Ta Da

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T.A./D.A. BILL OF MR./MRS./MISS.

------------------------------------------------------ FOR THE MONTH OF ----------

Name of officer/official BPS Name of Headquarter Date Time Station Distance TA DA Total Purpose
who travelled No. of of of in @ ----- @ ----- TA + DA of
and journey journey arrival Km per km per day journey
Pay

Total

Signature of officer/official Received payment verified passed and sanctioned

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