Rid
FRET CSIR-SERG
(Council of Scientific and Industrial Research)
easrgare ae CSIR Road, ATM Taramani, Wet Chennai 600 113
emamtsrergonesh a racers A safer Bat a fre avar are A are fe
Form for TA claim for appearing for interview for posts under the CSIR-SERC
1. Wu ae (aw gent a)
Name in Full (Capitals)
2. aan wren fre ted Feet aT aT
Name of Railway Station From which
Journey Commenced
3. vena AR & wae
Date & Time of Departure
4. aig Reet Ht amma FR 8 wore
Date & Time of Arrival at New Delhi
5, ag fiedt & weer fr fae & wat
Date of Time of Departure from New
Delhi
6. wir 2 4 sieofaa Ta Ru A
arr fr fae & wae
Date & Time of Arrival on return at
the Railway Station mentioned at
Column(2) above
7. ‘arat # 40M Class in which Travelled ==
8.0 gw ke fie (nearer or ea feet Aor:
ae age ar anit otsex) Total rail
fare(excluding reservation or any other
charges 6.9. for journey by road otc.)
paid (both ways)
a wari rat / tf Pe wie 2 A sfeafea Bra a ag fect aw ont & fae ster 3
sfeaftrs fat ox wig farsa fewe agt anf fee at w #1 | Certify that concessional return ticket was —
were not being issued from the place mentioned at [2] to New Delhi on the date of start at (3) above. #
ag ah wants erat | at & few at ane BOR HH aTaT Fr F ait .. _ moh, Harrah arar asa / aft
Certified that | travelled by the ...... Class and shall travel by --.....--- Class for the return
journey
BEATE Signature:
{qu Wat Full Address:2
wenftra fre orar & Pe at) we / safe... areargareragaret, tt a
ac fre fer Sher / are H sete Ge gf ate er ater
‘ew aT Hara frat $1 Certified that the candidate Shri /Ms. ~. . has appeared for
test / interview on... for the post of In the CSIR-Structural
Engineering Research Centre, Chennai held at New Delhi and has paid / exempted the prescribed
application fee.
The above mentioned candidate belongs to Scheduled Caste / Tribe.
werafere arftrert Administrative Officer / wert feriwa Controller of Administration
(FOR OFFICE USE ONLY)
at Distance
Il Class Basic Fare —.
Passed for —-(Rupees.
(onward) enclosed / No. indicated
only) Train / Bus Tickets
Expenditure is debitable to P0320414, Year 201 - 20
Drawing & Disbursing Officer
Candidates’ Bank Account No.: IFSC Code No.:
Name of Bank: Branch:
(Please attach 1% page of the bank passbook)
Pre-audited for
Section Officer (F&A)
Received payment of
Signature of Candidate
Dated: