7/31/2019 Controller TABILL
1/2
Bill No. Month :-
Date :-
Name :- Designation :- Basic Pay Rs. :- 23900.00
INST CODE .Address :-
Office Order No. & Date :-
Reason for Travel :-
12/04/2012 Kopargaon 07:30 AM 12/04/2012 Shrirampur 08:30 AM
12/04/2012 Shrirampur 01:30 PM 12/04/2012 Kopargaon 02:30 PM
13/04/2012 Kopargaon 07:30 AM 13/04/2012 Yeola 08:30 AM
13/04/2012 Yeola 01:30 PM 13/04/2012 Kopargaon 02:30 PM
16/04/2012 Kopargaon 07:30 AM 16/04/2012 Rotegaon 08:30 AM
16/04/2012 Rotegaon 06:00 PM 16/04/2012 Kopargaon 07:00 PM
17/04/2012 Kopargaon 07:30 AM 17/04/2012 Yeola 08:30 AM
17/04/2012 Yeola 01:30 PM 17/04/2012 Kopargaon 02:30 PM
18/04/2012 Kopargaon 07:30 AM 18/04/2012 Yeola 08:30 AM
18/04/2012 Yeola 06:00 PM 18/04/2012 Kopargaon 07:00 PM
19/04/2012 Kopargaon 07:30 AM 19/04/2012 Shrirampur 08:30 AM
19/04/2012 Shrirampur 01:30 PM 19/04/2012 Kopargaon 02:30 PM
20/04/2012 Kopargaon 07:30 AM 20/04/2012 Yeola 08:30 AM
20/04/2012 Yeola 06:00 PM 20/04/2012 Kopargaon 07:00 PM
800.00
Total (in Words) Rs. :- Eight Hundred Only
Certified that :- Amount of ill Rs. :-
Budget Pro ision 200__ - 200__ :-
Signature of Applicant Expnd. Incured including this bill :-
Passed for payment & cashier to pay Rs.
__________________
(in Words) Rs.
__________________________________________________ Clerk Suptd.
Checked & Found Correct, recommended for payment
Clerk/ N.A. H.C./Suptd. A/c Officer Dy.Secretary A/c Officer
Audit Audit
Received by Cash/Cheque :-
Revenue Stamp & applicant's Signature
T. A. B I L L F O R M
Details of Travel & Stay
Total
Distance
in K.M.
PlaceDate PlaceDeparture
Time
Daily Allowance for total duty period @ Rs. 160.00 for 05
days.
Difference in Daily Allowance at special rate if applicable @
Rs. ___________ for ____________ days.
Was on offcial duty of Exam controller for MSBTE Summer 2012
Theory Exam
D e p a r t u r e Arrival
Mode of
Travel
Bus/Rail/Pvt.V
ehicle
Taxi,Scooter
Airplane etcArrival
TimeDate
Prof. Pawar Yogesh A Lecturer
M.S.BOARD OF TECHNICAL EDUCATION, REGIONAL OFFICE,
AURANGABAD
K.B.P. Polytechnic, Kopargaon (0034)
KBPP/DC-0034/S-2012 EXAM/OOF/214/40 Dated 10/04/2012
Ticket No.if
travelled by 1st
Class/AC
Plane/Taxi etc.
Fare in Rs.
