Requisition PT (UP)

Name of School : MITHAPUR S.D. 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 : GOHAGRAM PIN : 713478
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (N)
Block/MC/MP GALSI-II
Phone No. 0342 2456328 Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 1011703 (NEW) 1011504
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 BANI SAM 13/11/1978 GRADUATE BEN FEMALE GEN 16/09/2004 22275.00
2 CHINMOY KUNDU 19/05/1982 GRADUATE BEN MALE GEN 16/09/2004 22275.00
3 KAMAL KUMAR BISWAS 12/07/1981 GRADUATE HIST MALE SC 19/01/2009 22275.00
4 KUHEL GHOSH 02/02/1973 GRADUATE HIST FEMALE GEN 16/09/2004 22275.00
5 SANJIB MONDAL 03/03/1981 GRADUATE LSC MALE GEN 14/12/2005 22275.00
6 TRISHNA GHOSH 22/03/1965 GRADUATE BEN FEMALE GEN 16/09/2004 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