ïÀåó 35 ¡Ì¹Ç× 35 £

General 35 a(A4* S,.T, & E.) 1/76(Internet Version)

¡ºø̈ åÈ ¼ûľå ÉÉê®ÇÆ Íº¾¶È¯ Í·¼ §Þ¶È±Æ±É́ ÆÕ OVERTIME VOUCHER

¡. ÂÈÆ ¼ûÄ/£° £Ùº¶È»¿È¶Æ¶¾Æ A.Authorisation

1. (¡) ¢Èàõ�¨Çæïªà ¾Ä(£) ͯÇݹÁÇÈ� ̹»ÇÆ(a) Name of Claimant

2 . ïÌàÉå Ìà»å¾ïÆà ¾ÄÍÁξ ̱»ÆÜºÆ ¥´ºÆPlace of Work

6 . ¨Î Æêºë ¡ºè¨åÈ Éæ¶ ÀèÎè¿ �ÌàºÇ/ ̱»Æ»ÍÁ®�» ͺ¾¶È¯Í·¼ ÍÁξ ¹½Æ½È» �¹¼ºÆ / Details of overtime work to be performed -

4 . ÄåÌè¨ Éæ´êÀ Çæ.ºÇ¶±Æ ±ºÆ¹¿ºÆSalary per month Rs.

5 . Àæƨ´ ¡ºè¨åÈ ªåÌàºë Çæ.ºµÈ¶Æ¶È»Ç¾ ͺ¾¶È¯ Í·¼ �¶ºÆ ô°Overtime Rate per hour Rs.

3 . ïªÑ� Êå©åɱºÆ¹¿¯Æ çÞPay Unit

̴; - ¡ºø¨åÈ ¡¾êĺ ̈ ø×ï� ¼û ¡åƺ¾ ÌâªòÍïÆà x ïɾø ÀÖ�ïؼïÆà 3 ɪ¾àºøÆ ï¨ïÚ ÂÈÆ ï¼¾ ¾øȽåÖïªà ¡É½å¾Æ ïÆåÄê ï¨ïÚ.

(¡/£/ a)¨åÈ ÌéÄåÉ

¯Ç¾ºÆ Period

(¡å/¤/ b)¡¾êĺ ¡ºø¨åÈ

ÀæÆ ª¸¾Íº¾¶È¯ Í·¼ºÆ

£Ùº¶È¯Æ¯¹Æ¹´Æ´ºµÈ¶Æ¶È»Ç¾+Ư¿Æ

No. of hoursovertime allowed

(¡æ/¥/ c)Ì�ÀìÚ¸ ¨Î Æêºë Éæ¶ ÌÍ ¦à¨¨

ÀèÎè¿ �ÌàºÇͺ¾¶È¯ Í·¼ ÍÁξ�� ͹Ç× Û½ÆÞ¹Æ̹½

ÍÁ®�» ÍÁξ�¸× �¹¼ÛºÆ £¾Ð¯àºÆ Description and units of work

to be completed

(¡ç/¦/ d)¡ºø¨åÈ Ì¿Íå ÂÈÆ ï¼¾ ¾øȽåÖÆåïªà

¡ºà̾ ÌÍ À¼�Æ ¾åÄÆͺ¾¶È¯ Í·¼ ÍÁξ £Ùº¶È¯ÆкÆ

§¶Æ¶Èͻǯ¶Æ¶ÇÈ� Î¯Ì»Ç¹Æ¹ÛºÆ ¹¶�¹Æ̹»ÝºÆSignature and Designation of Officer

authorising overtime

¡å. ¡¾êÄæºèÆ /¤°£+ƯɯǼºÆ /B.Approval

7. ¡É̾à ̈ Ç ¡æºø ¡ºø¨åÈ Éæ¶ ÀèÎè¿ �ÌàºÇ/ ͺ¾¶È¯ Í·¼ ÍÁξ �¹¼+Ư¿Æ/ Details of overtime work done -

(¡æ/¥/ c)

ÀæÆ ª¸¾ºµÈ¶Æ¶È»Ç¾©®µÈ¯Æί No. of hours

(¡ç/¦/ d)

