than the one to which the Government Servant is entitled was used:

Date / Name of Places / Mode of conveyance used / Class to which entitled / Class by which traveled / Fare of the entitled class
From / To /

If the journey(s) by higher class of accommodation has been performed with the approval of the competent authority, No. and date of the sanction may be quoted.

11 Details of journey(s) performed by road between places connected by rail:-

Date / Names of places / Faire paid
From / To /

12 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 Govt. Servant

Date………………………….


4

PART-B (To be filled in the Bill Section)

1 The net entitlement of account of traveling allowance works out to …………………….. as detailed below:

(a) / Railways/air/bus/steamer fare:- . ……………………………. /
(b) / Road mileage for …………… Km. @ . ……………. Paise/km
(c) / Daily Allowance :
(i) / …………….Days @ . ……………….. per day ………….
(ii) / …………….Days @ . ……………….. per day ………….
(iii) / …………….Days @ ……………….. per day ………….
(iv) / …………….Days @ . ……………….. per day ………….
(d) / Actual expenses………………………………………
Gross Amount…………………………
(e) / Less amount of advance(s) of Travelling Allowance, if any drawn vide Voucher(s) No…………………………….. dated …………………..
Net Amount ……………………….

2 The expenditure is debitable to ………………………………………………………………………