Requisition PT (UP)

Name of School : SONTLA MOHISDANGA 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 : SONTLA PIN : 713422
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (S)
Block/MC/MP MEMARI-II
Phone No. 0342 2700698 Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 2207402 (NEW) 2207402
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 CHINMAY JASH 01/09/1976 GRADUATE SCIENCE MALE GEN 19/11/2005 22275.00
2 SAGAR SINHA ROY 29/12/1977 GRADUATE LAN MALE GEN 19/11/2005 22275.00
3 SURAJIT SINHARAY 01/03/1981 GRADUATE SO.SC MALE GEN 19/11/2005 22275.00
4 SUTAPA DAS 19/06/1973 GRADUATE SO.SC FEMALE GEN 19/11/2005 22275.00
5 SWAPNA MOLLAH 04/06/1987 GRADUATE LAN FEMALE MIN 01/04/2010 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)
111375.00
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