Éæ¶ �ÌàºÇÆÍÁξ�� Áȹ¼ºÆ

Description of Work

(¢/§/ e)¡ÉÌ¾à ¨Ç ¡æºøÉæ¶ ¦à¨¨ ª¸¾

Û�¯Æ¯¹Æ¹´Æ´ÍÁξ£¾Ð¯¿È�

©®µÈ¯ÆίNo. of Units ofwork completed

(£/§¿/ f)¡¾êĺ ¨Ç¾

¾øȽåÖÆåïªà ¡ºà̾£Ùº¶È¯ÆÐºÆ §¶Æ¶Èͻǯ¶Æ¶ÇÈ� ί̻ǹƹºÆ

Signature of approvingofficer

(¡å) À¼� ¾åÄÆ

(¤) ¹¶�¹Æ ̹»ÇÆ(b) Designation

.................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................

8. ¢ÈàÈå ¡æºø Äê¼È É®¾ïƾà ÌÍ ¢È¨à¨ïľà

ͯÇÝºÆ Ì¶Çί ©á¶ÆׯƯ¿È᧒ ©®¯¿ÈߺÆAmount claimed in words and figures

9 . ¢Èàõ�¨Çæïªà ¡ºà̾ͯÇݹÁÇÈ� ί̻ǹƹºÆSignature of Claimant

¼ú¾Æ¶È¯¶ÈDate

Ìè´Û¶¾ÆFrom

¼¨àÉåÁμTo

............................................................................

........................................................................

..................................................................

........................................

...............................................................

........................................

..................................................................................................................................................

....................................................................................................................................................

(¡/£/ a)

¼ú¾Æ¶È¯¶È Date

(¡å/¤/ b)ï�ÈåÉ/ºµÈ

Time

Ìè´Û¶¾ÆForm

¼¨àÉåÁμTo

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

...............................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

................................................................................................................................................................................

¦¨ºëÉ/ ̺ǶƶºÆ / Total

H- 022255(2004/10) Êòé Èâ¨å Ç°ïÆà Äê÷¸ ï¼ÀåÚºï�¾àºëÉ

ͺ¾¶È¯ Í·¼ºÆ ¶Èݹƶȯ¼ºÇ¯âºÆÛν»Ç¯âºÆ ̹½¹Æ¹´Æ´Ì¶¸·Ç� ¶ÈݹƶȻδ¯Èͽ�

¾øÆ�º ïÈÌ Íå Ìå½åǸ ïÈÌ¡ºø¨åÈ ¢ÀæÆì ÂÉ´ ÄÄïÀð¼àªÈè¨É ÌçÍûÄ´ ÀºàïÉ�.

I am personally satisfied thatthe overtime has been actuallyand fairly earned.

¡ç ïªÑÄ/¥° ̯Çչƹ¸â /C. Payment

10. ï¼ÀåÚºï�¾àºëɶÈε¯Æ¯¿ºÆDepartment

11. ÉÉê®Ç ¡â¨Æ§Þ¶È±Æ±É´ÆÕ ¥¾Voucher No.

12. ïªÑÄ´ ÂÈÆ: ÈèÀèïªå¾ê ¡â¨Æ̯Çչƹ¸â¯Æ¯Ç¸ £¶È¯Ç¼ºÆ : ͯÇÎÁ ¥¾.Authority for Payment : File No.

13. ÉæÆ ÉÚªû¨Ç¸Æ/̱¾�¸¹Æ ¹Ð¹ÆÚ /Expenditure Classification -

ïÌàÉå ÌàÉÃåÉÆͱÎÁ�� ¶�κNature of Service

ÊûÚËÆ

¶Î

¾¹

ÆÚH

ea

d

Éæ¶

Ì´Í

¾·

ȯ
ƱƱ

馮 ¶

È´Æ´

ºÆ

Pro

gra

mm

e

Éñå

Àîº

øƯ

ݶ

ƶȴ

Æ´º

ÆP

roje

ct

ÉæÆ

�ËÆ

¾åÄ

ÆÌ

±¾

â�

´»

�¹

¼º

ÆO

bje

ct T

itle

ÉæÆ

�ËÆ

Ìâï

¨àº

ÆÌ

±¾

â�

´»

н

È�Õ

Ob

ject

Co

de

¦¨ºëÉ̶ÇίTotal

ÇæÀèÆÈàô¹ÇRs.

