Requisition PT (UP)

Name of School : SAMLA MANDERBONI COLLIERY 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 : PANDABESWAR PIN : 713381
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division DURGAPUR
Block/MC/MP DURGAPUR-FARIDPUR
Phone No. 0341 2374527 Mobile No. (HM or any Teacher) 9832719145
Subject
taken in
Class
DISE CODE : (OLD) 0802302 (NEW) 0800803
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 CHANDA SUTRADHAR 06/12/1980 GRADUATE HIST FEMALE GEN 22/11/2004 22275.00
2 CHINMOY CHATTERJEE 20/02/1970 GRADUATE LSC MALE GEN 22/11/2004 22275.00
3 MADHU JHA 15/06/1971 GRADUATE GEO FEMALE GEN 22/11/2004 22275.00
4 PRAMOD KUMAR SINGH 04/01/1966 GRADUATE PSC MALE GEN 22/11/2004 22275.00
5 RINKU KUMARI 05/06/1971 GRADUATE HINDI FEMALE GEN 09/07/2007 22275.00
6 SRI KAJOL GHOSH 05/12/1974 GRADUATE ENG MALE GEN 22/11/2004 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)
133650.00
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