Performa Ta Bill Both Sides
Performa Ta Bill Both Sides
Performa Ta Bill Both Sides
TOTAL AMOUNT:-
Signature of Traveler _____________________________ FOR OFFICE USE ONLY T.A Advance ___________________________
Checked By ________________ _____________________ DUTY VERIFIED ___________________ Net Payment ___ ________________________
(Signature) (P.T.O)
CERTIFICATE
Certified that:-
SIGNATURE: ________________________________
NAME (IN BLOCK LETTER) ________________________
_____________________________________________
DESIGNATION: ______________________________
ADDRESS: __________________________________
_____________________________________________
DATED:_____________________________________
INSTRUCTIONS
1. No Bill will be admitted for claim until all the columns of the Bill/Performa are dully filled.
2. Attested Photo copy of the Registration of personal Car used for the purpose of journey may be
attached.
3. Prior approval of the Chairman for use of personal Car/Taxi may be obtained and furnished
along with the Bill.
4. An attested copy of Pay Roll i.e. (Monthly Salary Slip) must be attached with the Bill.