Roll No.

________________

TRAVELLING ALLOWANCE FORM

PART - I
(TO BE FILLED BY THE CANDIDATE)
1.

Batch No. ________________________ Stage One Chest No. _________________________

2.

Name of Candidate as per Dossier _______________________________________________

3.

Address on which call letter sent _________________________________________________

___________________________________________________________________________

4.

Name of the nearest railway station as per para 3 above______________________________

5.

Actual Train fare paid :-

6.

(a)

From _____________________________ to__________________________________

(b)

Class _____________________________

(c)

Amount Rs. _________________________

(d)

Train PNR / Ticket No. ______________________________________________________

Actual Bus fare paid :(a)

From _____________________________ to__________________________________

(b)

Amount Rs. _________________________

(d)

Bus Ticket No. ____________________________________________________________

7.

Grand Total (5+6) Rs. ___________________________________________________________

8.

It is certified that I,_______________________________ S/o__________________________

am a fresh candidate for this, _______________________ (name of entry)

9.

I,_______________________________ S/o _________________________ will be personally

responsible for any intentional / non intentional wrong information as furnished above.
Station : Bhopal
Dated :

(Signature of candidate)

PART - II
(TO BE FILLED BY THE ACCTS CLK)
10. Auth Train fare :(a)

From _____________________________ to__________________________________

(b)

Class _____________________________

(c)

Amount Rs. _________________________

11. Admissible Train fare_______________________

(para 5 or 10 whichever is less)
12. Admissible grand total paid (6+11) X 2 Rs. _________________________________________

(Signature of Accounts Clerk)