Ta Da Final Claim - Itm Mussoorie
Ta Da Final Claim - Itm Mussoorie
Ta Da Final Claim - Itm Mussoorie
TA/
Form No. IAFT-1716
CDA A/C No. 10/163/135075L
Name, Rank & Unit of the Claimant : Pushpendra Singh , Sec. Asstt. ‘B’
Orders for Move/Duty: As per the Movement Order Authority (Rule TR/SR):
Director, DRDE
600.00
ROAD MILEAGE AT
Gwalior Residence to Railway Station 03 Kms by auto @ Rs. 15/- 45.00
Gwalior
Outstation H.NZM Railway Station to ANAND 14 Kms by Auto Rikshaw @ Rs. 30 for first fall of 167.50
at New Delhi VIHAR TRM.Railway Station 1.5 Km & Rs. 11 per km for additional distance-
New Delhi Railway Station to H.NZM 12 Kms by Auto Rikshaw @ Rs. 30 for first fall of
Railway Station 1.5 Km & Rs. 11 per km for additional distance-
145.50
Outstation Dehradun Railway Station to IRDE, 09 Kms by Auto Rikshaw @ Rs. 15/- 135.00
at Dehradun Guest House Dehradun
Total - 7352.16
Pushpendra Singh
(1) I performed journey in (a) my own car/own scooter/bus (b) sharing/engaging full
taxi/scooter/auto rickshaw (c) did not use Govt. Transport for which road mileage
allowance has been claimed.
(2) I did not use Railway Warrant Concession Voucher for any portion of journey for which the bill is
preferred.
(4)X I stayed from ____NA_____ to _____NA____ at ____NA________ (name of hotel) which provides
board, lodging at scheduled tariff (Vouchers from the hotel to be attached).
(5)X I was actually and not merely constructively present at the outstation on the day's on which DA
has been claimed and I did not proceed on CL or any other leave during the period. I was on leave
from __________________ to __________________.
Station : GWALIOR
_____________________________________________________________________________________
_______
Passed for payment _______________________ on treasury
___________________________________________
in favour of
_____________________________________________________________________________________
_______
INSTRUCTIONS
(1) The claim should be supported by the (a) copy of order sanctioning the move (b) copy of
sanction of competent authority when the journey is performed by other than the shortest
route (c) A certificate from controlling officer that journey by mail express train was performed
by grade IIIVTV Govt. servants in public interest (d) sanction of the competent authority for
grant of DA in excess of 30 days vide 230(III) TR/81 SR
(2) This claim should be countersigned by the authority specified in Rule 81 TR Rule 192 SR.
(3) In the case of local journeys the distance between permanent HQrs. to the residence and
distance between Pt. HQrs. to Ty. duty point may be shown in the remarks
(4) Moves of the Officers an examination or courses of instruction will be supported by a copy of
movement order showing name of the examination/course, its authority period and number of
times the examination was attended.
(5) Time of departure and time of arrival should be given in cases of stay in hotel/time of
departure and arrival to and room residence/railway station/bus stand/airport place of duty
etc. for each journey should also be given.