ʺ±¶ºÆcts.

ÄêÝ ÍÇ/¹½ÆÞ¶Æ Ì¶Çί/TOTAL DEBITS ..

14. ¡¶ê ¨ø×� ¨øÌèÉ¨à ¡æïºåºà £´ ÂÈÆ/ ª¶ÇÁ× ¯ÀÈ�ݷƶǾƣ¶½Æ¯Ç¸ £¶È¯Ç¼ºÆ/Authority for deductions, if any - ÂæÇ �ÌàºÇÆ/Á¼â �¹¼ºÆ /Credit Particulars

.................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................

................................................................................................................................................................................................................................

15. ïª�Æ Æêºë Êë¼à½ Äê¼È/̯Çչƹ¸â ̱»Æ» ÍÁ®�» Ͷ½È» ̶Çί/ Net amount Payable ....................................................

16. ÀרàËå ¨Ç¾ ¾øȽåÖÆåïªà ¡ºà̱̾ÁÆÎÁ ¹ÇÇƯÆÐºÆ §¶Æ¶Èͻǯ¶Æ¶ÇÈ� ί̻ǹƹºÆSignature of Checking Officer

17. Äåïªà Àê¼àªÈè¨ ¼æ¾êï� Íæ�Æ´/ ¡¼åÈ ïªå¾êÉÈ ÀÌê Àèï� ºøï¾ Ìͺø¨ ¡¾êÉ, ¢Íº¨é ïÌàÉå/ Éæ¶ Ì¿Íå ¾øÌè ÀÖ¼ú ÂÈÆ Èæ� ¢´ê¨Ç ¡æºø Âɼ, ¦à Ì¿Íå

ÇæÀèÆÈà ..........................................................................Íå ʺ................................ ïªÑÄ ïǪëÈåÌè/ ªú�Ìê�ÉÈ´ ¡¾ê¨íÈ Âɺà Ìå½åǸ Âɺà Ìͺø¨ ̈ Ç�.ͺ½Æ¯ÇÖºÆ Í±ÎÁ¯¿Æ/ ÍÁξ¯¿Æ Ûν»Ç¯ £¶È¯Ç¼ºÆ ̹½ÆÞ ·ÈνÍÁ½Æ½¹Æ ̹½Æƽ¸ ©�ÞºÆ ô¹Ç..............................................°°°°°°°°°°°°°.

±¶ºÆ °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ̯Çչƹ¸â ÁÀ+ÆÐ �¶È¯Æ¯à¯Æ¯Îº»â¿Æ¿×. ¬¹Æ¹·Æ¶¶ÆׯƯκ»â¿Æ¿×° ·È»Ç»ºÇ¸×ºÆ ·É¶È»Ç¸×ºÆ ©�޺Ʃ¸× ̱Ƿƶ £½ÈÁÈ�Ý·Æ×ºÆ ±ºÆ¹·Æ¶¹Æ¹´Æ´ ͯǹÆÚ¯¿Èß¿Æ¿ ºÞ¹¯Æ¯¶Æ¶Èß¿Æ¿ ±Ç�½È¶ÀƯ¿È�Ý·Æ×ºÆ ·Ç� §Þ¶È¹Æ¹Õ¶ÆׯÈ�ͽ�°

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.

.................................................................................................................................................................................................................................

.................................................................................................................................................................................................................................

................................................................................................................................................................................................................................

