Government of India
                        National Informatics Centre
                     Assam State Unit, Guwahati 781006
                                                
                TA/DA Bill for Local Journeys beyond 8 KM.
     
                 For the month of: _____________________     
    				                                 
    Headquarter: _______________________  Employee Code: _____________	
    Name: _______________________________ Designation: _______________	
    Division/Section: __________________  Basic Pay: _________________
    __________________________________________________________________
    Place or|Date & Time|Place or|Date & Time|Mode of  |Fair | Purpose  
    Station |Departure  |Station |  Arrival  |Travel   |Paid |   of 
    (From)  |           | (To)   |           |Dist. KM |     | Journey 
    ________|___________|________|___________|_________|_____|________
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |
            |           |        |           |         |     |  
            |           |        |           |         |     |  
            |           |        |           |         |     |  
            |           |        |           |         |     | 
            |           |        |           |         |     |
    ________|___________|________|___________|_________|_____|________
    
    Details of TA/DA claims admissible:
    	
     a.  (i) By bus (actual charges)
        (ii) By scooter @ Rs. 4:00 per km.
       (iii) By taxi @ Rs. 8:00 per km.
    
     b. Daily allowance at 35% of the normal ordinary DA rate for
        journeys exceeding 6 hrs and 50% for journeys exceeding 12 hrs 
    
    Rs. _______________ (Rupees: ___________________________________ )
    
    								
                                               (Signature of Employee)
    Certified that:
    1. Staff car was not available.
    2. The  journey  was  undertaken  with  approval  of  and  under 
       instruction from my superior officer.
    3. As scooter was not available the journey was undertaken by taxi
    4. The claim has not been proffered earlier.
    5. I was  actually  and  morally  constructively  present  in  the 
       temporary office for which daily allowance has been claimed.
    6. I actually traveled by bus/scooter/taxi as shown in the bill.
    7. The distances shown in the bill are correct to the dest from 
       date transport authorities. 
    8. The daily allowance in respect of station has been claimed 
       for the performance of duties which are necessitated.
    

                                              (Signature of Employee)
    
    
    
    
    
    
    
    
    
    
    
                         For Office Use Only
    __________________________________________________________________
    
    
    Passed for Rs. _____________ (Rupees ____________________________)
    
    Under Rs. __________________ (Rupees _____________________________) 
    
    
    
                                         (Signature of D.D.O.)
     
    Pay Rs. __________________ (Rupees _______________________________)
    
    
                                            Counter Signed
    
    
                                    (Signature of Controlling Officer)