Requisition PT (UP)

Name of School : HAT-KALNA GAJALAXMI 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 : NIBHUJI BAZAR PIN : 713434
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division KALNA
Block/MC/MP KALNA-I
Phone No. 03454 256331 Mobile No. (HM or any Teacher) 9749501502
Subject
taken in
Class
DISE CODE : (OLD) 1309001 (NEW) 1309202
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 AMIT DAS 06/01/1978 GRADUATE MATH MALE GEN 09/09/2004 22275.00
2 HOSENARA KHATUN 05/02/1982 POST GRADU SANS FEMALE MIN 12/03/2008 22275.00
3 JALALUDDIN SAIKH 25/03/1977 POST GRADU BEN MALE MIN 09/09/2004 22275.00
4 JAYANTA DEBNATH 09/01/1978 GRADUATE SCIENCE MALE OBC 09/09/2004 22275.00
5 MAHUA PAL 14/06/1986 GRADUATE ENG FEMALE GEN 27/11/2008 22275.00
6 MITA MODAK 06/01/1980 POST GRADU HIST FEMALE OBC 09/09/2004 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