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Æ OVERTIME VOUCHER
̹Ç× 35 £
¡. ÂÈÆ ¼ûÄ/£° £Ùº¶È»¿È¶Æ¶¾Æ A.Authorisation General 35 a
(A4* S,.T, & E.) 1/76
1. (¡) ¢ÈàõŠ¨Çæïªà ¾Ä (Internet Version)
(¡å) À¼— ¾åÄÆ
(£) ͯÇݹÁÇȁ ̹»ÇÆ ........................................................................
(¤) ¹¶Œ¹Æ ̹»ÇÆ ........................................
(a) Name of Claimant
(b) Designation
2 . ïÌàÉå Ìà»å¾ïÆà ¾Ä 3 . ïªÑŠ Êå©åÉ
ÍÁξ ̱»ÆÜºÆ ¥´ºÆ ............................................................................ ...............................................................
±ºÆ¹¿¯Æ çÞ
Place of Work Pay Unit
4 . ÄåÌè¨ Éæ´êÀ Çæ. 5 . Àæƨ´ ¡ºè¨åÈ ªåÌàºë Çæ.
ºÇ¶±Æ ±ºÆ¹¿ºÆ .................................................................. ºµÈ¶Æ¶È»Ç¾ ͺ¾¶È¯ Í·¼ –¶ºÆ ô° ........................................
Salary per month Rs. Overtime Rate per hour Rs.
6 . ¨Î Æêºë ¡ºè¨åÈ Éæ¶ ÀèÎè¿ —ÌàºÇ/ ̱»Æ»ÍÁ®ˆ» ͺ¾¶È¯Í·¼ ÍÁξ ¹½Æ½È» Œ¹¼ºÆ / Details of overtime work to be performed -
̴; - ¡ºø¨åÈ ¡¾êĺ ¨ø×ïŠ ¼û ¡åƺ¾ ÌâªòÍïÆà x ïɾø ÀփïؼïÆà 3 ɪ¾àºøÆ ï¨ïÚ ÂÈÆ ï¼¾ ¾øȽåÖïªà ¡É½å¾Æ ïÆåÄê ï¨ïÚ.

(¡/£/ a) (¡å/¤/ b) (¡ç/¦/ d)

(¡æ/¥/ c)
¨åÈ ÌéÄåÉ ¡¾êĺ ¡ºø¨åÈ ¡ºø¨åÈ Ì¿Íå ÂÈÆ ï¼¾ ¾øȽåÖÆåïªà
̊ÀìÚ¸ ¨Î Æêºë Éæ¶ ÌÍ ¦à¨¨
¯Ç¾ºÆ ÀæÆ ª¸¾ ¡ºà̾ ÌÍ À¼—Æ ¾åÄÆ
ÀèÎè¿ —ÌàºÇ
Period ͺ¾¶È¯ Í·¼ºÆ ͺ¾¶È¯ Í·¼ ÍÁξ £Ùº¶È¯ÆкÆ
ͺ¾¶È¯ Í·¼ ÍÁ ͹Ç× Û½ÆÞ¹Æ̹½
£Ùº¶È¯Æ¯¹Æ¹´Æ´ §¶Æ¶Èͻǯ¶Æ¶Çȁ Î¯Ì»Ç¹Æ¹ÛºÆ ¹¶Œ¹Æ̹»ÝºÆ
ÍÁ®ˆ» ÍÁξŠ¸× Œ¹¼ÛºÆ £¾Ð¯àºÆ
Ìè ´ ¼¨àÉå ºµÈ¶Æ¶È»Ç¾+Ư¿Æ Signature and Designation of Officer
Description and units of work
Û¶¾Æ Áμ No. of hours authorising overtime
to be completed
Form To overtime allowed

