FORM STR 2.7

(See rule S.T.R. 4.38)

TRAVELLING EXPENSES CLAIM FORM

 

Bill No. & Date :__________________                                                           Voucher No:_____________

Establishment of __________________                                                           Voucher Date:____________

 

 

 

  1.  

Treasury Code:

 

 

 

 

 

 

8.

 Voted/Charged(V/C):

 

 
  1.  

D.D.O. Code:                      

 

 

 

 

 

 

9.

Demand No.:

 

 
  1.  

Major Head:

 

 

 

 

 

 

10

Object Code:

 

 
  1.  

Sub Major Head:

 

 

 

 
  1.  

Minor Head:

 

 

 

 
  1.  

Sub Head/ Scheme:

 

 

 
  1.  

Plan/ Non Plan (P/L):

 

 

 

 

                                                                                                        

 

 

 

 

 

 

 

 

(Space for Head A/C’s Stamp)

 

CERTIFICATES

 

                                                                       

 

1.   Verified the contents of this bill.

2.   Certified that the amount being drawn in this bill is in accordance    with T.A. rules as amended from time to time.

 

3.   Certified that no amounts drawn previously more than 3 months old is lying undisbursed and the amounts drawn 1/2/3 months to this date are being refunded as per details given below:-

                                   

Name

Period

Amount

Drawn vide Vr.No.& Date

 

 

 

 

 

                                                            APPROPRIATION

 

Appropriation for year______________to____________                           Rs._____________________

Deduct Expenditure (including this bill)                                                      Rs._____________________

Balance Available                                                                                         Rs._____________________

Passed for Rs. __________________ (in words)Rupees______________________________________

 

(Signature of Controlling Officer)                                                                                     (Signature of DDO)

 

                                                          (For use in Treasury Office)

Pay Rs.____________________(Rupees_____________________________________________________)

 

(Treasury Clerk)_________________        (Ast)_________________________________(Treasury Officer)

 

 

(For use in A.G. Office)

 

Admitted for Rs. _________________________

Objected for Rs.__________________________

Reasons for objection______________________

 

(Accounts Officer)

 

 

 

 

 

1. Month/Year______________________                3.Designation_____________________

2. Name_____________________________             5. Headquarter_____________________

4. Basic Pay__________________________

Departure Station 

Date & Time

Arrival Station

Date & Time

Purpose of Journey

Mode & Class of travel

Actual fare Paid/ no. of fares

Local Travel

Transportation /Hotel Charges

Daily Allowance

Total of  columns

7+10+11+14

Remarks

Km.

Rate

amount

No.of days

Rate

Amount

 

 
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  
  1.  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rs.____________________(Rupees_________________________________________)                i.e. personal effects            Rs. ________________________

                                                                                                                                                Conveyance charges     Rs. ________________________

                                                                                                                                                Miscellaneous (Specify) Rs. ________________________                       

 

( Signature of the Claimant)

Passed for                                                  Rs.________________________

Less T.A./T.T.A.Adv.drawn vide

Treasury Voucher No.                              Rs.________________________

Dated _________

Net Amount payable Rs.___________ Rs.(in words)________________

 

 

INSTRUCTIONS                                                                                                                                           (Signature of D.D.O.)

1.    Tour diary should invariably be attached with the claim.

1.     In case of transfer claim, the details of members of the family with age alongwith details of personal effects be given.

2.     The Receipts No. of Hotel and Carriage Charges bills be quoted against the relevant column.

3.     Ticket Nos. should be quoted when journeys are performed in a class other than the ordinary class.