KENDRIYA VIDYALAYA · 2012-07-26 · Rajeev, LDC, KV-2, NSB, VSKP CERTIFICATES CERTIFIED THAT 1. I...

Rajeev, LDC, KV-2, NSB, VSKP

KENDRIYA VIDYALAYA ……………………………………………………………………... TRAVELLING ALLOWANCE BILL OF THE ESTABLISHMENT OF ________________ FOR THE MONTH OF _____________________

NAME &

DESIGNATION HEA

D

QU

ART

ER

ACT

UA

L

PAY

Particulars of the journey Halts

Kind

of j

ourn

ey [b

y m

ail/

pass

enge

r/ai

r/ro

ad]

Railway Mileage by Road Daily Allowances Actual Expences

Purp

ose

of

Jour

ney

Tota

l of e

ach

line

Rem

arks

Steamer Departure Arrival Air

no.o

f Km

s

Rate Amount No of

Days

Rate Amount

Part

icul

ars

amou

nt

From Date Time To Date Time Class no. of

Fare Amount

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

0

0

0 0

0 0

0 0

0 0

0 0

2 3 6 5 11

0 0

0 0

0 0

0 0

0 0

0 0

0 0

PARTICULARS TO BE GIVEN BY EMPLOYEE ON LEAVE TRAVEL CONCESSION BILL 1. Date of commmencement of continous service 2. Name of Home Town 3. Shortest route from Head Quarters etc., to the Home Town 4. Period of leave availed 5. Relationship of the members of family and age 6. Whether prior information of the journey has been given to the vidyalaya? 7. Particulars of advance taken . Rs . _____________________ Date of drawal For self /family / both Signature of the Employee

Total 0 Total 0 Total 6 Total 5 11

Received the sum of Rs. __________________ Rupees _______________________________ Signature of the employee

Passed for Rs._____________________________ (Rupees_________________________________

Principal /Chairman

CERTIFICATE OF DISBURSEMENT Certified that the amount due on this bill has been

disbursed to the proper person and aquittance obtained .

PRINCIPAL


CERTIFICATES CERTIFIED THAT 1. I travelled by the class and accommodation for which travelling allowance has been claimed in the bill. 2. I actually travelled by Mail / Express train as claimed in the bill. 3. No return ticket was available for the journey for which the claim has been made in the bill. 4. I was actually and not merely constructively present in the camp on the days for which daily allowance has been claimed. 5. I was not on casual leave or restricted holiday on the days for which daily allowance has been claimed in the bill. 6. The Government conveyence has not been utilised for the journey for which road mileage has been claimed in the bill. 7. I did not perform the road journey for which mleage allowance has been claimed at the higher rates described in rule 45 of the supplementary rule by taking a single sent in any public conveyence which regularly plies for hire between fixed points and charges ficed rate. 8. I also certify that the journey was not performed in anyother vehicle without payment of its hire charges incurring its running expenses. 9. I did not perform road journey along with any other employee of sangathan, Govt. servant in a car belonging to him. 10. I was not provided with free boarding and lodging at the expenses of the central Govt. / State Govt. or Local Body. I did not stay in a Govt. Office / accomodation. 11. I have not received any T.A. advance for the journey which the claim is preferred / I received addvacne of Rs. ___________________-- On _________________. Signature: date: ______________ Designation of the employee: Certificate to be furnnished by the Controlliing Officer 1. Certified that the journey was performed in the sangathan/s interest. 2. Certified that the claim or personal effects is a reasonable. 3. Certified that the journeys for which T.A./D.A has been claimed in the present bill were actually performed by tge officer concerned in the interest of sangathan. SIGNATURE_________________________ Date:__________ Designation: _________________________

1. I have not submitted any other claim so far for Leave Travel Concession in respect of myself or my family members in respect of the block of the years 20_________ and 20___________. 2. I have already drawn T.A. for the Leave Travel Concession in respect ofa journey - performed by me/my wife _________________ with children. This claim is in respect of the journey performed by my wife/myself with _____________children none of them travelled witht the party on the early occassion. 3. I have not already drawn T.A. for the Leave Travel Concession in respect ofme / my wife with ______children / _________ children in respect of the block of two years 20 ____ and 20____this claim is in respect of journey performed by my wife/ myself with children / _____________ children none of them availed the concession related to that block. 4. I have already drawn T.A. for the Leave Travel Concession in respect ofa journey performed by me in the yar 20____ in respect of block of two years 20 _____ and 20____. This claim is in respect of teh journey performed by me in the year 20____. This is against the concession admissible once every year in a prescrbed block for visiting home town as all the members of my family are leaving away from my place of work. 5. The journey has been performed by me/my wife with______________ children/_____________ children to the declared hometown viz. _______________________ 6. That my husband / wife is not employed in Govt. service ____________________________________________________________________________________________________That my Husband / Wife is employed in Govt. srvice and the concession has not been availed by him/her , seperately for himslf/ herself of for any of the family members for the concerned block of two years. 7. Certified that my wife/ husband for whom LTC is claimed by me is emploed in ____________________ (Name of Public Sector Undertaking/Corporation /Autonomous /body etc.,)which provided LTC facilities but he/she has not preferred and will not prefer , any claim i this behalf toher/his employer. 8. Certified that my wife / Husband for whom LTC is claimed by me is not employed in any Public sector undertaking/ Corporation / Autunomous Body financed wholly or partly by the Central Govt. or a Local body wihch provided LTC facilities to its employees and their families- Order Nos 11 and 14. Signature of the Govt.Servant CERTIFICATE TO BE GIVEN BY THE CONTROLLING OFFICER: Certified :- (i) that Shri./Smt/Kum/........................................ has recommended continous service for oone year or more on the date of commencing the outward journey. (ii) taht necessary entries as required under para 3 of the Ministry of Home Affairs O.M. No. 43/1/55-ests(a),Part-II , dated 111th October 1956 have been made in the service Book of Shri./Smt/Kum ...................................Order No.11. Signature and the Designation the controlling officer


dsUnzh; fo|ky;--------------------------------------------------- KENDRIYA VIDYALAYA …………………………………………..

vftZr NqV~Vh@ifjofrZr NqV~Vh@v/kZ osru NqV~Vh@vlk/kkj.k NqV~Vh ¼fpfdRlk&futh½@NqV~Vh dk foLrko ds fy, vkosnu i=

APPLICATION FOR EARNED LEAVE/COMMUTED/HPL/EOL (MEDICAL-PVT.AFFAIRS)/EXTENSION OF LEAVE

1.vkosnd dk uke@Name of Applicant :

2. inuke@Designation :

3. foHkkx] dk;kZy; rFkk vuqHkkx : Department, Office & Section

4. osru@Pay :

5. orZeku in ij fy, tkus okys edku fdjk;k ,oa vU; izfriwjd HkÙks : House rent and other compensatory allowance drawn in the present post

6. vkosfnr NqV~Vh dh izdf̀r ,oa vof/k rFkk NqV~Vh ysus dh visf{kr frfFk : Nature and period of leave applied for and date from which required.

7. NqV~Vh ds igys@ckn esa izLrkfor jfookj rFkk vodk’k ;fn dksbZ : Sundays and holidays if any proposed to be prefixed/suffixed to leave

8. vkosfnr NqV~Vh dk vk/kkj@Grounds on which leave is applied for :

9. fiNyh NqV~Vh ls okil vkus dh frfFk] izd`fr ,oa vof/k Date of return from last leave and the nature and period of that leave :

10. eSa viuh vkxkeh NqV~Vh dh vof/k esa [kaM o"kZ -------------------------gsrq NqV~Vh ;k=k NwV gsrq izLrko djrk@ugha djrk@djrh gw¡A : I Propose/do not proposed to avail myself of leave travel concession for the block years ----------------------- during the ensuing leave.

