TA Honorarium GR Bill Format (w.e.f -03-04-2013)

GUJARAT TECHNOLOGICAL UNIVERSITY
(Established Under Gujarat Act No.: 20 of 2007)
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Ref GTU/Accts/Circular/TA/2013/2740
Date: 09/04/2013
Circular
Travelling Millage Allowance is reimbursed as per circular No. GTU/Circular/2012/4928 dated
16/05/2012. Govt. of Gujarat vide its resolution no.MSB/102012/761/CH dated 28/06/2012 revised
the rate of millage allowance for travelling. Accordingly the revised increased rate of millage
allowance of travelling for faculties, principals, Director, Deans, invited guest and employee/Staff of
the university who are engaged with the duty assigned by university is as followed with effect from
03.04.2013.
(1) If travelled by own car or by hired taxi Road mileage @ Rs.8/- per km for petrol, Rs.7/- per km
for diesel car & Rs.4/- per km for CNG car, as per actual to and fro kilometre of travelling. RTO
registration book & Toll tax receipt is required to produce.
(2) If travelled by scooter/motorcycle or by any other vehicle Road mileage @ Rs.2/- per km
(3) Bill claimed for travelled by ordinary bus and second class railway, actual fare will reimburse
as per claimed.
(4) Bill claimed for travelled by luxury bus & higher class railway, ticket is required to produce.
(5) Bill claimed for travelled by air, ticket with boarding pass and prior approval letter is required
to produce.
(6) Almost care should be taken to avoid overwriting and correction in the bill/form, however in
unavoidable circumstances initial should be put nearby correction in bill/form by claimant.
(7) Bill completed with all the fields along with bank accounts details for E-Transfer must require
to produce for reimbursement.
Sd/Registrar
Winners of: ICT Enabled University Award E-India - 2009 Manthan Award - 2009
2n d Fl o or, AC PC Bu il di n g, L .D. C oll eg e of En gi n eer i ng C am p us , N avr an g p ur a, Ah m ed ab ad , (G uj ar at) I n di a - 3 8 0 0 15 .
Ph on e: + 9 1 - 79 - 2 63 0 04 9 9 / 5 9 9
F a x: + 9 1 - 7 9 - 26 30 1 50 0
E- m ai l: i nf o@ gt u. ac .i n
UR L: www.g t u. ac .i n
GUJARAT TECHNOLOGICAL UNIVERSITY,AHMEDABAD
BILL FOR REIMBURSEMENT OF TRAVELLING ALLOWANCE & D.A./HONORARIUM
DATE:____/____/20__
FULL NAME :
BASIC PAY(OLD):
DESIGNATION:
NAME OF INSTITUTE & ADDRESS:
PHONE NO:
EMAIL ID:
PURPOSE OF JOURNEY:
REFERENCE LETTER NO.(IF ANY):
(A) T. A.:
Date of journey From
To
Distance
kilometer
Class
Mode of journey
Fare paid
Remark
(i.e. Bus, Car, Rail, Air)
Total Rs.(A)
No. of days
Rate/ Day
Total Rs.
(B) D.A.: (If applicable)
Total Rs.(B)
No. of days
Rate/ Day
Total Rs.
(C) Honorarium:(If Prior approval is taken & applicable)
Total Rs.(C)
Gross Total Rs.: (A)+(B)+(C)
This is to Certify that: I have travelled by Railway _______Class/ Bus-Luxury/ordinary. (Attach copy of Rail Ticket if travelled by AC & upper class or Luxury Bus.)
I have travelled by Air & the air fare claimed is limited to Economic class air fare. (Please attach copy of air ticket & boarding pass)
I have travelled by my own car with vehicle No.___________ & it is petroldiesel vehicle (Attach Copy of R/C book.)
I have travelled as per requisite to participate in event, seminar, etc. and fare claimed hereby is actual and admissible
I confirm that this amount is not claimed elsewhere and if it is found at any stage that above claim/part of the claim paid/received to me
is contra bonos mores due to either side by mistake; I undertake to refund same to the University.
I ensure that I had received Rs.___________________as Advance for this TA and DA/HONORARIUM and deposited remaining
amount Rs.__________________with Receipt no.____________________dated________________to the university.
Signature:
Name:____________
Passed for payment Total Rs ____________________ (Rupees in words__________________________________________only).
Journey mention above is essential to conduct duties at Gujarat technological University
DEALING PERSON
H.O.D/O.S.D.
C.A.O
REGISTRAR
RECEIPT
Received Rs. _______________ (Rupees in words _______________________________________ ________ only)
From Registrar, Gujarat Technological University, Ahmedabad towards TA and DA/Honorarium.
Bank information of receiver for Electronic fund transfer
Bank Name:____________________Branch & Branch Code:________________________A/C Type (SB/CB)__________
A/c No.(Full digits)________________________________________IFSC Code:____________
The above information provided by me is correct.
Signature:
Name:____________