Requisition PT (UP)

Name of School : UKHARA NEHRU VIDYAPITH 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 : UKHRA PIN : 713363
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division DURGAPUR
Block/MC/MP PANDABESWAR
Phone No. Mobile No. (HM or any Teacher) 9233503357
Subject
taken in
Class
DISE CODE : (OLD) 2501001 (NEW) 2501001
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 HEMLATA TIWARI 22/10/1975 POST GRADU LAN FEMALE GEN 01/10/2004 22275.00
2 PALAS KR PAL 07/01/1978 GRADUATE SCIENCE MALE GEN 01/10/2004 22275.00
3 RAJESH SINGH 12/12/1976 GRADUATE SCIENCE MALE GEN 01/10/2004 22275.00
4 RANJANA SHARMA 20/05/1980 GRADUATE LSC FEMALE GEN 01/10/2004 22275.00
5 ROOHI SHABNAM 31/12/1980 GRADUATE LSC FEMALE MIN 01/10/2004 22275.00
6 SATYA NARAYAN ROY 29/10/1963 GRADUATE LAN MALE GEN 01/10/2004 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