Requisition PT (UP)

Name of School : PANSULI HIGH SCHOOL
Full Address :
Village/Street :
S A R V A S H I K S H A M I S S I O N, B A R D H A M A N
Requisition for the payment of Para Teacher's (Upper Primary) upto March-2011
Post Office : NUTANDANGA PIN : 713381
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division DURGAPUR
Block/MC/MP DURGAPUR-FARIDPUR
Phone No. 0341 2741292 Mobile No. (HM or any Teacher) 09775789345
Subject
taken in
Class
DISE CODE : (OLD) 0800801 (NEW) 0800504
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 AKSHOY KR. GHOSH 20/02/1979 GRADUATE GEO MALE GEN 20/09/2004 22275.00
2 MAHUYA PAL 29/07/1976 GRADUATE HIST FEMALE GEN 06/01/2006 22275.00
3 PRADIP KR GHOSH 05/01/1972 GRADUATE ENG MALE GEN 18/09/2004 22275.00
4 SARANAN CHATTERJEE 03/01/1972 GRADUATE BEN MALE GEN 18/09/2004 22275.00
5 SIMA GHOSH 01/01/1975 GRADUATE HIST FEMALE GEN 06/01/2006 22275.00
N. B. : Pending Utilisation Certificate (UC) of all grants including
Para Teachers Salary must be submitted within Nov'10.
[Necessary corrections to be made in this form & corrected form
to be submitted to DPO, SSM Office within 30/11/2010.
Report Print : PARA TEACHER SOFTWARE, Devloped by : MIS Cell, SSM, Bardhaman
Total (X)
111375.00
Received Amount
from 01/04/10 to till
date (should be
date wise)
(A) Due, if any (upto Dec'10) Rs.________________________
(B) Excess blance if any (upto Dec'10) Rs. ________________________
(C) Net amount of claim (X+A)/(X-B) Rs. ________________________
Signature of the Head of Institution
27 September 2010