Requisition PT (UP)

Name of School : DEBIPUR ADARSHA 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 : DEBIPUR PIN : 713146
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (S)
Block/MC/MP MEMARI-I
Phone No. 0342 2263312 Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 2105701 (NEW) 2105701
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 BANASREE CHAKRABORTY 08/12/1966 GRADUATE GEO FEMALE GEN 20/09/2004 22275.00
2 DIPTENDU KUMAR 07/01/1976 GRADUATE MATH MALE GEN 23/12/2005 22275.00
3 KEYA PRAMANIK 15/02/1981 GRADUATE ENG FEMALE OBC 20/09/2004 22275.00
4 MITALI PAL 02/12/1981 GRADUATE BEN FEMALE GEN 14/10/2006 22275.00
5 MUNSI BADRUL ALAM 22/01/1981 GRADUATE HIST MALE MIN 20/09/2004 22275.00
6 SHYAMA PRASAD BAGCHI 26/11/1976 GRADUATE LSC MALE GEN 14/10/2006 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)
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