DA : Old rate / New rate

Government of India Indira Gandhi Centre for Atomic Research

TRAVELLING ALLOWANCE CLAIM

Name Designation I.C. No. Section

: : : :
Particulars of Journeys and Halts

Pay in PB Grade pay Advance drawn Purpose of Tour

Mode of journey Rail/Road /Air

: Rs. : Rs. : Rs. :

No.of Accommodation bills enclosed : No.of food bills enclosed :

Amount claimed : Rs Amount claimed: Rs / No

Whether Air tickets booked by IGCAR : Yes

(Please mention the timings in 0000 hours)

Departure

Arrival

Station

Date

Time

Station

Date

Time
.

Road journey (Bus/Auto Taxi/Govt. Vehicle

If train journey

Actual Fair paid

Allowance admitted No. of Share Distance (for Accounts use only) Rs. Ps.

PNR No

Rs. Ps.

Signature of the Official performing Tour Certified that 1. 2. 3. 4. 5. 6.

Controlling Officer with seal

Asst./AA

Asst.Acct.Officer

I was not provided with free boarding/Lodging during the halts/I was provided with free boarding/lodging on at

I did not avail casual leave daring the halts and was constructively in camp during Saturdays, Sundays and Holidays while on tour. The train tickets/Air tickets/Bus tickets in original/Xerox copies/hotel bills are enclosed. The rail journeys were actually performed by the class of accommodation for which TA has been claimed. The amount claimed in this bill has not been claimed previously by me either from contingencies or any other source. I have not received and am not likely to receive any amount on account of TA/DA/Honorarium/Service charges from the Institutions/Undertakings except the amount indicated at SI.No.8. 7. The road distances entered in the bill for which mileage has been claimed were correct to the best of my knowledge and belief. 8. The amount of traveling allowance, Daily allowance, Honorarium or other service charges has been received from the Body/undertaking etc. visited or likely to be received is furnished here under. (i) Name of the organization (ii) Amount received/Receivable (iii) Purpose 9. Cost of Travel debitable to: (a) Work pertaining to sanctioned cap project : (b) Work undertaken for other organizations and the amount to be received therefor: (i) (ii) (iii) Name of the Organization Amount to be received from Letter No. & Date for prior consent : : : Signature of the official performing tour. : : :

For Accounts Use only Pay Rs. (Rupees Only) AAO