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IIT Indore Travel Claim Form

The document is a travel allowance/claim form for the Indian Institute of Technology Indore. It collects information such as the applicant's name, designation, pay level, budget head to charge expenses to, advance drawn if any, claimed travel fares with copies of tickets, local conveyance charges with dates and distances, and reimbursement of hotel/food bills with dates and amounts. The form is to be signed by the applicant and then processed by finance office staff including passing the claim for payment.

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Archit Srivastava
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128 views2 pages

IIT Indore Travel Claim Form

The document is a travel allowance/claim form for the Indian Institute of Technology Indore. It collects information such as the applicant's name, designation, pay level, budget head to charge expenses to, advance drawn if any, claimed travel fares with copies of tickets, local conveyance charges with dates and distances, and reimbursement of hotel/food bills with dates and amounts. The form is to be signed by the applicant and then processed by finance office staff including passing the claim for payment.

Uploaded by

Archit Srivastava
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Form: R7

INDIAN INSTITUTE OF TECHNOLOGY INDORE


TRAVELLING ALLOWANCE /CLAIM FORM
(To be printed on back of Form R6)

1.Name of the Applicant:__________________________


2.Designation & Discipline/Unit :__________________________________________3.Pay
level:___________
Institute Name (In case of external members)…….............................………..
………………………………………
Budget Head (to which TA/DA is to be debited)………..……………..........…………….........................…
Amount of advance drawn, if any ......................................................Tour report : Enclosed/Not enclosed

4. Claimed fares(Air /Rail/ Bus) (Copy of tickets and boarding pass, where applicable, be enclosed):
Departure Arrival Train Fare
Mode & Class of Journey
Date /Flight
Date & (Rail/ Road/ Air & IAC/II
Place & Place No. & (Rs)
Time AC/ II AC/ Economy etc.)
Time PNR No.

Total Fare (Rs)

5. Details of local conveyance charges:


Place visited/travelled Mode of
Travel -
Statio Fare
Date Distance (KM) Taxi/ Remarks
n From To (Rs)
Auto/Othe
r

Total Local Conveyance (Rs)


a. Certified that I have travelled by the class and mode of conveyance as indicated above.
b. Certified that amount claimed above has been actually been spent by me.

6. Reimbursement of hotel/food bills:


Hotel Sr. Bill Amount
Sr. No Date Amount (Rs) Date
details No details (Rs)

Total (Rs)

Reimbursement of meals/food charges while on official tour on will be made on declaration basis
within applicable limit.

Signature of the Applicant


_______________________________________________________________________________________
(FOR FINANCE OFFICE USE)

Claimed Rs……………………………………………..
Disallowed/Added Rs …………….……………………….
Passed for Rs ……………………….…..…………………

Jr. Assistant Sr. Assistant/Superintendent AR/DR/JR


Registrar

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