ANNEXURE 16/2
Royal Government of Bhutan Agency:………………………………
Travel Allowance Claim Form
Name of Employee:
Position Title: Position Level: Number:
No. of Fares: Travel Authorisation No. & Date: Date:
Departure Arrival Bus/Train
Daily Actual Purpose of
Mileage Claim Total
Allowance Expenses Journey
Date Time Station Date Time Station /Air Fare
Advance Taken:
Amount Claimed for payment/refund:
Certified that the travel was performed by me for official purposes and the claims are genuine
Date & Signature of Employee
Certified that the travel was authorised by me for official purposes and the claims appear genuine and reasonable.
Date & Signature of controlling Officer