Requisition PT (UP)

Name of School : SIJNA-UJNA PANCHAPARA 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 : JHIKRA PIN : 713422
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division KALNA
Block/MC/MP MONTESWAR
Phone No. 0342 2056340 Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 2403402 (NEW) 2403402
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 CHANDRIMA MUKHERJEE 20/12/1978 GRADUATE BIO.SC FEMALE GEN 11/06/2007 22275.00
2 KUNTAL GHOSH 04/10/1976 POST GRADU BENG MALE OBC 23/09/2004 22275.00
3 NAYANTARA BEGUM 15/05/1983 GRADUATE BENG FEMALE MIN 11/06/2007 22275.00
4 PAPU SEIKH 05/05/1986 GRADUATE ENG FEMALE MIN 24/01/2009 22275.00
5 SUPRIYA NANDI 23/11/1972 POST GRADU SO.SC FEMALE GEN 23/09/2004 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)
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