11. NqV~Vh ij jgus dk irk : Address during the leave period

¼vkosnd ds gLrk{kj frfFk lfgr½ (Signature of applicant with date) 12. fu;a=.k vf/kdkjh dh vfHk;qfDr;kW ;k laLrqfr : Remarks and/or recommendation of the Controlling Officer

gLrk{kj fnukad lfgr@inuke Signature with Date/Designation

Ñ0i0̀m0@PTO


-2-

NqV~Vh Lohdk;Zrk laca/kh izek.k&i=

Certificate regarding Admissibility of leave

13- izekf.kr fd;k tkrk gS fd fnukad--------------------------- ls ------------------------------ rd -----------------------

fnu -------------------------------------------------- NqV~Vh ¼NqV~Vh dh izdf̀r½ dsUnzh; flfoy lsok;sa ¼NqV~Vh½

fu;e] 1972 ds fu;e ------------------------------------------ ds rgr Lohdk;Z gS-

Certified that ____________________________________________ (nature of leave) for

_____________ days from _______________ to _______________ is admissible under

rule__________________________________ of the Central Civil Services : Rules, 1972. gLrk{kj fnukad lfgr@inuke Signature with Date/Designation

14- NqV~Vh Lohdr̀ djus okys l{ke vf/kdkjh ds vkns’k Orders of the Authority Competent to grant leave.

gLrk{kj fnukad lfgr@inuke Signature with Date/Designation



vkdfLed@izfriwjd@izfrcfU/kr NqV~Vh gsrq vkosnu i= APPLICATION FOR CASUAL LEAVE/COMPENSATORY OFF/RH

1. uke@NAME : 2. inuke@DESIGNATION : 3. fnuksa dh la[;k o rkjh[k@NUMBER OF DAYS & DATE : 4. NqV~Vh dk iz;kstu@PURPOSE OF LEAVE : 5. NqV~Vh ij jgus dk irk@LEAVE ADDRESS : 5. dk;Z djus dh frfFk@WORKED ON : ¼dsoy izfriwjd NqV~Vh gsrq½ (ONLY FOR COMPENSATORY LEAVE) vkosnd ds gLrk{kj

fnukad@DATE: SIGNATURE OF APPLICANT 1. blds igys yh xbZ vkdfLed@izfrcfU/kr NqV~Vh % CL/RH ALREADY AVAILED 2. bl le; vkosfnr NqV~Vh ds fnuksa dh la[;k % NO. OF DAYS OF CASUAL LEAVE NOW APPLIED 3. bl le; vkosfnr vkdfLed NqV~Vh ysus ds ckn [kkrs esa cph 'ks"k NqfV~V;kW% BALANCE AFTER AVAILING THE CL NOW APPLIED lgk;d ds gLrk{kj SIGNATURE OF THE CLERK 4. ----------- fnu dh vkdfLed@izfrcaf/kr NqV~Vh dh laLohdr̀ nh tkrh gS@ugha nh tkrh gS- ----------- DAYS CASUAL/COMPENSATORY LEAVE SANCTIONED/NOT SANCTIONED. izkpk;Z@PRINCIPAL



izos’k la0@Admn. No._____________ fnukad@Date__________

okLrfodrk o vkpj.k izek.k&i= BONAFIDE-CUM-CONDUCT CERTIFICATE

izekf.kr fd;k tkrk gS fd dq0-------------------------------------------------------------------------------------- iq=@iq=h -

------------------------------------------------------------------------------------------------------- fnukad--------------------------------- ls ------------------------------- rd bl dsUnzh; fo|ky; ds Nk= Fks@dh Nk=k Fkha- mUgksaus bl dsUnzh; fo|ky; esa d{kk ---------------------- ls ----------------------- rd v/;;u fd;k gS-

This is to certify that Master/Kumari________________________________________ Son/daughter of ________________________________________ was a student of this Vidyalaya for the period from __________ to ________ He/She studied at this Vidyalaya from class _____________ to ____________

mudk vkpj.k vPNk gS-@He/She bears good conduct.

fo|ky; fjdkWMZ ds vuqlkj mudh tUe frfFk ----------------------------------------------------------------- gS- ¼’kCnksa esa ----------------------------------------------------------------------------------------------------------------------------------------------------½

His/Her date of birth as per Vidyalaya records is _____________________________________ (in words____________________________________________________________________ )

dk;kZy; eksgj@OFFICE SEAL izkpk;Z@PRINCIPAL



izs"kd%Form: Jh@Jherh@Shri/Smt._______________________ dsUnzh; fo|ky;@KV _______________________ lsokesa@To

izkpk;Z@The Principal

dsUnzh; fo|ky;@KV _______________________

fo"k;@Sub : Settlement of advance/vfxze dk fuiVku

egksn;@Sir eSaus]----------------------------------------------------------------------------------------------------------- ds [kpZ gsrq fnukad ----------------------------- dks

:0---------------------------------------------- ¼:i;s --------------------------------------------------------------------------------------------------------------------------- vfxze jkf’k yh Fkh- vfxze ds iw.kZ fuiVkjs gsrq fuEu izdkj ys[kk izLrqr gS %

I took an advance of Rs. ____________(Rupees _________________________________ on ________________________________________ to incur expenditure in connection with ____________________________________________ in full settlement of advance, I furnish the statement of account below :

Ø[email protected] fcy la0@ Bill No fnukad@Date jkf’k@Amount

fof/kor izekf.kr fcy blds lkFk layXu gSa@The bills are attached here with duly certified.

Hkonh;@Yours Faithfully

gLrk{kj@Signature dk;kZy; iz;ksx gsrq@For Office use:



R;kSgkj vfxze@FESTIVAL ADVANCE

R;kSgkj vfxze dk uke@Name of the Festival Advance :

1.deZpkjh dk uke@Name of the Employee :

2. inuke@Designation :

3. LFkk;h ;k vLFkk;h@Whether Permanent or temporary :

4. ewyosru ¼osru$egaxkbZ osru½@ Basic Pay (Pay plus Dearness Pay) :

5. ;fn vLFkk;h gSa rks D;k izfrHkwfr izfrcU/k iwjk dj fy;k x;k gS vkSj mls layXu fd;k x;k gS] : In case of Temporary whether Security Bond has been completed& attached.

6. R;kSgkj dk uke ,oa eukus dh frfFk : Name of Festival & Date of celebration.

7. visf{kr vfxze jkf’k ¼vadksa ,oa 'kCnksa esa½ : Amount of advance required (in figures & words)

eSa ?kks"k.k djrk@djrh gwa fd yh xbZ vfxze jkf’k dk mi;ksx mís’; dh iwfrZ gsrq fd;k tk;sxk- EkSa vfxze jkf’k dks nl eghuksa dh cjkcj fdLrksa esa okil d:axk@d:axh-

I declare that he amount of advance will be utilized for the purpose for which drawn. I agree to refund the advance in ten equally monthly installments.

