TRAVELLING ALLOWANCE BILL OF THE ESTABLISHMENT OF
KV NAME
FOR THE MONTH OF
MONTH & YEAR

Name & Designation

Head Quarter

Actual Pay

Particulars of Journey and Halts

Kind of Journey [By Road/Rail/ Air/Steamer]

Railway/Air/Steamer

Mileage of Road

Daily Allowance

Total Amount [Rs.]

Purpose

Remarks

Departure

Arrival

Class

No. of Fare

Fare

Amount [Rs.]

No. of Kms.

Rate

Amount [Rs.]

No. of Days

Rate

Amount [Rs.]

Station

Date

Hour

Station

Date

Hour

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Enter purpose here
100

Grand Total

0

Advance of TA if any0

Net Amount [Payable/Refund]

0
  • Received a sum of Rs. .................................
  • Passed for Payment for Rs. ............................................
  • (Rupees ...........................................................................................................)
  • Signature of Employee
  • Signature of the Competent Authority
  • CERTIFICATE OF DISBURSEMENT: Certified that the amount due on this bill has been disbursed to the proper person and his/her acquittance has been obtained.