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Xk½ nSfud HkRrk (;k=kk fooj.k ds vuqlkj) c) Daily Allowance (as per itinerary)
jgus dk LFkku fnuksa dh la;qDr vyx ls nkok@ dqy@Total
Place of halt la[;k@ nkok@ Spilt Claim (`/Rs.)
No. of Days Composite
Claim
nSfud yksfMax nSfud
HkRrk Daily izHkkj HkRrk
Allowance Lodging Daily
Charges Allowance
New Delhi/ Nuh 3 210+210+180 - - 600/-
UkksV% vyx ls nkoksa esa yksfMax izHkk;Z dsoy jlhn izLrqr djus ij Lohdk;Z
gksxk
Note: Lodging charges under split rate are admissible only on production of receipt.
?k½ LFkkuh; ;krk;kr] nwjHkk"k bR;kfn lfgr dksbZ vU; O;;
a)
b)
c)
d)
e)
dqy nkok ¼d$[k$x$?k½
?kVk,a fy;k x;k vfxze jkf'k : Total Claim (a+b+c+d+e): 1200/-
Less Advance Drawn Rs.
3) ukekafdr dk uke rFkk irk
3. Name of the Nominee and Address: Sandip Kulshreshtha, # 1620, Sector 35-B, Chandigarh
fuoy ns;@olwyyh ;ksX; jkf'k \
Net Amount payable/Recoverable `: 1200/-
4- izekf.kr fd;k tkrk gS fd@ Certified that
1. mijksDr xfrfof/;ka@dk;Z okLro esa esjs }kjk fu"ikfnr dh xbZ
The above activities/works are actually performed by me.
2. bl fcy es nh xbZ frfFk rFkk le; lgh gS
The date and time given in this bill are correct.
3. bl fcy esa 'kkfey Vh,@Mh, dh vof/k ij u rks fdlh vU; L=ksr }kjk nkok fd;k x;k gS u
gh igys bl ys[ks ij esjs }kjk nkok fd;k x;k gSA
TA/DA for the period covered in this bill has neither been claimed from any other source nor I have
made any claim previously on this account.
4. dEiuh@ xzkgd }kjk fu%'kqYd cksfMax@yksfMax miyC/ ughsa djokbzZ xbZ FkhA
Free boarding/Lodging was not provided by the Company/Clients.
5. dqy fons'kh eqnzk] ;fn dksbZ] eq>s tkjh dh xbZ Fkh dk mi;ksx fd;k x;k ;k okIdksl ds
ekè;e ls esjs }kjk viz;qÙkQ fons'kh eqnzk okil dj nh xbZA
The entire foreign exchange, if any, issue to me has been utilized or the unutilized foreign exchange
has been surrendered by me through WAPCOS.