T.R. Form NO. 21 PDF Details

When employees in government sectors relocate due to an official transfer, the T.R. FORM NO. 21 becomes an essential document for managing their travel and moving expenses. Designed to detail the costs associated with government employees' transfers, this form covers a wide array of expenses — from the journey of the employee and their family members to the transportation of personal effects and private conveyance. It must be filled out in duplicate, ensuring one copy is used for payment while the other remains within office records. Key sections include the personal details of the transferring employee, breakdown of journey details including modes of transport and distances covered, as well as transportation charges for personal belongings. Additionally, it captures any advances drawn and contains a declaration by the employee affirming the accuracy of the information provided. On the flip side, Part B of the form is handled by the Bill Section, which calculates the net entitlement based on various allowances like travel fare, road mileage, and transfer incidentals, after accounting for any advance payments. The comprehensive nature of T.R. FORM NO. 21 not only facilitates a smooth transition for the employee but also ensures that all incurred costs are meticulously accounted for and reimbursed correctly.

QuestionAnswer
Form NameT.R. Form NO. 21
Form Length4 pages
Fillable?Yes
Fillable fields65
Avg. time to fill out14 min
Other namesonline ta, t r form no 21, ta da bill format, tr form 21 in word format

Form Preview Example

T.R. FORM NO. 21

[See sub-rule (2) of T.R. 4.104]

Travelling Allowance Bill For Transfer

Note – This bill should be prepared in duplicate – one for payment and the other as office

copy

 

D.D.O. Code No.__________

Bill No. ___________________ Date ________

Grant No. _______________

Token/T.V. No. _____________ Date ________

Head of Account Code No. ________

 

______________________________

 

PART A (To be filled up by Government employee)

1.Name

2.Designation

3.Pay

4.Headquarters

(a)Old

(b)New

5.Residential address

(a)Old

(b)New

6.Particulars of the members of the family as on the date of transfer [VIDE T.R. ___]

Serial No.

Name

Age

Relationship with the

 

 

 

Government employee

1

2

3

4

1.

 

 

 

2.

 

 

 

3.

 

 

 

4.

 

 

 

5.

 

 

 

 

 

 

 

7.Details of journey(s) performed by the Government employee as well as members of his/her family.

Departure

Arrival

Modeof travel and

class of accommodationused

 

 

 

Fareof the entitled class

Distancein kms. by road

Remarks(Difference of column8 and 9 and whetherapproved by competentauthority withorder no. and date)

 

 

 

 

Classto which entitled

No.of fares with Ticket No.

Fare paid

time

From

time

To

Date

Date

 

 

 

 

 

 

 

 

and

 

and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

 

5

6

7

8

9

10

11

 

 

 

 

 

 

 

 

Rs. P.

Rs. P.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Total…
9. Transportation charges of personal conveyance: (Money receipts to be attached)
(a) Mode of transport and station to which transported.
(b) Amount.
10. Amount of advance, if any, drawn.
11. Details of journey(s) performed by road between places connected by rail.
Date

8.Transportation charges of personal effects. (Money receipts to be attached)

Date

Mode

Station

Weight in

Rate

 

Amount

Remarks

 

 

From

To

Kgs.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rs.

P.

Rs.

P.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Names of places

From To

Fare paid Rs. P.

Certified that the information, as given above, is true to the best of my knowledge and belief.

() Signature of the Government employee Date_________________________

27

Below Rupees __________________________________________ only

PART B (To be filled in the Bill Section)

The net entitlement on account of traveling allowance works out to Rs._____________ as

detailed below:

Rs. P.

(a)Railway/air bus/steamer fare

(b)Road mileage for _____kms @ ___ p.km

(c)Transfer grant

(d)Transfer incidentals (DA for _____ days @ Rs. ____ per day)

(e)Transportation of personal effects

(f)Transportation of private conveyance Gross amount … … … … …

(g)Less amount of advance(s) if any, drawn VIDE voucher(s) No. ________________

date ____________________________

Please pay Net amount … …

Rs.

 

 

 

 

 

 

(in words)

Rupees

 

 

 

__________________________only.

2. Allotment received

 

Rs. __________

 

 

Progressive Expenditure Rs. __________

 

 

(including this bill)

 

 

Balance available

 

Rs. __________

 

 

Please pay to self by open cheque /

 

 

Account Payee cheque in favour of

___________________________

 

________________________________

 

 

Bill clerk

Accountant

Signature of Drawing & Disbursing Officer

 

 

 

Countersigned

 

 

 

Signature of Controlling Officer

 

 

For use at the Treasury

Examined and entered.

Pay Rs. _______ (Rupees ___________________________) only

 

 

 

(in words)

 

 

as per endorsement of the Drawing & Disbursing Officer

Accountant/J.A.O.

 

 

T.O./A.T.O./P.A.O./A.P.A.O.

Dated ____________20__

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For use at the Office of the Accountant General (Audit), West Bengal

Admitted Rs.___________________

Objected Rs.___________________ for reasons stated below.

Dated _______________20__

Auditor

S.O./A.A.O./Audit Officer

 

 

 

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