.................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................
¡å. ¡¾êÄæºèÆ /¤°£+ƯɯǼºÆ /B.Approval
7. ¡ÉÌ¾à ¨Ç ¡æºø ¡ºø¨åÈ Éæ¶ ÀèÎè¿ —ÌàºÇ/ ͺ¾¶È¯ Í·¼ ÍÁξ Œ¹¼+Ư¿Æ/ Details of overtime work done -
(¡/£/ a) (¡å/¤/ b) (¡æ/¥/ c) (¡ç/¦/ d) (¢/§/ e) (£/§¿/ f)
ïŒÈåÉ/ºµÈ ¡ÉÌ¾à ¨Ç ¡æºø ¡¾êĺ ¨Ç¾
¼ú ¾ Æ Time ÀæÆ ª¸¾ Éæ¶ —ÌàºÇÆ Éæ¶ ¦à¨¨ ª¸¾ ¾øȽåÖÆåïªà ¡ºà̾
¶È¯¶È ۈ¯Æ¯¹Æ¹´Æ´
Ìè ´ ¼¨àÉå ºµÈ¶Æ¶È»Ç¾ ÍÁ Áȹ¼ºÆ ÍÁξ£¾Ð¯¿È £Ùº¶È¯ÆÐºÆ §¶Æ¶ÈÍ»Ç
Date
Û¶¾Æ Áμ ©®µÈ¯Æ Î ¯ Description of Work ©®µÈ¯Æ Î ¯ ¯¶Æ¶Çȁ ί̻ǹƹºÆ
To No. of hours No. of Units of Signature of approving
From work completed officer
¾ø Æ •º ïÈÌ Íå Ìå½åǸ ïÈÌ
................................................................................................................................................................................ ¡ºø ¨ åÈ ¢ÀæÆì ÂÉ´ ÄÄ
ïÀð¼àªÈè¨É ÌçÍûÄ´ Àºàïɕ.
................................................................................................................................................................................ ͺ¾¶È¯ Í·¼ºÆ ¶Èݹƶȯ¼ºÇ¯âºÆ
................................................................................................................................................................................ Ûν»Ç¯âºÆ ̹½¹Æ ¹ ´Æ ´ ̶¸
·Ç ¶ÈݹƶȻδ¯Èͽ
............................................................................................................................................................................... I am personally satisfied that
................................................................................................................................................................................ the overtime has been actually
and fairly earned.
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................
................................................................................................................................................................................

¦¨ºëÉ/ ̺ǶƶºÆ / Total

8. ¢ÈàÈå ¡æºø Äê¼È É®¾ïƾà ÌÍ ¢È¨à¨ïľà

ͯÇÝºÆ Ì¶Çί ©á¶ÆׯƯ¿È᧒ ©®¯¿È᧒ ..................................................................................................................................................
Amount claimed in words and figures
9 . ¢ÈàõŠ¨Çæïªà ¡ºà̾
ͯÇݹÁÇȁ ί̻ǹƹºÆ ................................................................................................. ¼ú¾Æ
Signature of Claimant ¶È¯¶È ...................................................
H- 022255(2004/10) Êòé Èâ¨å Ç°ïÆà Äê÷¸ ï¼ÀåںàºëÉ Date
¡ç ïªÑÄ/¥° ̯Çչƹ¸â /C. Payment 11. ÉÉê®Ç ¡â¨Æ
10. ï¼ÀåںàºëÉ §Þ¶È±Æ±É´ÆÕ ¥¾ ...............................................................
¶Èε¯Æ¯¿ºÆ ................................................................................. Voucher No.
Department
12. ïªÑÄ´ ÂÈÆ: ÈèÀèïªå¾ê ¡â¨Æ
̯Çչƹ¸â¯Æ¯Ç¸ £¶È¯Ç¼ºÆ : ͯÇÎÁ ¥¾. 12. (a) Àºà ¢Çæ ¡â¨Æ
Authority for Payment : File No.
........................................ ¹¯Æ¯ ¥¾ ..............................................................
Folio No.
13. ÉæÆ ÉÚªû¨Ç¸Æ/̱¾Œ¸¹Æ ¹Ð¹ÆÚ /Expenditure Classification -
¦¨ºëÉ

̱¾âŒ´» нȔÕ

̱¾âŒ´» Œ¹¼ºÆ
̶Çί

ÉæÆ —ËÆ Ìâï¨àºÆ

·È¯ÀÆ±Æ±È¶Æ ¶È´Æ´ºÆ

ÉæÆ —ËÆ ¾åÄÆ

ïÌàÉå ÌàÉÃåÉÆ Total

Object Code

Object Title
Programme
ͱÎÁŠ ¶Îº

Éæ¶ Ì´Í¾

¯Ý¶Æ¶È´Æ´ºÆ
ÉñåÀîºø Æ
¶Î¾¹Æ Ú
Nature of Service ÇæÀè Æ Èà ʺ

Project
ÊûÚËÆ
ô¹Ç ±¶ºÆ

Head
Rs. cts.

