INDIAN INSTITUTE OF ENGINEERING SCIENCE AND TECHNOLOGY, SHIBPUR

TECHNICAL EDUCATION QUALITY IMPROVEMENT PROGRAMME (TEQIP – III)

TRAVELLING ALLOWANCE BILL

Name & Designation Department Purpose of Journey with Date & Place Grade Pay (Rs.)

Sanctioned Amount (Rs.): _____________________

Particulars of Journey:
Departure Arrival Mode of
Amount
journey Class Remarks
Station Date Time Station Date Time (Rs.)
(Train/Bus/Air/Taxi)

Food Charge against Original Bill submitted (Total no. (s) of supporting documents attached ……….…..)

Hotel/Guest House Charge against Original Bill submitted

VISA Charges against Original Bill submitted

Insurance Charges against Original Bill submitted

Registration Fee against Original Payment document

Conveyance Charges: (If space is required for conveyance charges, details are to be furnished in the extra space
overleaf)
Total

Less: Amount of Advance (if any)

Net Amount (in figures)

NET CLAIM (rounded): (in words) Rupees

Certificate: I hereby declare that the charges entered in the bill are correct and have not been claimed previously and that each journey was undertaken in
the interest of IIEST, Shibpur for the purpose mentioned above and was duly authorized. Copy of the authorization is enclosed. The modes of travel and
expenses incurred are according to the regulations of IIEST, Shibpur. Further certified that the Institute’s vehicles have not been used for journey for which
local traveling expenses has been claimed.

………………………………………………………………….
Signature of the Touring Faculty/Officer/Staff/Student
continued overleaf

Note:
1) If travelled by Air, boarding pass must be enclosed
2) Enclose Tour-Diary duly approved by the appropriate authority
3) Details to be furnished with necessary documents for Local Travel
4) Each voucher/Bill/Participation Certificate is required to be signed with date
5) Submit the claim in Indian currency as applicable on the date of incurring expenditure in foreign currency
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Extra Space for Details of Conveyance Charges

Signature of the Touring Faculty/Officer/Staff/Student

Recommended for Payment of Rs. …………………..(Rupees ……………………………………………………………………………………………………..

…………………………………… only)

Signature of the Nodal Officer, Academic / Co-ordinator, TEQIP –III, IIEST

Please Pay Rs. …………………. (Rupees ……………………………………………………………….…………………………………… only)

Cheque No.…………………. Dated: …………………. is issued in favour of …………………………………….……………………………………………

………………………………………………...…………

Signature of the Nodal Officer (Finance), TEQIP-III, IIEST

Final bill amount will be reimbursed through PFMS (Public Financial Management System).
For payment the following BANK and personal details has to be provided (format is given in Annexure - I).

Received Rs. ………..……….. (Rupees ……………………………………………………..…………………………………………….) in Cash / by Cheque

No………………………..Dated:…………..………….

Revenue
Stamp
…………………………………………
Signature of the Receiver

N.B.: 1) Revenue Stamp of Value Re. 1/- to be affixed if the amount is above Rs. 5,000/-
2) Attach receipts and documentary evidences in support of the claim.
3) Net Claim is to be rounded to the nearest rupee, 50 paise and above being rounded to the higher side.

ANNEXURE - I

Please provide the BANK details in the following format

Name of Bank

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Name of Bank Branch including branch
address

Name of Account Holder (as in Bank Pass

Book)

Account Number

Type of Bank Account

Bank Branch Code

Please provide the Personal Details

in the following format

Name

Department

Date of Birth

Father’s Name

Complete Address with Pin Code

PAN Card Number*

Mobile No.

AADHAAR Card Number#

*please submit a copy of PAN Card with self signature

# please submit a copy of AADHAAR Card (for date of birth, father’s name and address etc.) with self signature

Declaration: All information for bank and personal details given above is correct to the best of my knowledge.

___________________________________________
(Signature of the faculty / staff/student with date)

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