Place/LFkku vkosnd dk gLrk{kj Date/fnukad Signature of applicant

dk;kZy; fVIi.kh OFFICE NOTE: izkpk;Z dh vfHk;qfDr;k¡% Remarks of the Principal

R;kSgkj vfxze jkf’k :0-------------------------- ¼:i;s---------------------------------------------------------------------------------------------½ ---------------------------------- ekg ls izkjEHk gksus okys nl cjkcj ekfld fdLrksa esa olwy fd, tkus okys jkf’k dh Lohdr̀ iznku dh tkrh gS- The amount of festival advance Rs. ________ (Rupees ______________________________) Recoverable in ten equal monthly installment commencing from the month ___________________ is sanctioned.

izkpk;Z@PRINCIPAL



[email protected]._________________ fnukad@Date____________

mifLFkfr izek.ki= ATTENDANCE CERTIFICATE

izekf.kr fd;k tkrk gS fd Jh@Jherh@dq0----------------------------------------------------------------------------

dsUnzh; fo|ky;--------------------------------------------------------------------fnukad--------------------------------- dks dk;kZy;h dk;Z ¼-----------------------------------------------------------------------------------------------------½ gsrq bl dk;kZy; esa vk;h Fkha@vk;s Fks vkSj mUgsa fnukad ------------------------------- dks dk;ZHkkj eqDr fd;k x;k-

This is to certify that Sh/Smt./Km.________________________________________ of Kendriya Vidyalaya____________________________________________________ has attended this Office on _______________________ on official duty in connection with _____________________________________ and relieved on __________________

os ds0fo0la0 ds fu;ekuqlj ;k=k@egaxkbZ HkRrs ds ik= gSa-@He/She is eligible for TA/DA as per KVS rules.

izkpk;Z@PRINCIPAL



fo|ky; [email protected] izek.k i= gsrq vkosnu&i= APPLICATION FOR WITHDRAWAL/SCHOOL LEAVING

1. vkosnu dh frfFk@Date of Application :_________________________________ 2. fo|kFkhZ dk uke@Name of the student :_________________________________ 3. d{kk@oxZ o"kZ lfgr@Class/Section with Year :_________________________________ 4. ekrk dk uke/Mother’s Name :_________________________________ 5. firk dk uke/Father’s Name :_________________________________ 6. vLFkk;h irk@Local Address :_________________________________ 7. NksM+us dk dkj.k ,oa izos’k ds fy, bfPNr LFkku :_________________________________ Cause of withdrawal and intended Station of admission 8. fy, x, fo"k;@Subject Taken (from IX onwards) :_________________________________

ekrk@firk ds gLrk{kj Mother’s/Father’s Signature

izkpk;Z@PRINCIPAL dqNHkh ns; ugha izek.k i=@No Dues Certificate

izekf.kr fd;k tkrk gS fd fo|kFkhZ dks tkjh lkeku okil izkIr gq,- Certified that the Articles issued to the student have been duly returned. 'kk-f’k- v- IkqLrdky; v/;{k ,u-lh-lh- izHkkjh cl izHkkjh (P.E.T) (Librarian) (NCC in-Charge) (Bus Incharge) lgdkfjrk LdkmV@xkbM HkkSfrd foKku Nk=kokl izHkkjh (Coop. Store) (Scout/Guide) (Physics) (Hostel I/C) jlk;u foKku tho foKku dk;kZuqHko v- lnuk/;{k (Chemistry) (Biology) (Work Exp.) (House Master)

d{kk v/;kid ds mi;ksx gsrq@For the use of Class Teacher izekf.kr fd;k tkrk gS fd ----------------------------------------------- vof/k rd ns; lEiw.kZ jkf’k :----------------------------- jlhn la0 --------------------------------------- fnukad---------------------------------------- izkIrfd;k-

Certified that all dues Rs._____________________________ upto___________________________ Vide Receipt No. ____________________date __________________ have been received.

izek.k i= tkjh fd;k tk;s@The certificate may be issued.

izos’k la[;k/Admission No._________________ijh{kkQy/Result_______________________dqy cSBdksa dh la[;k/Total Meetings held____________________________________________dqy cSBdsa ftuesa mifLFkr jgs/Total Meetings attended______________________________fo|kFkhZ dh fo|ky; esa vfUre gkftjh/Date

of pupils last attendance in Vidyalaya____________uke dkVsa izek.k i= tkjh djsa/Struck off the name & issue a Transfer Certificate.

d{kk v/;kid@dk;kZy; izHkkjh Signature of Class Teacher/Office Clerk izkpk;Z@PRINCIPAL


dsUnzh; fo|ky;----------------------------------------------- KENDRIYA VIDYALAYA, ________________

APPLICATION FOR ADMISSION

izos’k dk vkosnu i=

1. AÉuÉåSlÉ mÉ§É MüÉ ÌSlÉÉÇMü/Date of Application

2. mÉëuÉåzÉ sÉålÉå MüÐ Mü¤ÉÉ/Class to which admission is sought

3. NûÉ§É MüÉ mÉÔUÉ lÉÉqÉ (eÉlqÉ ÌiÉÍjÉ mÉëqÉÉhÉ mÉ§É / xjÉÉlÉÉÇiÉUhÉ mÉ§É Måü AlÉÑxÉÉU) Name of the Child(In Block Letters) as per the Birth Certificate / Transfer Certificate

4. eÉlqÉ ÌiÉÍjÉ (AÇMüÉåÇ qÉåÇ)Date of Birth (in figures)

A¤ÉUÉåÇ qÉåÇ / In Words

5. A) ÌmÉiÉÉ / xÉÇU¤ÉMü MüÉ lÉÉqÉ A) Name of the Father / Guardian

AÉ) mÉåzÉÉ uÉ MüÉrÉÉïsÉrÉ MüÉ mÉiÉÉ (SÕUpÉÉwÉ lÉÇoÉU Måü xÉÉjÉ) B) Occupation & Office Address (With phone no.)

6. A) qÉÉiÉÉ MüÉ lÉÉqÉ/ A) Name of the Mother

AÉ) mÉåzÉÉ uÉ MüÉrÉÉïsÉrÉ MüÉ mÉiÉÉ (SÕUpÉÉwÉ lÉÇoÉU Måü xÉÉjÉ) B) Occupation & Office Address (With phone no.)

7. AÉuÉÉxÉÏrÉ mÉiÉÉ (SÕUpÉÉwÉ lÉÇoÉU Måü xÉÉjÉ) Residential Address (With telephone no.)

8. A) YrÉÉ, AÉmÉ AlÉÑxÉÔÍcÉiÉ eÉÉÌiÉ / AlÉÑxÉÔÍcÉiÉ eÉlÉ eÉÉÄniÉ / AlrÉ ÌmÉÄNûÄQåû uÉaÉï xÉå xÉÇoÉSèkÉ WæÇû/ (A) Do you belong to Scheduled Caste / Scheduled Tribe /

Other Backward Castes ?

AÉ) rÉÌS WûÉð iÉÉå AlÉÑxÉÔÍcÉiÉ eÉÉÌiÉ / AlÉÑxÉÔÍcÉiÉ eÉlÉ eÉÉÄniÉ / AlrÉ ÌmÉÄNûÄQåû uÉaÉï xmÉwOû ÍsÉZÉåÇ | (EqqÉÏSuÉÉU MüÐ eÉÉÌiÉ Måü mÉëqÉÉhÉ-mÉ§É MüÐ MüÉmÉÏ xÉÇsÉalÉ MüUåÇ | B) If yes, write clearly Scheduled Caste / Scheduled Tribe / OBC (Attach a copy of the Caste Certificate of the Candidate)

9. AÍpÉpÉÉuÉMü MüÉ/MüÐ uÉÉÌwÉïMü AÉrÉ/ANNUAL INCOME OF THE PARENT

10. UYiÉ xÉqÉÔWû/BLOOD GROUP

11. qÉÔsÉ ÌlÉuÉÉxÉ xjÉÉlÉ/Home Town 12. qÉÉiÉ× pÉÉwÉÉ/Mother Tongue

13. A) mÉÔuÉï ÌuÉSèrÉÉsÉrÉ MüÉ lÉÉqÉ/A) Name of the school last attended

AÉ) mÉÌPûiÉ Mü¤ÉÉ/B) Class in which last studied

C) xjÉÉlÉÉÇiÉUhÉ mÉ§É xÉÇZrÉÉ uÉ ÌSlÉÉÇMü/ C) Transfer Certificate No. & Date

(FOR OFFICE USE ONLY)

¼dk;kZy; mi;ksx gsrq½

izos’k Øe % Admn. No. :

Js.kh : Category :


-2- qÉæÇ LiÉS SèuÉÉUÉ mÉëqÉÉÍhÉiÉ MüUiÉÉ / MüUiÉÏ WÕðû ÌMü EmÉrÉÑïYiÉ xÉÉUÏ mÉëÌuÉÎwOûrÉÉð qÉåUÏ eÉÉlÉMüÉUÏ qÉåÇ xÉirÉ Wæû | AÉaÉå ÌMüxÉÏ

mÉËUuÉiÉïlÉ Måü ÍsÉL MüÉåD qÉÉðaÉ lÉWûÏÇ MüÐ eÉÉLaÉÏ | I Certify that all the particulars given above are true to the best of my knowledge and I will not ask for any changes at a later date.

