Download Travelling Expenses Claim Form

H.P.T.R. 7 TRAVELLING EXPENSES CLAIM FORM 1. Establishment:__________________________________Month:_________200- 2. Name & Designation: _______________________________________________ 3. Basic Pay: _______________________Head Qrs._________________________ 4. Purpose of Journey: _________________________________________________ DEPARTURE ARRIVAL DAILY ALLOWANCE Station Date & Hour Station Date & Hour Km./ Mode of Travel Rate/ Class of travels Acutual Fare Paid Hotel Charg es (if any) DAIL Y NO. Of Day Rate Admissi ble Amo­unt TOTAL OF LINE 1 2 3 4 5 6 7 8 9 10 11 12 **GRAND TOTAL** (DETAILS OF THE CLAIM) 1. Total of Column no. 12 (B.F) Rs.: _____________________________________ 2. Terminal Transportation Charges Rs.: _____________________________________ 3. Local Transportation Allowance Rs.: __________________________________ 4. Transfer Grant Rs. : _________________________________ 5. Personal Effects Wt.: ________________Rate: _____________________Amount Rs.:_________ 6. Conveyence Charges Rs.:_________________________________ 7. Miscellaneous (Specify)___________________Rs.:______________________ 8. GROSS AMOUNT Rs.:______________________ 9. Less Advance of TA/TTA drawn vide T/V No.________________Dt._____________Rs._______________________ 10. NET AMOUNT PAYABLE Rs.___________________________________ (Signature of Claiment) Passed for Rs._________________(Rupees) ________________________________________ (Signature of Controlling Officer) (Signature of D.D.O.) (TO BE USED IN AUDIT OFFICE) Admitted for Rs.: ______________________________________ Objected to Rs.: _______________________________________ Reason for Objection: __________________________________ (Accounts Officer) INSTRUCTIONS 1. Tour Diary should invariably be attached with the claim. 2. In case of Transfer claim, the details of members of the family with age along with details of personal effects be given. 3. The Receipt Nos. of Hotel and carriage charges bills be quoted against the relevant Column. 4. Ticket Nos. should be quoted, when journeys are performed in a class higher than the ordinary class.