.................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
ÄêÝ ÍÇ/¹½ÆÞ¶Æ Ì¶Çί/TOTAL DEBITS ..

14. ¡¶ê ¨ø׊ ¨øÌèÉ¨à ¡æïºåºà £´ ÂÈÆ/ ª¶ÇÁ× ¯ÀȌݷƶǾÆ

£¶½Æ¯Ç¸ £¶È¯Ç¼ºÆ /Authority for deductions, if any - ÂæÇ —ÌàºÇÆ/Á¼â Œ¹¼ºÆ /Credit Particulars

.................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
15. ïª—Æ Æêºë Êë¼à½ Äê¼È/̯Çչƹ¸â ̱»Æ» ÍÁ®ˆ» Ͷ½È» ̶Çί/ Net amount Payable ....................................................
16. ÀרàËå ¨Ç¾ ¾øȽåÖÆåïªà ¡ºà̾ ¼ú ¾ Æ
̱ÁÆÎÁ ¹ÇÇƯÆÐºÆ §¶Æ¶Èͻǯ¶Æ¶Çȁ ί̻ǹƹºÆ .................................................................................... ¶È¯¶È ..............................
Signature of Checking Officer Date
17. Äåïªà Àê¼àªÈè¨ ¼æ¾êïŠ ÍæÆ´/ ¡¼åÈ ïªå¾êÉÈ ÀÌê Àèï… ºøï¾ Ìͺø¨ ¡¾êÉ, ¢Íº¨é ïÌàÉå/ Éæ¶ Ì¿Íå ¾øÌè ÀÖ¼ú ÂÈÆ ÈæŸ ¢´ê¨Ç ¡æºø Âɼ, ¦à Ì¿Íå
ÇæÀèÆÈà ..........................................................................Íå ʺ................................ ïªÑÄ ïǪëÈåÌè/ ªú—ÌêŠÉÈ´ ¡¾ê¨íÈ Âɺà Ìå½åǸ Âɺà Ìͺø¨ ¨Ç•.
ͺ½Æ¯ÇÖºÆ Í±ÎÁ¯¿Æ/ ÍÁξ¯¿Æ Ûν»Ç¯ £¶È¯Ç¼ºÆ ̹½ÆÞ ·ÈνÍÁ½Æ½¹Æ ̹½Æƽ¸ ©ÞºÆ ô¹Ç..............................................°°°°°°°°°°°°°.
±¶ºÆ °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ̯ÇÕ¹Æ ¹ ¸â ÁÀ+Æ Ð Œ¶È¯Æ ¯ à¯Æ ¯ κ»â¿Æ ¿ ×. ¬¹Æ ¹ ·Æ ¶ ¶Æ × ¯Æ ¯ κ»â¿Æ ¿ ×° ·È»Ç»ºÇ¸×ºÆ ·É ¶ È»Ç¸×ºÆ ©ÞºÆ
©¸× ̱Ƿƶ £½ÈÁȋݷÆ×ºÆ ±ºÆ¹·Æ¶¹Æ¹´Æ´ ͯǹÆÚ¯¿Èß¿Æ¿ ºÞ¹¯Æ¯¶Æ¶Èß¿Æ¿ ±Ç½È¶ÀƯ¿È‹Ý·Æ×ºÆ ·Ç §Þ¶È¹Æ¹Õ¶Æׯȁͽ°
I certify from personal knowledge/ from the certificates in the relevant files/ overleaf that the above services/ works were duly authorized
and performed and that the payment of Rupees................................................... and cents .......................... is in accordance with regulations/
contract/ fair and reasonable.

