H.P.T.R.-7
“ TRAVELLING EXPENSES CLAIM FORM”
1. Establishment:______________________________________ Month______________ 20____
2. Name and Designation: __________________________________________________________
3. Basic Pay: ___________________________________Head Qrs.:________________________
4. Purpose of Journey:_____________________________________________________________
______________________________________________________________________________
DEPARTURE ARRIVAL Km.
Mode
Of
Travel


5. Rate/
Class of
Travel


6. Actual
Fare
Paid




7. DAILY ALLOWANCE Total of
Line


12.
Station


1. Date &
Hour

2. Station


3. Date &
Hour

4. Hotel
Charges
(If any)
8. No. of
days
9. Rate
Admis-
Sible
10 Amount


11.

































GRAND TOTAL

( DETAIL OF THE CLAIM)

1. Total of the Column No. 12 (B.F.) Rs……………………………………
2. Terminal Transportation Charges Rs……………………………………
3. Local Transportation Allowance Rs……………………………………
4. Transfer Grant Rs……………………………………
5. Personal Effects
Wt………………… Rate……………. Amount Rs……………………………………
6. Conveyance Charges Rs……………………………………
7. Miscellaneous Charges Rs……………………………………
8. GROSS AMOUNT Rs……………………………………
9. Less Advance of T.A./T.T.A. drawn wide
T/V No………………Dt………………… Rs……………………………………
10. NET AMOUNT PAYABLE Rs……………………………………

Signature of Claiment
Passed for Rs. ………………….( Rupees …………………………………………………………..)

Signature of Controlling Officer ( Signature of D.D.O.)

( TO BE USED IN AUDIT OFFICE)
Admitted for Rs. : ________________________________________________
Objected to Rs. : __________________________________________________
Reason for objection: __________________________________________________________________

( Accounts Officer)

INSTRUCTIONS
1. Tour diary should invariably be attached with the claim.
2. In case of Transfer claim, the details of Members of the family with age along with details of personal effects to be given.
3. The Receipt Nos. of Hotel and carriage charges bills be quoted against the relevant column.
4. Ticket Nos. should be quoted, when journeys are performed in a class higher than the ordinary class.

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