________________________ AÍpÉpÉÉuÉMü / xÉÇU¤ÉMü MüÉ WûxiÉÉ¤ÉU |

ÌSlÉÉÇMü Date: Signature of the Parent /Guardian.

mÉëÉcÉÉrÉï MüÉ ÌOûmmÉhÉÏ Remarks of the Principal _________________________________

_________ _________________ ______________________ mÉëuÉåzÉ mÉëpÉÉUÏ qÉÑZrÉ AkrÉÉmÉMü / EmÉ mÉëÉcÉÉrÉï mÉëÉcÉÉrÉï MüÉ WûxiÉÉ¤ÉU uÉ ÌSlÉÉÇMü Admission I/c HM / Vice Principal Sign of Principal & Date

mÉëuÉåzÉ MüÐ ÌiÉÍjÉ : mÉëuÉåzÉ xÉÇZrÉÉ : Date of admission : Admission No. : NûÉ§É MüÉ lÉÉqÉ : Mü¤ÉÉ AÉæU ÌuÉpÉÉaÉ : Name of the Child : Class & Section. :

zÉÑsMü ÌuÉuÉUhÉ FEE PARTICULARS

1. mÉëuÉåzÉ zÉÑsMü Admission Fee : Â._____ 2. ÌuÉSèrÉÉsÉrÉ ÌuÉMüÉxÉ ÌlÉÍkÉ Vidyalaya Vikas Nidhi : Â._____ 3. MÇümrÉÔOûU TüÄhQû Computer Fund : Â._____ 4. ÍzÉ¤ÉhÉ zÉÑsMü Tuition Fee : Â._____ MÑüsÉ Total : Â._____

zÉÑsM UxÉÏS xÉÇZrÉÉ Fee Receipt No.:___________________ ÌSlÉÉÇMü Date :______________

NûÉ§É MüÉ xÉÉUÉ ÌuÉuÉUhÉ EmÉÎxjÉÌiÉ UÎeÉxOûU qÉåÇ SeÉï ÌMürÉÉ aÉrÉÉ Wæû | All the details are entered in the Class Attendance Register.

Mü¤ÉÉ AkrÉÉmÉMü/ CLASS TEACHER

NûÉ§É MüÉ xÉÉUÉ ÌuÉuÉUhÉ mÉëuÉåzÉ UÎeÉxOûU qÉåÇ SeÉï ÌMürÉÉ aÉrÉÉ Wæû | All the details are entered in the Admission Register.

mÉëpÉÉUÏ ÍsÉÌmÉMü/ In-Charge Clerk

TüÉCsÉ MüUåÇ FILE IT

mÉëÉcÉÉrÉï/ PRINCIPAL


mÉëåwÉMü : From: Dated/fnukad%_________ _______________________(lÉÉqÉ AÉæU mÉSlÉÉqÉ), ___________________________(Name & Designation), MåülSìÏrÉ ÌuÉSèrÉÉsÉrÉ, ____________ _ Kendriya Vidyalaya, __________ mÉëÌiÉ/ To: mÉëÉcÉÉrÉï/ The Principal, MåülSìÏrÉ ÌuÉSèrÉÉsÉrÉ, _______________ Kendriya Vidyalaya, ____________ ÌuÉwÉrÉ:_____________WåûiÉÑ Â._____/- MüÐ AÌaÉëqÉ UÉÍzÉ MüÐ qÉÇeÉÔUÏ – iÉixÉÇoÉkÉÏ | Sub: Advance for _________________________________ - Reg. qÉWûÉåSrÉ/egksn;k/Sir/Madam, EmÉrÉÑïYiÉ ÌuÉwÉrÉ Måü AliÉaÉïiÉ, qÉæÇ AÉmÉxÉå AlÉÑUÉåkÉ MüUiÉÉ / MüUiÉÏ WÕÇ ÌMü qÉÑfÉå _______________ WåûiÉÑ Â.__________/- MüÐ AÌaÉëqÉ UÉÍzÉ MüÐ qÉÇeÉÔU MüUåÇ |

In reference to the above, please sanction me an amount of Rs._____________ towards advance for meeting the expenditure in connection with ________________________________________.

kÉlrÉuÉÉS/Thank you,

pÉuÉSÏrÉ/ Yours faithfully,

( MüqÉïcÉÉUÏ MüÉ / MüÐ WûxiÉÉ¤ÉU /Signature of the Employee)



aÉ×Wû lÉaÉU MüÉ mÉiÉÉ oÉSsÉlÉå WåûiÉÑ mÉëÉÃmÉ PROFORMA FOR CHANGE OF HOME TOWN

1 ÍzÉ¤ÉMü / MüqÉïcÉÉUÏ MüÉ/MüÐ lÉÉqÉ AÉæU mÉSlÉÉqÉ NAME OF THE TEACHER/STAFF MEMBER WITH DESIGNATION

2 xÉåuÉÉ-mÉÑÎxiÉMüÉ qÉåÇ SeÉï MüÐ aÉD xjÉÉD mÉiÉÉ PERMANENT ADDRESS AS PER SERVICE BOOK

3 xÉåuÉÉ-mÉÑÎxiÉMüÉ qÉåÇ SeÉï MüÐ aÉD LsÉ0OûÏ0xÉÏ (NÒûOèOûÏ rÉÉ§ÉÉ WåûiÉÑ ËUrÉÉÌrÉiÉÏ) WåûiÉÑ bÉÉåÌwÉiÉ ÌMürÉÉ aÉrÉÉ aÉ×Wû lÉaÉU HOME TOWN DECLARED FOR LTC PURPOSE (AS PER SERVICE BOOK)

4 LsÉ0OûÏ0xÉÏ (NÒûOèOûÏ rÉÉ§ÉÉ WåûiÉÑ ËUrÉÉÌrÉiÉÏ) WåûiÉÑ mÉëxiÉÉÌuÉiÉ aÉ×Wû lÉaÉU NEW HOME TOWN PROPOSED FOR LTC PURPOSE

5 aÉ×Wû lÉaÉU mÉËUuÉiÉïlÉ WåûiÉÑ ÌlÉqlÉ ÍsÉÎZÉiÉ MüÉUhÉÉåÇ qÉåÇ LMü MüÉå oÉiÉÉCL: MENTION THE GROUNDS OUT OF THE FOLLOWING UNDER WHICH PROPOSED CHANGE IN HOME TOWN HAS BEEN SOUGHT.