....................................................................................................
¼ú ¾ Æ —Æ¼Ä Ìͺø¨ ¨Ç¾ ¾øȽåÖÆåïªà ¡ºà̾ Íå ¾ººëÇ.
¶È¯¶È .................................... ̱¾Œ¸¶Æζ §Þ¶È¹Æ¹Õ¶Æ×ºÆ §¶Æ¶Èͻǯ¶Æ¶Çȁ Î¯Ì»Ç¹Æ¹ÛºÆ ¹¶ŒÜºÆ
Date Signature and title of the officer certifying Expenditure
18. ïªÑÄ´ ¡¾êĺ ¨Ç¾ ȼû./̯Çչƹ¸â ̱»ÆÁ¶½ÆÐ ª½ÆÞ¯Æ̯ǿƿ¹Æ¹´Æ´× /Passed for Payment

.................................... ....................................................................................................
¼ú¾Æ/¶È¯¶È/ Date : ¡ºà̾ Íå º¾ºëÇ/Î¯Ì»Ç¹Æ¹ÛºÆ ¹¶Œ¹Æ̹»ÝºÆ
Signature and Designation.
19. ïªÉ¾ ȼ ®æ¨àÀºà ¡â¨Æ 20. ÌèÈàÈÇ ¨åÌè ïªÑÄ¨à ¾Š ÌÇÀàïªà ¡ºà̾
̯Çնƶ ¯ÇͱÇξ ¥¾° .................................... ±È¾Æ¾Î½¹Æ ¹µ¶Æ¶È‹Ý·Æ× Ì¯ÇÕ¯Æкȴ¶Æ× ±È½Ç¹Æ¹Çȁ ¬¹Æ¹ºÆ ....................................
Paid by cheque No. Signature of Shroff if paid from Petty Cash
¼ú¾Æ/¶È¯¶È/ Date ....................................
21. ¢Íº Ì¿Í¾à ¨åÇ¸Æ ïɾêïɾà 20 ...............................................¨à Éì ......................................................................................................................................ÄÌ .......................................Éæ¾ø ¼ú¾
ÇæÀèÆÈà ............................................................................................ʺ ................................................¨à ȼè•.
ͺ½Æ ¹ ˆ ̯ÇÕ¹Æ ¹ ¸â¯Æ ¯µ¯Æ Ð ¶Æ ̶Çί ô¹Ç°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ±¶ºÆ « 20°°°°°°°°°°°°° ¤ºÆ ¤®Õ °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°ºÇ¶ºÆ
°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ·Ç ̹½Æ Þ ¯Æ Ì ¯Ç®Í´°
Received this................................................. day of..................................... 20.................... in payment of the above account the sum
of Rupees.................................................... and cents................................
Ìå¨àËè/±Ç´Æ±È/ Witnesses
1. ....................................................................................................
2. ïªÑŠ Ⱦà¾åïªà ¡ºà̾/̹޷ÇÆ Î¯Ì»Ç¹Æ¹ºÆ/ Signature of Payee.
̴; - ¡ºø¨åÈ Éæ¶ ¡åNJà ¨ø×Ä´ ïÀÇ “¡” ï¨å´Ì ̊ÀìÚ¸ ¨Î ÆêºëÆú. ¼ú¾ÀºåÄ “¡å” ï¨å´ïÌà 7 ̊ÀìÚ¸ ¨Î Æêºë ¡ºÇ ¡¾êĺ ¨Ç¾ ¾øȽåÖÆåïªà ¡ºà̾
¼ú¾ÀºåÄ ÈÂ媺 ÆêºëÆ.
нȹÆÚ - ͺ¾¶È¯Í·¼ ÍÁξ ̶Ǵ+ÆРہ¸ÇÆ “£” ¹Ð¶È ·È¼¹Æ¹¹Æ¹´¾Æ ÍÁ®ÕºÆ° “¤” 7 ¹Ð¶È ¶È¸ÛºÆ ·È¼¹Æ¹¹Æ¹´ÆÕ £+ƯɯǼºÆ ÁÀ+ÆÐºÆ §¶Æ¶Èͻǯ¶Æ¶Çȁ
ί̻ǹƹºÆ ̹½¹Æ¹´ ÍÁ®ÕºÆ°
Note - Section A should be completed before overtime work commences. Section. B-7 should be entered daily and the signature of the approving officer obtained daily.