̴; - ¡ºø¨åÈ Éæ¶ ¡åÇ�à ¨ø×Ä´ ïÀÇ “¡” ï¨å´Ì Ì�ÀìÚ¸ ¨Î ÆêºëÆú. ¼ú¾ÀºåÄ “¡å” ï¨å´ïÌà 7 Ì�ÀìÚ¸ ¨Î Æêºë ¡ºÇ ¡¾êĺ ¨Ç¾ ¾øȽåÖÆåïªà ¡ºà̾ ¼ú¾ÀºåÄ ÈÂ媺 ÆêºëÆ.

нȹÆÚ - ͺ¾¶È¯Í·¼ ÍÁξ ̶Ǵ+ÆÐ Û�¸ÇÆ “£” ¹Ð¶È ·È¼¹Æ¹¹Æ¹´¾Æ ÍÁ®ÕºÆ° “¤” 7 ¹Ð¶È ¶È¸ÛºÆ ·È¼¹Æ¹¹Æ¹´ÆÕ £+ƯɯǼºÆ ÁÀ+ÆÐºÆ §¶Æ¶Èͻǯ¶Æ¶ÇÈ� 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.

¼ú¾Æ¶È¯¶ÈDate

18. ïªÑÄ´ ¡¾êĺ ¨Ç¾ ȼû./̯Çչƹ¸â ̱»ÆÁ¶½ÆÐ ª½ÆÞ¯Æ̯ǿƿ¹Æ¹´Æ´× /Passed for Payment

¼ú¾Æ/¶È¯¶È/ Date :

21. ¢Íº ̿;à ̈ åÇ¸Æ ïɾêïɾà 20 ............................................... à̈ Éì ......................................................................................................................................ÄÌ .......................................Éæ¾ø ¼ú¾

ÇæÀèÆÈà ............................................................................................ʺ ................................................ à̈ ȼè�.

ͺ½Æ¹� ̯Çչƹ¸â¯Æ ¯µ¯ÆÐ¶Æ Ì¶Çί ô¹Ç°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ±¶ºÆ « 20°°°°°°°°°°°°° ¤ºÆ ¤®Õ °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°ºÇ¶ºÆ

°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ·Ç� ̹½ÆÞ¯Æ̯Ǯʹ�°

Received this................................................. day of..................................... 20.................... in payment of the above account the sum

of Rupees.................................................... and cents................................Ìå¨àËè/±Ç´Æ±È/ Witnesses

....................................................................................................ïªÑ� Ⱦà¾åïªà ¡ºà̾/̹޷ÇÆ Î¯Ì»Ç¹Æ¹ºÆ/ Signature of Payee.

1.

2.

19. ïªÉ¾ ȼ ®æ¨àÀºà ¡â¨Æ̯Çնƶ ¯ÇͱÇξ ¥¾°Paid by cheque No.

20. ÌèÈàÈÇ ¨åÌè ïªÑÄ¨à ¾� ÌÇÀàïªà ¡ºà̾±È¾Æ¾Î½¹Æ ¹µ¶Æ¶È�Ý·Æ× Ì¯ÇÕ¯Æкȴ¶Æ× ±È½Ç¹Æ¹ÇÈ� ¬¹Æ¹ºÆSignature of Shroff if paid from Petty Cash

¼ú¾Æ/¶È¯¶È/ Date

¼ú¾Æ¶È¯¶ÈDate

.................................................................................

........................................

...............................................................

12. (a) Àºà ¢Çæ ¡â¨Æ ¹¯Æ¯ ¥¾ Folio No.

..............................................................

.................................................................................... ..............................

....................................................................................................�Æ¼Ä Ìͺø¨ ¨Ç¾ ¾øȽåÖÆåïªà ¡ºà̾ Íå ¾ººëÇ.

̱¾�¸¶Æζ §Þ¶È¹Æ¹Õ¶Æ×ºÆ §¶Æ¶Èͻǯ¶Æ¶ÇÈ� Î¯Ì»Ç¹Æ¹ÛºÆ ¹¶�ܺÆSignature and title of the officer certifying Expenditure

....................................................................................................¡ºà̾ Íå º¾ºëÇ/Î¯Ì»Ç¹Æ¹ÛºÆ ¹¶�¹Æ̹»ÝºÆ

Signature and Designation.

....................................

........................................................................

....................................

....................................