Performa Ta Bill Both Sides

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KHYBER PAKHTUKHWA BOARD OF TECHNICAL EDUCATION, PESHAWAR

TRAVELLING ALLOWANCE BILL

NAME OF TRAVELLER______________________________ DESIGNATION _____________________POSTAL ADDRESS ________________________________________


BASIC PAY (EXCLUDING ALLOWANCES ON THE DAY OF JOURNEY) ________________ LETTER & DATE AUTHORIZING JOURNEY_______________________
IBAN / ACCOUNT NO (24 digits) __________________________________________________ BANK NAME & Code No. ____________________________________________
CNIC NO. __________________________MOBILE NO. _________________________ PURPOSE OF JOURNEY ___________________________________________________
DEPARTURE ARRIVAL MODE OF TRAVELLING DAILY ALLOWANCE AMOUNT
STATION DATE TIME STATION DATE TIME 1. By Road, 2. By Air , 3. By Rail No. of Rate Per GRAND TOTAL
Distance Rate Per days Spent day of Amount COLUMN: 9 + 12
Amount
Traveled K.m in Journey Daily Allow
1 2 3 4 5 6 7 8 9 10 11 12 13

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:-

1. The journey was performed in the public interest.


2. That I was not on leave on the date for which T.A/D.A has been claimed in this bill.
3. I have not claimed the same dues from any other Department/office.
4. I have actually traveled in my own Motor Cycle/Motor Car/Van bearing No_______ (Photo
copy of Registration in attached)
5. No. Government/Board’s Vehicle was provided for the purpose of journey.

SIGNATURE: ________________________________
NAME (IN BLOCK LETTER) ________________________
_____________________________________________
DESIGNATION: ______________________________
ADDRESS: __________________________________
_____________________________________________
DATED:_____________________________________

Bank Information (Compulsory)


Bank Name
Branch Name Branch Code

Account No. (24 digits Account No)

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.

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