a) YrÉÉ mÉëxiÉÉÌuÉiÉ xjÉÉlÉ qÉåÇ EimÉ³É bÉUåsÉÔ AÉæU ÌuÉzÉåwÉ SÉÌrÉiuÉ WåûiÉÑ xÉUMüÉUÏ lÉÉæMüU MüÐ mÉëirÉ¤É EmÉÎxjÉÌiÉ cÉÉÌWûL, AaÉU WûÉÇ iÉÉå xÉUMüÉUÏ xÉåuÉÉ qÉåÇ mÉëuÉåzÉ WûÉålÉå Måü oÉÉS, uÉå ExÉÏ xjÉÉlÉ MüÉå AMüxÉU SÉæUÉ MüU UWåû WæÇû? Whether the place declared by the Govt. Servant is the one which required his/her physical presence at intervals for discharging various domestic and special obligation, and if so, whether after his/her entry into his/her service, the Govt. Servant had been visiting that place frequently?

b) YrÉÉ xÉUMüÉUÏ lÉÉæMüU ExÉÏ xjÉÉlÉ qÉåÇ bÉUåsÉÔ xÉÇmÉ¨ÉÏ AmÉlÉÉiÉå WûæÇû (uÉ) uÉå ExÉ xÉÇrÉÑYiÉ mÉËUuÉÉU Måü xÉSxrÉ WûÉåÇ, ÎeÉlWåÇû bÉUåsÉÔ xÉÇmÉÌ¨É WûÉå? Whether the govt. Servant owns residential property in that place or whether he/she is a member of a joint family having such property there?

c) YrÉÉ ElÉMåü ÌlÉMüOû xÉÇoÉÇkÉÏ uÉWûÉÇ xjÉÉD ÃmÉ xÉå ÌlÉuÉÉÍxÉiÉ WæÇû? Whether his/her near relations are permanently residing in that place?

d) YrÉÉ xÉUMüÉUÏ xÉåuÉÉ qÉåÇ ElÉMåü mÉëuÉåzÉ Måü mÉÔuÉï, uÉå uÉWûÏ xjÉÉlÉ qÉåÇ MÑüNû xÉÉsÉ ÌlÉuÉÉÍxÉiÉ WæÇû? Whether prior to his/ her entry into Govt. Service, the Govt. Servant has been living there for some years

6 lÉrÉÉ aÉ×Wû lÉaÉU MüÉ mÉiÉÉ New Home Town Address

MüqÉïcÉÉUÏ MüÉ / MüÐ WûxiÉÉ¤ÉU/Signature of the Employee.


-2-

mÉëqÉÉhÉ mÉ§É/ CERTIFICATE

rÉWû LiÉS mÉëqÉÉÍhÉiÉ ÌMürÉÉ eÉÉiÉÉ Wæû ÌMü ´ÉÏ/´ÉÏqÉiÉÏ __________________, ______________(mÉSlÉÉqÉ) lÉå ElÉMåü xÉåuÉÉ-mÉÑÎxiÉMüÉ qÉåÇ SeÉï MüÐ aÉD ÌuÉuÉUhÉ MüÐ iÉÑsÉlÉÉ qÉåÇ xÉWûÏ oÉiÉÉrÉÉ Wæû AÉæU ElWûÉåÇlÉå AÉeÉ iÉMü ElÉMåü mÉÔUÏ xÉåuÉÉ qÉåÇ AmÉlÉå aÉ×Wû lÉaÉU MüÐ mÉËUuÉiÉïlÉ lÉWûÏÇ MüÐ Wæû |

This is certified that particulars furnished by Shri/Smt._____________________________________________________, ____________ (Designation) are correct as per his/her Service Records. He/She has not changed his/her Home town before, in his/her entire service. ÌSlÉÉÇMü/Dated ______________

mÉëÉcÉÉrÉï / PRINCIPAL.



xÉåuÉÉ MüÐ mÉÑÌ¹ MüÉ mÉëxiÉÉuÉ PROPOSAL FOR CONFIRMATION OF SERVICES

pÉÉaÉ-A ( MüqÉïcÉÉUÏ xÉå pÉiÉÏï MüUuÉÉlÉÉ Wæû ) PART-A (TO BE FILLED BY THE EMPLOYEE)

1. MüqÉïcÉÉUÏ MüÉ lÉÉqÉ/NAME OF THE EMPLOYEE 2. eÉlqÉ ÌiÉÍjÉ/ DATE OF BIRTH

3. mÉSlÉÉqÉ/ DESIGNATION

4. uÉiÉïqÉÉlÉ oÉæÇQû mÉå AÉæU aÉëåQû mÉå/

PRESENT BAND PAY AND GRADE PAY

5. Måü0ÌuÉ0xÉÇ0 qÉåÇ ÌlÉrÉÍqÉiÉ ÃmÉ xÉå mÉëÉUÇÍpÉMü ÌlÉrÉÑÎYiÉ (mÉSlÉÉqÉ Måü xÉÉjÉ) WûÉålÉå MüÐ iÉÉUÏZÉ/DATE OF INITIAL APPOINTMENT WITH CADRE IN KVS ON REGULAR BASIS

6. uÉiÉïqÉÉlÉ mÉS/mÉSlÉÉqÉ qÉåÇ ÌlÉrÉÑYiÉ WûÉålÉå MüÐ iÉÉUÏZÉ/DATE OF INITIAL APPOINTMENT TO THE PRESENT POST / CADRE

7. YrÉÉ uÉiÉïqÉÉlÉ mÉS mÉU ÌlÉrÉÑÎYiÉ: WHETHER APPOINTMENT TO BE PRESENT POST

a) mÉSÉå³ÉÌiÉ Måü SèuÉÉUÉ/Promotion b) ÌuÉpÉÉaÉÏrÉ mÉUÏ¤ÉÉ Måü SèuÉÉUÉ/

Through Departmental Examination

c) ZÉÑsÉÉ ÌuÉ¥ÉÉmÉlÉ Måü SèuÉÉUÉ/Through Open Advertisement

8. uÉiÉïqÉÉlÉ mÉS qÉåÇ uÉUÏrÉiÉÉ xÉÇZrÉÉ/ Seniority Number in the present Post / Cadre

9. zÉæÍ¤ÉMü rÉÉåarÉiÉÉLÇ ACADEMIC QUALIFICATIONS E¨ÉÏhÉï WÒûD mÉUÏ¤ÉÉ/

EXAMINATION PASSED

xÉÇxjÉÉ / ÌuÉzuÉ ÌuÉSèrÉÉsÉrÉ MüÉ lÉÉqÉ/NAME OF THE INSTITUTION /UNIVERSITY

E¨ÉÏhÉï WÒûD xÉÉsÉ/ YEAR OF PASSING

´ÉåhÉÏ/DIVISION mÉëÌiÉzÉiÉ/PERCENTAGE

10. urÉÉuÉxÉÉÌrÉMü rÉÉåarÉiÉÉLÇ/PROFESSIONAL QUALIFICATIONS

11. YrÉÉ AÉmÉMåü ÌlÉrÉÑÎYiÉ ÌlÉqlÉ xiÉU qÉåÇ qÉÉæÍsÉMü iÉÉæU mÉU WÒûD Wæû, AaÉU WûÉÇ iÉÉå, qÉÉæÍsÉMü iÉÉæU mÉU ÌlÉrÉÑYiÉ iÉÉUÏZÉ WHETHER APPOINTED IN SUBSTANTIVE CAPACITY IN LOWER POST / CADRE, IF SO, DATE FROM WHICH APPOINTED IN SUBSTANTIVE CAPACITY

