ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJ
1
www.sahayam.in
2
Contents receivedBelow Rs. (Rupees …………………………………………………………………. Only)
3
CertifiedFORM TR 51
4
5
(i)that the pay and allowance of the previous month have been disbursed to the proper persons and stamped acquittance has been obtained and filed in my office.[ See Rule 169 (b) of KTC Vol. 1 ]
6
DETAILED BILL OF NON-GAZATTED ESTABLISHMENT / WAGES
7
(ii)that every Government servant on whose behalf of pay or leave is claimed in this bill has actually been on duty or authorised leave, as the case may, during the period for which his pay or leave salary is claimed.Name of TreasurySub Treasury ,………………………….
8
9
Computer Sequence No./ Tocken No.Date
10
(iii)that the eligibility of the claims preferred in this bill are verified with the relevant rules.Scroll No. .....................................................................................................................................................
11
(iv)that the employees for whom the HRA is claimed in this bill were not provided with Government quarters during the period for which HRA is claimed.
12
Dept. Code :DDO CodeTreasry Code :
13
Name of Office : ……………………………………………………………………………………….
14
(v)that the amount claimed in this bill has not been drawn previously.
15
Bill No.
16
(vi)that the necessary entries had been made in the service book of the incumbent.
17
Head of AccountPlan (P)/ Non Plan (N)NVoted (V)/ Charged (C)V
19
20
SalariesCPS / CSSRatio
21
22
23
Received for the Period (From)(To)
24
25
26
Signature ABSTRACT OF THE BILL
27
Place:Name :
28
Date:Designation :CODEA. DUESTOTAL IN Rs.CODEB. DEDUCTIONSTOTAL IN Rs.
29
NB: If any certificate is required to be attached in the bill, it should be written, giving Sl. No. starting from (vii)01Pay/LS/Sp/Wags/TPCol. No.3701GPF/ADACol. No.13
30
SPACE FOR ENDORSEMENT22DACol. No.4701GPF LoanCol. No.14
31
 Please pay the amount to ………………………………………………….. of this office whose Signature is attested below. 23House Rent AllowanceCol. No.5702SLICol. No.15
32
CACol. No.6703GISCol. No.16
33
Contents receivedLDACol. No.8704Cycle AdvanceCol. No. -
34
06Special AllowanceCol. No.10116HBA (int)Col. No.20 -
35
90PTACol. No.11117MCA (int)Col. No.21 -
36
08PCACol. No.102HBACol. No.22 -
37
Signature of the messengerSignature of the drawing OfficerSignature of the messangerHTACol. No.9105MCACol. No.23 -
38
SPACE FOR COUNTER SIGNATURE24CCACol. No.7301FBSCol. No.24 -
39
Col. No. - 302House RentCol. No.25 -
40
Col. No. - Water ChargeCol. No.26 -
41
Signature of countersigning Authority with Name, Designation and date.99Interim Relief - 1Col. No. - 303LICCol. No.28
42
Allotment Details (For wages claim)
Total Number of Employees, Category-wise98Interim Relief - 2Col. No. - Col. No.
43
Appropriation for current yearRs............................................................................................................................002Festival AdvanceCol. No. - Col. No.
44
Expenditure excluding the billRs............................................................................................................................001Salary AdvanceCol. No. - Col. No.
45
Expenditure including the billRs............................................................................................................................Total A GrossCol. No.12Total BCol. No.36
46
BalanceRs............................................................................................................................Total BCol. No.36Received Rs. -
47
Total = A - BCol. No.37 -
48
Signature(Rupees …………………………………... Only)
49
Commonly used Dues and Deductions Code
50
CodeDescriptionCodeDescriptionCodeDescriptionCodeDescription…………………………………..
51
01Pay301FBS102HBA123KPCNSPFSignature, Name and Designation of Drawing & Disbursing Officer
52
22DA302House Rent105MCA124Panchayath Emp. PFFOR TREASURY USE ONLY
53
23HRA303LIC107Other conveyance126Contri. Prov. Pension Fund
54
24CCA304PDA Hantex109In. Free Advance127KASRSEPFPay Rs ...................................(Rupees ............................................................................................only)
55
04TP305Hanveev110Warm Clothing128Contingency Emp. PFIn Cash/Cheque Rs.................(Rupees ............................................................................................only)
56
03Personal Pay307PLI116Int. on HBA325Pension Contrl/LS of LBby RBR and Rs ......................(Rupees ...........................................................................only)by TC.
57
90PTA309AIS GI117Int. on MCA701GPFPOC No. .............................Date ....../......../........
58
08PCA311Income Tax118Co-operative dues702SLI
59
99Interim Relief 1314CCD119KPEC & PPSPF703Group InsuranceAccountant
60
98Interim Relief 2315CrCD120KASEPF704Cycle AdvanceReceived Pay Order ChequePay Order Cheque isued by
61
002Festival advance321TC to SB121NMRPF705Mosquitto net Advance
62
001Pay advance327DTOPD122KPCSPFSignature of RecipientAccountant
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101