Requisition PT (UP)

Name of School : BASANTAPUR S.S. SIKSHANIKETAN
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 : MALAMBA PIN : 713426
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division KALNA
Block/MC/MP MONTESWAR
Phone No. 0342 2714360 Mobile No. (HM or any Teacher) 9474117136
Subject
taken in
Class
DISE CODE : (OLD) 2403201 (NEW) 2403102
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 CHOWDHURY ISMATARA 04/02/1963 POST GRADU BIO.SC FEMALE MIN 06/11/2004 22275.00
2 DEBKUMAR DE 03/08/1984 GRADUATE ENG MALE GEN 20/12/2005 22275.00
3 MALABOTY DE 16/10/1974 POST GRADU HINDI FEMALE MIN 06/11/2004 22275.00
4 NAZRUL ISLAM MOLLA 17/07/1975 GRADUATE SCIENCE MALE MIN 06/11/2004 22275.00
5 PRADIP DE 26/10/1981 GRADUATE BENG MALE GEN 06/11/2004 22275.00
6 RINKU NANDI 25/11/1980 POST GRADU HIST FEMALE GEN 06/11/2004 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