Requisition PT (UP)

Name of School : CHANCHAI-PALLA TAPASILI .DIBASI HIGH SCHOO
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 : CHANCHAI PIN : 713151
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (S)
Block/MC/MP MEMARI-I
Phone No. 0342 2587153 Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 2102101 (NEW) 2102101
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 ANTARA MITRA 17/03/1984 GRADUATE LSC FEMALE GEN 02/07/2008 22275.00
2 ARCHANA PAL 07/05/1978 GRADUATE LSC FEMALE GEN 12/07/2007 22275.00
3 MANI MOHAN MUKHERJEE 03/03/1969 GRADUATE PSC MALE GEN 21/09/2007 22275.00
4 SAMIR GHOSH 28/11/1973 GRADUATE PSC MALE GEN 07/10/2006 22275.00
5 SERINA KHATUN 22/01/1976 GRADUATE LAN FEMALE MIN 21/09/2004 22275.00
6 TANUJA KHATUN 20/11/1984 GRADUATE SO.SC FEMALE MIN 02/07/2008 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