12. CxÉ ÌuÉSèrÉÉsÉrÉ MüÉå xjÉÉlÉÉÇiÉUhÉ WûÉålÉå Måü mÉÔuÉï MüÉrÉïUiÉ ÌuÉSèrÉÉsÉrÉÉåÇ MüÉ orÉÉæUÉ/DETAILS OF KV’s SERVED PRIOR TO THE TRANSFER TO THE PRESENT VIDYALAYA

ÌuÉSèrÉÉsÉrÉ/VIDYALAYA mÉS / mÉSlÉÉqÉ qÉåÇ MüÉrÉïUiÉ POST / CADRE IN WHICH SERVED

xÉåuÉÉ MüÐ AuÉÍkÉ, iÉÉUÏZÉ AÉÌS MüÉ orÉÉæUÉ DURATION OF SERVICE WITH DATES xÉå FROM iÉMü TO

MüqÉïcÉÉUÏ MüÉ WûxiÉÉ¤ÉU/ SIGNATURE OF THE EMPLOYEE


-2-

pÉÉaÉ-AÉ (MüÉrÉÉïsÉrÉ xÉå pÉiÉÏï MüUuÉÉlÉÉ Wæû ) PART-B (TO BE COMPLETED BY THE OFFICE)

1 oÉiÉÉCrÉå ÌMü MüqÉïcÉÉUÏ Måü0ÌuÉ0xÉÇ xÉå eÉÉUÏ MüÐ aÉD ÌlÉrÉÑÎYiÉ AÉSåzÉ qÉåÇ oÉiÉÉD aÉD

ÌlÉoÉÇkÉlÉ AÉæU zÉiÉÉåïÇ MüÐ xuÉÏMüÉU ÌMürÉÉ Wæû/State whether employee has accepted the terms and conditions of appointment by the Sangathan.

2 oÉiÉÉCrÉå ÌMü MüqÉïcÉÉUÏ lÉå xÉTüsÉiÉÉmÉÔuÉïMü mÉËUuÉÏ¤ÉÉ xÉqÉrÉ MüÐ mÉÔiÉÏï MüÐ Wæû (rÉÉ) ExÉMüÉå AÉæU oÉRûÉrÉÉ aÉrÉÉ Wæû | rÉWû pÉÏ oÉiÉÉCrÉå ÌMü mÉËUuÉÏ¤ÉÉ ËUmÉÉåOïû 1 AÉæU 2, CxÉ MüÉrÉÉïsÉrÉ MüÉå pÉåeÉÉ Wæû rÉÉ lÉWûÏÇ |/State whether the employee has SUCCESSFULLY COMPLETED the period of probation or it has been extended. Also, state whether the Probation Report I and II have been sent to this Office.

3 oÉiÉÉCrÉå ÌMü ÌlÉrÉÑÎYiÉ AÉSåzÉ qÉåÇ MüÉåD ÌuÉzÉåwÉ ÌlÉoÉÇkÉlÉ AÉæU zÉiÉåïÇ WæÇû, AaÉU WæÇû iÉÉå ElÉMåü orÉÉæUÉ/State whether there was /were any specific conditions / terms in the letter of offer of appointment to the employee (if, so give details)

4 oÉiÉÉCrÉå ÌMü MüqÉïcÉÉUÏ Måü ÎZÉsÉÉTü MüÉåD AlÉÑzÉÉxÉÌlÉMü MüÉUïuÉÉD AuÉåÍ¤ÉiÉ /AÌlÉhÉÏïiÉ / AÇÌiÉqÉ ÃÌmÉiÉ Wæû rÉÉ lÉWûÏÇ/State whether any disciplinary proceedings are contemplated / pending / finalized against the employee.

5 oÉiÉÉCrÉå ÌMü ÌlÉqlÉ ÍsÉÎZÉiÉ SxiÉÉuÉåeÉ mÉëÉmiÉ ÌMürÉÉ Wæû AÉæU TüÉCsÉ ÌMürÉÉ Wæû |State whether the following documents have been obtained and kept on record.

a) xÉÇaÉPûlÉ qÉåÇ zÉÉÍqÉsÉ WûÉålÉå Måü mÉÔuÉï (mÉëÉUÇÍpÉMü ÌlÉrÉÑÎYiÉ) eÉÉUÏ MüÐ aÉD xuÉxjÉiÉÉ mÉëqÉÉhÉ mÉ§É/Certificate of Medical Fitness obtained before joining the Sangathan (First time)

b) cÉËU§É AÉæU mÉÔuÉïuÉ×¨É Måü xÉÇoÉÇkÉ qÉåÇ eÉÉÇcÉ ËUmÉÉåOïû/Verification report in respect of Character and Antecedents

c) ÌlÉ¸É zÉmÉjÉ/Oath of Allegiance

d) ÌuÉuÉÉWû MüÐ bÉÉåwÉhÉÉ mÉ§É/Marriage Declaration Form

e) aÉ×Wû lÉaÉU MüÐ bÉÉåwÉhÉÉ/Home town declaration

f) xÉÉ0pÉ0ÌlÉ/AÉÇ0pÉ0ÌlÉ/mÉålzÉlÉ Måü ÍsÉL ÌuÉMüsmÉ mÉ§É Option form for GPF / CPF and Pension

g) mÉÔuÉï xÉÇxjÉÉ xÉå xÉåuÉÉ-qÉÑÎYiÉ MüÉ mÉëqÉÉhÉ mÉ§É Discharge Certificate from previous employer

h) MüqÉïcÉÉUÏ xÉå AxÉÇoÉÇÍkÉiÉ SÉå-UÉeÉmÉÌ§ÉiÉ ATüxÉUÉåÇ xÉå eÉÉUÏ MüÐ aÉD cÉËU§É mÉëqÉÉhÉ mÉ§É/Character Certificate from 2-Gazetted Officers, who are not related to the Employee

6 uÉUÏrÉiÉÉ xÉÇZrÉÉ, AaÉU AÉuÉÇOûlÉ ÌMürÉÉ aÉrÉÉ iÉÉå/ Seniority number, if allotted

7 Måü0ÌuÉ0xÉÇ Måü MüÉÍqÉïMü xÉÔcÉlÉÉ mÉëhÉÉsÉÏ Måü AlÉÑxÉÉU AÉuÉÇÌOûiÉ MüqÉïcÉÉUÏ MüÉåQû Employee Code allotted under PIS of KVS

8 èmÉëÉcÉÉrÉï Måü ÍxÉTüÉËUzÉ Recommendation of the Principal.

mÉëÉcÉÉrÉï Måü WûxiÉÉ¤ÉU (qÉÉåWûU Måü xÉÉjÉ) SIGNATURE OF THE PRINCIPAL WITH SEAL.


dsUnzh; fo|ky;/KENDRIYA VIDYALAYA............................................

rÉÉ§ÉÉ/pÉ¨Éå Måü ÍsÉL AÉuÉåSlÉ mÉ§É APPLICATION FOR TA ADVANCE

1. MüqÉïcÉÉUÏ MüÉ / MüÐ lÉÉqÉ/ NAME OF THE EMPL. (AsÉaÉ A¤ÉUÉåÇ qÉåÇ) (IN CAPITAL LETTERS) : _______________________

2. mÉSlÉÉqÉ /DESIGNATION : _______________________ 3. qÉÔsÉ uÉåiÉlÉ + aÉëåQû mÉå PAY + GRADE PAY : _______________________ 4. SÉæUå qÉåÇ eÉÉlÉå uÉÉsÉå xjÉsÉ MüÉ orÉÉæUÉ/ PLACE TO BE VISITED : _______________________ 5. SÉæUå MüÉ urÉuÉÍkÉ/ DURATION OF TOUR : _______________________ 6. mÉëÉÍkÉMüUhÉ xÉÇ AÉæU ÌSlÉÉÇMü/ AUTHORITY No. & DATE : _______________________ 7. AÌaÉëqÉ MüÉ ÌuÉuÉUhÉ/ DETAILS OF ADVANCE

