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Traveling Allowance Bill For Journey Undertaken For Performance of Election Duty

This document is a travel allowance form for election duties. It requests information such as name, designation, basic pay, headquarters, residential address, election details, travel dates and details, advance received if any, and certifications that no government vehicle was provided and the claimed travel was undertaken. The form is to be signed by the claimant and counter-signed by controlling officers to certify the person was deputed for election duty on specified dates.

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dev_rd_1
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517 views

Traveling Allowance Bill For Journey Undertaken For Performance of Election Duty

This document is a travel allowance form for election duties. It requests information such as name, designation, basic pay, headquarters, residential address, election details, travel dates and details, advance received if any, and certifications that no government vehicle was provided and the claimed travel was undertaken. The form is to be signed by the claimant and counter-signed by controlling officers to certify the person was deputed for election duty on specified dates.

Uploaded by

dev_rd_1
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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TA form for elections

Traveling Allowance Bill for journey undertaken for


performance of election duty.
1. Name.
2. Designation.
3. Basic Pay..
4. Headquarter..
5. Residential Address.
6. Election For Which Duties Performed
7. Date Of Election.
8. Details Of Journey.
9. TA advance drawn if any.
10. It is certified that
(A) No Govt vehicle was provided for the journey for which traveling allowance
has been claimed in the bill.
(B) I have undertaken the journey by the mode indicated in the bill.
Departure

Arrival

Date & time

Date & time

Mode of
traveling

Actual
distance

Purpose

Amount

http://delta.org.in/application/form/download

Certified that Sh /Smt /Km_____________________________________________


Designation__________________office___________________________________
was deputed for election duty to the Govt. of _________ / Govt.of India.
It is also certified that Sh /Smt /Km______________________________________
Attended the election training classes held on ___________________________ and
performed election duty as Presiding Officer/ Polling officer / Group D staff on
________________the date of polling.

Counter signature of the


controlling officer

Signature of the sector officer


Name
Designation
Date

Date:
Office:

In case of Presiding officer / Group A officers of Administrative Branch/Sector Officer

Counter signature of the


controlling officer

http://delta.org.in/application/form/download

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