JOINING EXPENSE CLAIM
DATE
Employee NO. Relocation Date Transfer from Transfer to
Name Designation Level
Relocation
Department Request Transfer(Y/N) distance
SECTION I : Claim Details
Amt claimed For Finance department
To be filled by the Amount admitted by
employee accounts
A. Journey fares
By Air
By Rail & Road -
1. Packing/ Loading/Unloading
2. Household goods Transport
charges
charges -
3. Transport of vehicles charges -
4. Insurance
B. Total Relocation expense claim(Sum 1 to
4) -
C. Out-of Pocket Expense
D. Net Claim (A+B+C) -
Claim Date
DD MM YY
Note: enclose receipts for amt claimed at A & B
No of enclosures:
SECTION II : JOURNEY DETAILS (Please indicate ticket no. & enclose ticket/folders)
Ticket
Departure Arrival Mode & Amount
Train No. & Purpose of No./MR
class of Calimed No./Bus Remarks
Name journey
Date Time Station Date Time Station travel Rs. P. Ticket No.
Residence : Total -
Note: where tickets are provided by the company, the fare may be indicated in remarks column
Declaration: I certify that the particulars furnished above by me are correct and supported by authentic documents.
Signature: Signature of HR Personnel:
Date Date:
FOR USE IN FINANCE DEPT.
Passed for payment Rs
(Rupees
Checked by: Approved by:
SECTION III : JOURNEY DETAILS (Please indicate ticket no. or attach M/R wherever fare claimed is for other than IInd class and for
Air Journeys and bus journeys enclose ticket/folders)
Departure Arrival Mode & Amount
Train No. & Purpose of
class of Calimed Remarks
Name journey Ticket No./MR
travel Rs. P.
Date Time Station Date Time Station No./Bus Ticket No.
Residence : Total -
Note: where tickets are provided by the company, the fare may be indicated in remarks column
Section IV: Details of claim for DA & expenditure Incurred for accomodation(Rule 5.3)
Midnight(00 hrs) spent in Station No of days Dates Rate per day Amount of Name of Amount for hotel Name of
Hotel/Guest accomodation Rs. persons with
for DA Daily P. whom
Allowance House
accomodation
Rs. P. was shared
-
Total Total - -
** 1/4th of Complete DA for the nights under seminar since Boarding & Lodging was provided in seminar + Normal DA for rest of days
NOTE : Please indicate the supporting bill & recepit for the amount paid on acct of hotel/guest house accomodation
1. Leave availed(if any) at …………...…….. from ………….. to …………..
2. Both boarding & lodging/boarding only/lodging only was provided free of cost at …...……… from …....... to ….........
SECTION - V :DETAILS OF CONVEYANCE CHARGES CLAIMED (RULE 5.2)
NOTE : If the space provided is insufficient, separate sheet in the same proforma may be attached duly signed by the claiment.
Sl.No. Date Station Place of visit(s) Distt. in Means of Amount Purpose Stn-wise
(Specify Locality) Kms. travel Rs. P. weekly total
(approx.) (Rule5.11)
From To
Total -
Certified that
1. Mileage Points, if any, earned on tickets purchased for official travel will be utilised for Official travel .
2. I have not availed Companion Scheme ticket for domestic Travel.
3. The Ticket has been bought from Airline website/ IRCTC and not from any other travel site.
4. Further it is also certified that the amount claimed towards cost of air tickets is actual incurred by me and PNR Number(s)
indicated above real ate to the above performed journeys by me .
5. I have not claimed TA for this tour from NTPC.
6. The Amount Claimed based on entitlement and conditions as per NTPC TA Rules.
Signature of Employee Signatures
Date: (Name Designation & Seal of the Controlling Officer)