A) AÉlÉå AÉæU eÉÉlÉå MüÉ UåsÉ/oÉxÉ AÉÌS MüÉ ÌMüUÉrÉÉ ONWARD TRAIN / RETURN JOURNEY TRAIN/ BUS FARE / TAXI FARE : Â.Rs.________/-

B) SæÌlÉMü pÉ¨Éå __ÌSlÉ DAILY ALLOWANCE ____DAYS @ Â.Rs._____/- : Â.Rs.________/-

C) UÉåQû qÉæsÉåeÉ pÉ¨Éå ROAD MILEAGE ALLOWANCE : Â.Rs.________/- MÑüsÉ /TOTAL : Â.Rs.______/-

8. AÌaÉëqÉ Måü ÃmÉ qÉåÇ mÉÔNûÉ aÉrÉÉ kÉlÉUÉÍzÉ AMOUNT OF ADVANCE REQUESTED FOR : Â.Rs.________/-

9. oÉMüÉrÉÉ AÌaÉëqÉ MüÉ orÉÉæUÉ AÉæU MüÉåD DETAILS OF OUTSTANDING ADVANCE, IF ANY. : Â.Rs.________/-.

10. MüqÉïcÉÉUÏ MüÉ / MüÐ WûxiÉÉ¤ÉU SIGNATURE OF THE EMPLOYEE WITH DATE : _____________________

uÉaÉï-ZÉ PART-B xÉWûÉrÉMü MüÉ / MüÐ lÉÉåO/û NOTE OF THE DEALING ASSISTANT ( ACCOUNTS CLERK )

A) oÉMüÉrÉÉ AÌaÉëqÉ (mÉÔUå orÉÉæUå Måü xÉÉjÉ ) OUTSTANDING ADVANCE (COMPLETE DETAILS) : Â.Rs._________/-.

B) xuÉÏM×üiÉ ÌMürÉÉ aÉrÉÉ kÉlÉUÉÍzÉ/AMOUNT ADMISSION : Â.Rs._________/-.

xÉWûÉrÉMü / mÉëuÉU ´ÉåhÉÏ ÍsÉÌmÉMü / AuÉU ´ÉåhÉÏ ÍsÉÌmÉMü MüÉ WûxiÉÉ¤ÉU (ÌSlÉÉÇMü xÉÌWûiÉ )/SIGNATURE OF THE ASST / UDC / LDC WITH DATE : ___________________

uÉaÉï-aÉ PART-C AÌaÉëqÉ Måü ÃmÉ qÉåÇ Â.____/- MüÐ qÉÇeÉÔUÏ MüÐ aÉD Wæû | SANCTIONED Rs._____/- (Rupees

__________________________________only) as an ADVANCE.

ÌSlÉÉÇMü /Dated : mÉëÉcÉÉrÉï /PRINCIPAL.

AÌaÉëqÉ UÎeÉxOûU Måü mÉ×¸ xÉÇZrÉÉ_____qÉåÇ ¢üqÉ xÉÇZrÉÉ____ mÉU SeÉï ÌMürÉÉ Wæû | / ENTERED IN ADVANCE REGISTER AT Sl. No.______ AT PAGE No.______.

mÉëuÉU ´ÉåhÉÏ ÍsÉÌmÉMü / U D C.

xÉÔcÉlÉÉ: EmÉrÉÑïYiÉ SzÉÉïrÉå aÉrÉå MüÉrÉï¢üqÉ WûÉålÉå Måü iÉÑUliÉ oÉÉS (uÉ) MüqÉïcÉÉUÏ AmÉlÉå aÉÌiÉÌuÉÍkÉrÉÉåÇ mÉU mÉÑlÉ: WûÉÎeÉU WûÉålÉå Måü iÉÑUliÉ oÉÉS, AÌaÉëqÉ MüÉ ÌlÉmÉOûÉUÉ MüUlÉÉ cÉÉÌWûL lÉWûÏÇ iÉÉå 10% Måü ÌWûxÉÉoÉ xÉå SÉÇÌQûMü orÉÉeÉ AÌaÉëqÉ MüÐ qÉÇeÉÔUÏ Måü ÌSlÉ xÉå uÉxÉÔsÉ ÌMürÉÉ eÉÉrÉåaÉÉ | NOTE: The Advance should be settled immediately, as and when the said tour program is completed and the employee reports back for duty. Penal interest @ 10% will be charged from the date of drawal on belayed settlement.

mÉëÉcÉÉrÉï /PRINCIPAL

Voucher No.

Date


CS-41 xjÉÉmÉlÉÉ ÌoÉsÉ MüÉå NûÉåQûMüU SÉuÉÉAÉåÇ MüÐ pÉÑaÉiÉÉlÉ MüUlÉå MüÉ qÉÉlÉMü mÉëÉÃmÉ

STANDARD FORM FOR MAKING PAYMENTS OF CLAIMS OTHERTHAN ESTABLISHMENT BILLS

1. TüqÉï / SÉuÉåSÉU MüÉ lÉÉqÉ/ Name of the firm/claimant

2. ÌoÉsÉ / lÉMüS qÉåqÉÉå MüÐ xÉÇZrÉÉ AÉæU ÌSlÉÉÇMü/ Bill/Cash Memo No. and date

3. ZÉcÉåï MüÉ AuÉxÉU/ Purpose of expenditure

4. ÌMüxÉ ZÉÉiÉå mÉU QåûÌoÉOû MüUlÉÉ Wæ/û Head to which debitable

5. ZÉÉiÉå qÉåÇ ÌlÉÍkÉ MüÉTüÐ Wæ/û Are funds available ?

6. YrÉÉ CxÉ ZÉcÉåï mÉëÉcÉÉrÉï Måü AÍkÉMüÉU Måü AliÉaÉïiÉ MüÐ aÉD Wæû (rÉÉ) Måü0ÌuÉ0xÉÇ0xÉå MüÉåD AlÉÑqÉÌiÉ mÉÉD Wæû (AaÉU WûÉÇ iÉÉå Måü0ÌuÉ0xÉÇ0 qÉÇeÉÔUÏ SålÉå uÉÉsÉå mÉ§É xÉÇ AÉæU ÌSlÉÉÇMü Whether it is within Principal’s powers or K.V.S.’s sanction obtained (In the latter case, mention K.V.S.’s sanction No. and date)

7. ZÉUÏSÏ Måü ÍsÉL: ZÉUÏSÏ MüÐ mÉëÌ¢ürÉÉ MüÉ mÉÉsÉlÉ ÌMürÉÉ Wæû, AaÉU WûÉÇ iÉÉå M×ümÉrÉÉ oÉiÉÉCL For purchases: Has the purchase procedure been observed,if so, mention

SU xÉÔcÉÏ xÉÇ AÉæU ÌSlÉÉÇMü/ Quotation No. & Date

¢ürÉ AÉSåzÉ xÉÇ AÉæU ÌSlÉÉÇMü/ Purchase Order No. & Date

8. YrÉÉ CxÉ ÌoÉsÉ MüÉå xÉÇoÉÇÍkÉiÉ mÉëpÉÉUÏ ÍzÉ¤ÉMü lÉå SU xÉÔcÉÏ AÉæU ¢ürÉ AÉSåzÉ Måü AÉkÉÉU mÉU xÉirÉÉÌmÉiÉ ÌMürÉÉ AÉæU LåxÉÉ xÉirÉÉÌmÉiÉ MüUlÉå MüÉ mÉëqÉÉhÉ mÉ§É ElÉxÉå mÉëÉmiÉ ÌMürÉÉ? Has the bill been checked by the teacher-in-charge with reference to the quotation / purchase order and his certificate to that effect obtained ?

9. YrÉÉ xÉÇoÉÇÍkÉiÉ AlÉÑpÉÉaÉ AÍkÉMüÉUÏ / xÉWûÉrÉMü / mÉëuÉU ´ÉåhÉÏ ÍsÉÌmÉMü AÉæU AuÉU ´ÉåhÉÏ ÍsÉÌmÉMü lÉå aÉhÉlÉÉiqÉMü iÉUÏMåü xÉå xÉirÉÉÌmÉiÉ ÌMürÉÉ AÉæU ElÉxÉå xÉÇoÉÇÍkÉiÉ mÉëqÉÉhÉ mÉ§É mÉëÉmiÉ ÌMürÉÉ? Have the arithmetical calculations been checked by the Supdt. / H.C./ U.D.C. / L.D.C. and his certificate to that effect obtained.

10. qÉÉsÉ mÉëpÉÉUÏ xÉå qÉÉsÉ ( xOûÉMü ) mÉëqÉÉhÉ mÉ§É mÉëÉmiÉ ÌMürÉÉ?/Has the Stock Certificate been obtained from the Stock Holder

11. xÉåuÉÉAÉåÇ Måü ÍsÉL: YrÉÉ mÉëpÉÉUÏ ATüxÉU lÉå mÉÔUÏ MüÉqÉ Måü oÉÉUå qÉåÇ xÉÇiÉÑ¹ WÒûL AÉæU CxÉ Måü oÉÉUå qÉåÇ ElWûÉåÇlÉå mÉëqÉÉÍhÉiÉ ÌMürÉÉ?/For Services: Has the work been done satisfactorily and a certificate to the effect obtained from the Official-in-Charge

mÉëÉcÉÉrÉï Principal

12. Â._______/-(ÂmÉrÉå________________________ qÉÉ§É MüÐ pÉÑaÉiÉÉlÉ WåûiÉÑ mÉÉËUiÉ/ Passed for Payment of Rs. (Rupees.............................................................................................) 13.

ÌoÉsÉ MüÉ MÑüsÉ UMüqÉ Total Bill Amount

MüOûÉæiÉÏ: 2.06% AÉrÉMüU 2.06% Incometax

ÌlÉuÉsÉ / zÉÑSèkÉ ÌoÉsÉ MüÉ UMüqÉ Net Bill Amount

cÉåMü xÉÇ_______, ÌSlÉÉÇMü _______ SèuÉÉUÉ pÉÑaÉiÉÉlÉ MüÐ eÉÉ UWûÏ Wæû/Pay by Cheque No………….………..dt………..………….

14. YrÉÉ uÉÉåcÉU / ÌoÉsÉ Måü FmÉU pÉÑaÉiÉÉlÉ AÉæU USèS MüÐ qÉÉåWûU QûÉsÉÉ Wæû ? Has the voucher been stamped paid and cancelled ? Yes

mÉëÉcÉÉrÉï /Principal

Voucher No.

Date



xÉåuÉÉ MüÉ xÉirÉÉmÉlÉ xÉÇoÉÇkÉÏ mÉëqÉÉhÉ mÉ§É/ CERTIFICATE OF SERVICE VERIFICATION

(Måü0ÌuÉ0xÉÇ0(xÉÇpÉÉaÉÏrÉ MüÉrÉÉïsÉrÉ) MüÉå WûU xÉÉsÉ 7-AmÉëæsÉ iÉMü mÉëxiÉÑiÉ MüUlÉÉ Wæû) (To be submitted by 7 of April every year to KVS(RO))

01.04.201... xÉå 31.03.201.... iÉMü MüÐ ´ÉÏ / ´ÉÏqÉiÉÏ / xÉÑ´ÉÏ _______________, mÉëÉcÉÉrÉï /

mÉëÉcÉÉrÉï (aÉëåQû-II) MüÐ xÉåuÉÉ MüÉ xÉirÉÉmÉlÉ uÉåiÉlÉ ÌoÉsÉ AÉæU pÉUmÉÉD Måü xÉÇSpÉï qÉåÇ ÌMürÉÉ aÉrÉÉ Wæû |

Certified that the Services of Sri / Smt / Ms. ___________________________,

Principal / Principal (Grade-II), KV, _______________________________have been verified with

reference to Pay Bill and Acquittance Rolls for the period from 01.04.201..... to 31.03.201.....

mÉëÉcÉÉrÉï/ Principal



osru of̀) izek.k&i= INCREMENT CERTIFICATE

(Måü0ÌuÉ0xÉÇ, xÉÇpÉÉaÉÏrÉ MüÉrÉÉïsÉrÉ MüÉå 7-eÉÑsÉÉD iÉMü mÉëxiÉÑiÉ MüUlÉÉ Wæû)

[To be submitted by 7th of July every year to KVS(RO)]

mÉëqÉÉÍhÉiÉ ÌMürÉÉ eÉÉiÉÉ Wæû ÌMü ´ÉÏ / ´ÉÏqÉiÉÏ / xÉÑ´ÉÏ _________________________, mÉëÉcÉÉrÉï, MåülSìÏrÉ ÌuÉSèrÉÉsÉrÉ, _________________ ____________________ lÉå 01.07.2012 MüÉå AmÉlÉå SælÉÎlSlÉ aÉÌiÉÌuÉÍkÉrÉÉåÇ mÉU WûÉÎeÉU WÒûL jÉå / 01.07.2012 MüÉå WûÉÎeÉU lÉWûÏÇ WÒûL jÉå / AÉMüÎxqÉMü NÒûOèOûÏ / AÉÎeÉïiÉ NÒûOèOûÏ / ÍcÉÌMüixÉMü NÒûOèOûÏ / AjÉï-uÉåiÉlÉ NÒûOèOûÏ / AxÉÉkÉÉUhÉ NÒûOèOûÏ mÉU jÉå | ElÉMåü uÉiÉïqÉÉlÉ oÉæhQû mÉå (oÉæhQû uÉåiÉlÉ) Â.____/- Wæû AÉæU aÉëåQû mÉå Â.____/- | uÉå 01.07.2012 xÉå uÉåiÉlÉ uÉ×ÎSèkÉ qÉÔsÉ uÉåiÉlÉ AÉæU aÉëåQû mÉå 3% Måü ÌWûxÉÉoÉ xÉå qÉÇeÉÔUÏ Måü mÉÉ§É WæÇû | ElÉMüÉ oÉæhQû mÉå uÉåiÉlÉ uÉ×ÎSèkÉ Måü oÉÉS Â._____/- WûÉåaÉÉ AÉæU aÉëåQû mÉå Â.____/- WûÉåaÉÉ |

Certified that Sri / Smt / Ms. __________________________________, Principal,

KV ________________________________has attended duty/not attended duty on 01st July 2012/

was on Casual Leave/Earned Leave/Commuted/HPL/ExOL on/from ………..……..to ……………. His

present band pay is Rs…………. and grade pay is Rs.________ He is entitled to draw increment

@ 3% of BP+GP w.e.f 01.07.201__ His band pay after increment is Rs. ………..…...... and

grade pay is Rs.____________

mÉëÉcÉÉrÉï/ PRINCIPAL

KENDRIYA VIDYALAYA · 2012-07-26 · Rajeev, LDC, KV-2, NSB, VSKP CERTIFICATES CERTIFIED THAT 1. I...

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Transcript of KENDRIYA VIDYALAYA · 2012-07-26 · Rajeev, LDC, KV-2, NSB, VSKP CERTIFICATES CERTIFIED THAT 1. I...