mi fcy la0@ Sub Bill No.

Hkk0fr0lh0iq0c0 ys[kk 002

I.T.B.P.F. Acctts 002
Vh vkj&5 ch@T R-5 B
LFkkukUrj.k ds fy;s ;k=k HkRrk
TRAVELING ALLOWANCE BILL FOR TRANSFER

fVIi.kh %&;g fcy nks izfr;ksa esa ,d lank; ds fy, vkSj nwljh dk;kZy; izfr ds fy, rS;kj fd;k tkuk pkfg,A
Note :-This bill should be prepared in duplicate-one For payment and the other as Office copy.
Hkkx&d ¼ljdkjh lsod }kjk Hkjk tkuk gS½
PART-A (To be filled up by Government Servant)
1- uke ny la[;k
Name…………………………………………………………… Regimental No …………………………..
2- inuke@ Designation………………….……………………………………………………………...……….
3- LFkkukUrj.k ds le; osru@ Pay the time Of transfer…………………….…………………………..……….
4- eq[;ky;@ Headquarters…………………………………………… ……………………………...………
¼d½ iqjkuk@(a) Old………………………………… ¼[k½ u;k@(b) New………………………….…
5- fuokl dk irk@ Residential address………………… ¼[k½ u;k@(b) New……………………….…..
6- LFkkukUrj.k dh rkjh[k dks dqVqEc ds lnL;ksa dh fof”kf’V;ka ¼vuq0 fo0 2 ¼8½ ds vuqlkj½
Particulars of the members of the family as on the date of transfer [vide S.R. 2(8)]
dze la [;k uke vk;q ljdkjh lsod ls laca/k
Srl. No Name Age Relationship with Government
Servant
1 2 3 4

7- ljdkjh lsod vkSj mlds dqVqEc ds lnL;ksa }kjk dh xbZ ;k=k@;k=kvksa ds O;kSjs A
Details of journey(s) performed by the Govt. servant and the members of his/her family.
izLFkku vkxeu ;k=k dh jhfr vkSj ;k=h LaknRr LkM+d }kjk
Departure Arrival mi;ksx esa ykbZ xbZ HkkM+ksa dh ;k=h fd-eh-esa nwjh
LFkku lqOF/kk dk oxZ la- HkkM+k Distance in
rkjh[k vkSj le; ls rkjh[k vkSj le; rd Mode of travel & Class No. of Fare Kms by road
Date and time From Date and time To of accommodation used fares paid
1 2 3 4 5 6 7 8

8- O;fDrxr pht oLrq dk ifjogu cdk;k ¼[kpZ jlhnssa layXu djsa½

Transportation charges’ of personal effects (Money receipts to the attached)

Rkjh[k jhfr Lfkku Hkkj fd- nj jde fVIi.kh

Date Mode Station xzke esa Rate Amount Remarks
Weight
ls rd in Kgs. #-0 iS-0 #-0 iS-0
From To Rs. P. Rs. P.
1 2 3 4 5 6 7 8 9 10

tksM @Total
 :: 2 ::
9- futh okgu dk ifjogu izHkkj ¼/ku jlhn layXu djsa½
Transportation charges of personal conveyance (Money receipt to be attached)
d½ ifjogu dh jhfr vkSj fdl LFkku dks ifjogu fd;k x;k A
a) Mode of transport and station to which transported.
[k½ jde @(b) Amount
10- fy;s x;s vfxze dh jde ;fn dksbZ gks@Amount of advance, if any, drawn.
11- ml ;k=k ¼mu ;k=kvksa½ dh fof”kf’V;ka ftlds fy;s ljdkjh lsod us ml oxZ ls] ftldk gdnkj gS] mPprj oxZ
dh LFkku lfo/kk dk mi;ksx fd;k x;k gS A
Particulars of journey(s) for which higher class of accommodation than the one to which the Govt. servant is
entitled was used.
LFkku ds uke Okkgu dk izdkj Okg oxZ ftldk Okg oxZ ftlesa ml oxZ dk ;k=k HkkM+k
Rkkjh[k Name of Place ftldk mi;ksx fd;k gdnkj gS ;k=k dh gS ftldk gdnkj gS
Date x;k gS Class to which Class by Fare of the entitled class
Mode of conveyance entitled which traveled
ls rd used #-0 iS-0
From To Rs. P.

