DECLARATION ‘TQ.BE SUBMITTED AT THE TIME OF TA/DA CLAIM ON TRANSFER 1. T have been relieved at ______B1/Office on____and Joined at Br/office on The distance between ‘both the places is kms. 2. Thave availed joining time from to 3. Tam not having a own house at____(place of posting) either in my name or in the name of my spouse OF in the name of my dependent children, ==---Own house situated at 4. T-could not secure suitable accommodation at (place of posting)from to 5. The under mentioned family members(dependents) were accompanied ey on account of my transfer. ‘Name Relationship [Age 6. _Thave applied for Leased Accommodation we f. Date : Signature: Place : Name: Code No. AC Nos Branch/OMtce: ‘DECLARATION Ihave incurred an amount of Rs. (Rs. towards Packaging, ee on a/c of transportation of my "household effects .0cal Transportation, Insuring the luggage from. (Place of relief) to (Place of posting). Date Signature: Place: ‘Name: Code No. Branch/Office: NOTE: 1. Tickets, in original, required forthe journey undertaken by Bus 2. RC. Book and Driving Licence copies alongwith pero bills and tll-gale receipts required in case travelled by own ext 3, In-ease journey undertaken by-a Private Taxi, Cash receipt on printed letterhead duly ‘amped while mentoning the jourey particulars in detail such as Regd, Car No. Driver ‘Name, No.of persons travelled, plae visited, Distance covered etc. duly enclosing the R.C. Book and Driving Lincencs copies, cll-gate recep, petol bills ee. required. “4. For Transportation of Houschold Asicles, Cath Receipt duly stamped with seal(Consignor Copy requite, in ease of Approved Transport Oporators, Fits unapproved lorry wansport ‘operators, Cash Receipt on printed Letter Head duly mentioning the above particulars alongwith RTA Permit, RC.Book and Driving Livence copies and list of household articles transported to be submite.DECLARATION ‘TOBE SUBMITTED AT THE TIME OF TA/DA CLAIM ON RETIREMENT 4.T was relieved at Branch/otfice on ‘on account of_my Superannuation/ Voluntary Retirement. 21 have declared my native place/permanent place of settlement after retirement as and the distance between the place of retirement and place of settlement is kms. BI have availed Leased Accommodation facility upto the month of ‘and the lease rent paid upto 4. The under mentisned family members(dependents) accompanied ‘me/undertaken journey on account of my Retirement. ‘S.No. ‘Name Relationship [Age 6. I have underteken /not undertaken commercial employment as at. after my retirement from Bank Services. 5. Pension Account Ne. for crediting T.A.Bill proceeds. 6. Contact No. for any enquiry. Date : Signature: Place Name: Code No. NOTE: 1. Tickets, in original, required for the journey undertaken by Bus. 2: R.C. Book and Driving Licence copies alongwith petro! bills and toll-gate receipts required in case travelled by own car. 3, In case Journey undertaken by a Private Taxi, Cash receipt on printed letter head duly stamped while mentioning the journey particulars in detail such as Regd. Car No., Driver Name, No. of persons travelled, place visited,Distance covered etc. duly enclosing the R.C. Book and Driving Lincence copies, toll-gate receipts, petrol bils etc. required, 4.for_Transpoctation of Household Articles, Cash Receipt duly stamped with. seai(Consianor Copy) required, in case of Approved Transport Operators. If it is unapproved lorry transport operators, Cash Receipt on printed Letter Head duly mentioning the above particulars alongwith RTA Permit, R.C.Book and Driving Licence coples and ist of household articles transported to be submitted. DECLARATION Thave incurred an amount of Rs.. (Rs. Jtowards Packaging, Local Transportation, insuring the luggage etc. on a/c of transportation of my household effects, from, .(Plaze of relief) to (Place of settlement) Date : Signature: Place Name: Code No. Branch/Office: