izxr inkFkZ rFkk izdze vuqla/kku laLFkku] Hkksiky

ADVANCED MATERIALS AND PROCESSES RESEARCH INSTITUTE (AMPRI), BHOPAL

nkSjk Lohd`fr izLrko@Proposal for Tour Sanction

uke] inuke ,oa ifjp; i= %
A.A.Bakhsh
Name, Designation & ID No.
lewg@ Group
%

1.
2.
3.
4.

ewy osru@ Basic Pay

Js.kh osru@ Grade Pay

;k=k
Journey

Tkkus
dh
;k=k@
Onward
okilh@
Return

:
:

izLFkku dk igqWpus dk
LFkku]
LFkku]
fnukad ,oa fnukad ,oa
le;
le;
Departure
Arrival
Place, Date
Place, Date
& Time
& Time
Habibganj
H.Nizamuddin
(HBJ)
(NZM)

H. Nizamuddin
(NZM)

Habibganj
(HBJ)

mn~ns'; 2@ vkSfpR;
Purpose / Justification

;k=k dk
lk/ku
Mode of
travel

Train

Train

fVIi.kh@
Remarks

To discuss AMPRI Works New

building work and to obtained
Technical Approval from Chief
Engineer CSIR

5- Vh,@Mh, L=ksr1 / Source1 of TA/DA

%
ifj;kstuk dk uke ,oa ctV 'kh"kZ ;k Vh ,@Mh , nsus okyh ckg~; ,tsalh dk uke
Project name & budgethead or the name of the ext. agency paying TA/DA

6- D;k vfxze dh vko';drk gSA gk@ugha

Yes
Whether advance required (Yes/No)
D;k vik=rk ds lk/ku@ek/;e3- ls ;k=k dh tkuh gSA gk@ugha
%
Whether involves non-entitled mode/Class 3 of travel (Yes/No)
8. ;fn VSDlh dk iz;ksx okafNr gS rks fooj.k nsa
If taxi is required, furnish details.
LVs'ku@Station :
fnukad@Date :
gLrk{kj@Signature of the applicant
vuq'kaflr

7.

%
vkosnd

ds

Recommended

vuqeksfnr/APPROVED
Project Leader@ ifj;kstuk izeq[k
Group Leader @lewg izeq[k
nkSjk Lohd`fr - ,oa fnukad@Tour sanction No. & Date %__________________
funs'kd lfpoky; }kjk fn;k tk;s
to be assigned by Director's Secretariat)
funs'kd@DIRECTOR/Competent Authority
d`i;k lek;kstu ;k=k iwjh gksus ds 30 fnu ds Hkhrj tek djsaA
Please submit the adjustment within 30 days after completion of journey.
vkosnd }kjk Hkjk tkdj Mh Mh vks }kjk lR;kfir fd;k tk;s
(To be filled by the Applicant and verified by DDO)
fdjk;k
Mh ,
vko';d vfxze jkf'k
Fare ..

DA

Advance required

No

UkksV@Note :
1

fdlh Hkh izdkj dh ifj;kstuk fuf/k ds fy, ifj;kstuk izeq[k dh ,oa vU; izdj.kksa ds fy, lewg izeq[k dh
vuq'kalk vko';d gSA
Recommendation of the project leader for any type of project funds and group leader for the rest of the cases is required
2
;FkklaHko :i ls vuqjks/k&i= layXu djsa] ;fn dksbZ gks rks A Preferably attach the letter of request, if any
3

vkosnd vius ,oa vuq'aklkdRrkZ izkf/kdkjh ds gLrk{kj lfgr vik=rk ds lk/ku@Js.kh ls ;k=k dk
vkSfpR; layXu djsa A

Attach justification for non-entitled class & mode of travel duly signed by the applicant and the recommending authority.
laxks"Bh@ cSBd esa fgLlsnkjh dh fLFkfr esa mlds fy, funskd@ l{ke izkf/kdkjh dh Lohd`fr layXu djsaA
For attending Seminar/ Conferences, please attach a copy of Directors/Competent Authority approval of the same.
4

5
lHkh vuqyXudksa ij dze la[;k Mkyh tk, rFkk bldk mYys[k izi= ds igys i`"B ds mijh nkWa,a dksus ij cus LFkku
ij fd;k tk, A
All enclosures should be numbered in serial and mentioned at the top right corner of the first page of the form

;fn nkSjs ij ;k=k dk ek/;e VSDlh gS rks d`i;k nkSjk izLrko vkdfLed vfxze izi= ds lkFk tek djsa A

If the mode of travel is taxi on tour, please submit tour proposal along with contingent advance request.
;fn ;k=k 'kqdzokj@kfuokj dks vkjEHk dh tk,] rks d`Ik;k mldk dkj.k nkkZ;sa A
Specify the reason for the commencement of journey on Friday / Saturday, if any.
'kqdzokj@kfuokj dks ;fn ;k=k izkjaHk dh xbZ gS rks dkj.k crk;sa A
Apr 2007, Form No.IV (1), Revision:1, Page1-3

Mh Mh vks ,oa ,Q , vks }kjk Hkjk tk;s

(To be filled by DDO and FAO)
d-

yafcr vlek;ksftr Vh , vfxze

Pending unadjusted TA advance

[k-

vkosnd ij vU; cdk;k 'ks"k] ;fn dksbZ gks

Other outstanding balances against the applicant
If any

:i;s----------------------------------------------------------------

:i;s 'kCnksa

esa---------------------------------------------------------------------------------------------------------------------------------------

eatwj

Passed

for

Rs._____________________(Rupees

in

words)__________________________________________________________
_______________________________________________________________________________________________
)

vks ch - ,oa fnukad %

OB No. & Date

psd - ,oa fnukad %

Cheque No. & Date

Mh Mh vks@DDO

foRr ,oa ys[kk vf/kdkjh

Finance & Account Officer

foRr ,oa ys[kk vf/kdkjh izxr inkFkZ rFkk izdze vuqla/kku laLFkku] Hkksiky
ls :----------------------------------------------------------:i;s 'kCnksa esa
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Vh,@Mh, vfxze ds fy, psd - ------------------------------------------------------fnukad------------------------------------------------}kjk izkIr fd;s A

Received from Finance & Accounts Officer, AMPRI , Bhopal a sum of Rs.(in
words.
..)on account of TA/DA
advance.

jktLo fVdV lfgr gLrk{kj @ Signature with

revenue stamp

uke ,oa inuke @ Name &

Designation___________________

izkIr udn ls Vh,@Mh, vfxze dk Hkqxrku fd;k x;k

TA/DA Advance paid from cash assignment

izfrgLrk{kj@Countersigned