Fillable Printable Traveling Allowance Bill for Tour Form
Fillable Printable Traveling Allowance Bill for Tour Form
Traveling Allowance Bill for Tour Form
G.A. R.- 14-A [See Rules 66 (I) &90 (I) (i)] Sub-bill No. ______________
TRAVELLING ALLOWANCE BILL FOR TO UR
NOTE: - This bill should be prepared in duplicat e-one for payment and the other s as offi ce copy
PART-A (To be fille d up by Gover nment servant)
1. Name _________________________________
2. Designation ____________________________ 3. Pay ________________
4. Headquarters __________________________________________________
5. Details and purpose of journey (s) performed.
Departure Arrival
Fare
Paid
Duration of
Halt
Date
and
Time
1.
From
2.
Date
and
Time
3.
To
4.
Mode
of
travel
and
class
of
accom
modati
on
5.
6.
Dista
nce
in
Kms.
f or
road
Milea
ge
7.
Days
8.
Hrs.
Purpose
of
Journey
9.
6. Mode of journey:-
(i) Air
(a) Exchange voucher arranged by office Yes/No.
(b) Ticket/Exchang e voucher arranged by ________________ _
(ii) Rail
(a) Whether travelled by Mail/Express/Ordinary train? Yes/No.
(b) Whether return ticket was available? Yes/No.
( c) If available, whether return ticket purchased? If not, state reasons _____
______________________________________________________________________
(iii) Road
M ode of convey an ce used i.e. by Govt. trans por t/b y taking a tax i, si ngle sea t i n a
bus or other public conveyance/by sharing with another Govt. servant in car
belong ing to h im o r to a t hird per so n, to be me ntioned.
7. Dates of absent from place of halt on account of:-
(i) R H .and C.L.
(ii) Not being actually in camp on Sunday and holidays.
8. Dates on which free board and/or lodging provided by the State or any
orga nisa tion f i nance d by Sta te fund s: -
(a) Board only
(b) Lodging only
(c ) Board and lodging
9. Particulars to be furnished alongwith hotel receipt etc. in cases where higher rate
of D.A. is claimed for stay in hot el ot her establishments providing board and/or
lo dging at scheduled tariffs-
Peri od of Stay
F rom To
Name of the Hotel Dai ly rate of
Lodging
charged
Total Am ount
paid
10. Particulars of journey(s) for which higher class of accommodation than the one
to which the Governmen t se rvant is entitl ed was used:-
Pe riod of Stay & Pl ac es
Da te
1.
From
2.
To
3.
Mode of
con v eyance
used
4.
Class to
whi ch
enti tl ed
5.
Class to
whi ch
travelled
6.
Fare of t he
entitled
class/Rs
7.
If the journey(s) by higher class acco mmodat ion has been perfor med w ith the approva l
of the compe ten t au thority. No. an d da te of s an ction m ay b e quoted . ___ ______ ______
11. Details of Journey (s) performed by road between places connected by rail:-
Name of plac es
Da te
1.
From
2.
To
3.
Fare paid
Rs Ps
4.
12. Amount of T.A. advance. If any, drawn.
Certified that the information as given above, is true to the best of my
knowledge and belief.
Date Signature of the Govt. servant
PART-B (To be filled in the Bill Section)
1. The net entitlement on account of travelling allowance works out to Rs. ______
as detailed below:-
a) Rai lway/ air/ bus /steamer fare Rs. ____________ __
b) Road mileage for _________ Kms @ Rs. ___________ Per/Km.
c) Daily allowance
(i) ___________Da ys @ Rs. ___________ /Per Days ______________
(ii) ___________ Days @ Rs. ___________/Per Days ______________
(iii) ___________ Days @ Rs. ___________ /Per Days _____________
Rs. _____________
d) Actual expenses Rs. _____________
Gross Amount Rs. _____________
e) L ess amoun t of T.A. ad vance. If any, dra wn vi de
Vo ucher No. ______________ Dat ed ____________ Rs. _____________
Net amount Rs. _____________
2. The expenditure is debitable to ______________________
Initial Bill Clerk Signature of D.D.O
Countersigned
S ig nature o f Contro lling O fficer
CERTIFICATE FOR TOUR T.A. BILLS
1. Certified that I/my family was neither allowed free transit by Rail under free pass or
otherwise provided with. means of communication at expense of the state or local round
journey f or the which T.A. has been claimed in the b ill.
2. Certified that I/my family actually travelled by the class for the T.A. claimed in this bill.
3. Certified that number of kilometers shown in this bill is in accordance with the poly
metenal tables of the establishment.
4. Certified that journey on _________________ was performed by Mail/Express train in
the inter est of public service.
5. Certified that I was actually not merely contrusively in camp on Sundays and holidays
for which daily allowanc e is claimed.
6. Certified that I was not absent on casual leave during the period for which daily
allowance has been claimed.
7. Certified that during my halt at __________________ from ________________
to __________________ while on inspection duty continue to be in our expenditure
after the f irst 10 days.
8. Certified that I. did not perform. the road journey for which the kilometer allowance has
been claimed at the higher rates prescribed in Rule 46 of the supplementary Rule by
ta king a single s ent in a taxi motor or mini bus or lorr y plyin g f or hir e.
9. Certified that I incurred running expenses on a car in this journey.
10. Certified that the road journeys for which kilometer has been claimed at the higher
prescr ibed in supplementar y Rule 46 wer e p er formed in my own car .
11. Certified that the road journeys for which mileage is claimed were performed by road
but wer e char ged by r ail. T he numb er of kilomet ers actually tra velled b y road being.
12. Certified that the family members for whom T.A. has been claimed actually travelled
with me or followed me on transfer.
13. Certified that actual expenses incurred as cost of transportation of personal was not less
than the sum claimed in the bill.
14. Certified that I have transported ___________Kg ________gms of luggage on my
transfer from _______________________ to ________________________ _
Countersigned Signature of the claimant
(Sign atur e & De sign ati on of the control ling off i cer)