1 2 3 4 5 6 7 8

;fn mPprj d{kk esa dh xbZ ;k=k l{ke izkf/kdkjh ds vuqeksnu ls dh xbZ gS rks eatwjh dh la[;k vkSj rkjh[k m)r djsaA
If the journey by higher class of accommodation has been performed with the approval of competent authority, No. and
date of the sanction may be quoted.
12- jsy esa tqM+s LFkku ds fy;s lM+d }kjk dh xbZ ;k=k@;k=kvksa ds O;kSjs %&
Particulars of journey(s) performed by road between places connected by rail :-
Rkjh[k@ Date LFkkuksa ds uke@ Name of place LaknRr ;k=h HkkM+k@ Fare paid

ls@ From rd@ To #-@Rs. iS-@P.

izekf.kr fd;k tkrk gS fd Åij nh tkudkjh esjs loksZRre Kku vkSj OF”okl ds lkFk lR; gS A
Certified that information, as given above, is true to the best of my knowledge and belief.
Rkkjh[k@ Date………………………………. Lkjdkjh lsod ds gLrk{kj@ Signature of the Govt. servant
Hkkx&[k ¼fcy@vuqHkkx esa Hkjk tkuk gS½ PART-B (To be filled in the Bill Section)
;k=k gdnkjh-------------------------------------------------------------------------------------#- cuh gS ftlds O;kSjs uhps fn;s x;s gSa %&
The entitlement on account of traveling allowance works out to Rs…………………………….…..as detailed below: -
¼d½ jsy@ok;q;ku@cl@LVhej ;k=h HkkM+k #-----------------------------------------iS------------------------
Railway/air/bus/steamer fare Rs……………………P…………...
¼[k½ -------------------------------------fd- eh- ds fy;s lM+d eky HkkM+k--------------------------------iS izfr fd- eh- dh nj ls----------------
Road mileage For…………Kms. @ Rs……………per Km. #@Rs……………..iS@P…………
¼x½ LFkkukUrj.k vuqHkkx@ Transfer grant #@Rs……………..iS@P…………
¼?k½ LFkkukUrj.k vuqHkkxhdh ¼---------------------------------------fnuksa ds fy;s ns- Hk- -------------------------#- izfr fnu dh nj ls
Transfer incidentals (DA for………days@ Rs………per day #@Rs……………..iS@P…………
¼M-½ futh oLrq dk ifjogu@ Transporation of personal effects #@Rs……………..iS@P…………+
¼p½ futh okgu dk ifjogu@ Transporation of private conveyance #@Rs……………..iS@P…………
dqy jde@ Gross Amount #@Rs……………..iS@P…………
¼N½ okmpj la--------------------rkjh[k-------------------------------ds vuqlkj fy;s x;s vfxze ¼vfxzeksa½ dh jde] ;fn dksbZ gks rks ?kVk nsa A
Less Amount of Advance(s) if any, drawn vide voucher(s) No………………………….…date………………
#@Rs……………..iS@P…………
dqy jde@Net Amount #@Rs……………..iS@P…………
O;;-----------------------------------------------------------esa fOkdyuh; gS----------------------------------------
The expenditure is debitable to………………………………………
fcy fyfid ds v|k{kj@ Initials of Bill clerk
vknku vkSj laForjd vf/kdkjh ds gLrk{kj@ Signature of Drawing & Disbursing Officer
izfrgLrk{kj@ Counter signed
fu;a=d vf/kdkjh ds gLrk{kj@ Signature of Controlling Officer