Requisition PT (UP)

Name of School : JAHANNAGAR KUMARANANDA HIGH SCOOL
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 : JAHANAGAR PIN : 713513
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division KALNA
Block/MC/MP PURBASTHALI-I
Phone No. Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 2602402 (NEW) 2602402
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 ASHIMKUMAR DEBNATH 16/12/1983 GRADUATE PSC MALE GEN 12/06/2006 22275.00
2 DILIP KR. DEBNATH 13/01/1969 GRADUATE LSC MALE OBC 10/09/2004 22275.00
3 KARABI NATH 22/12/1978 GRADUATE BEN FEMALE GEN 23/02/2006 22275.00
4 POLY DEBNATH 25/06/1983 GRADUATE SO.SC FEMALE OBC 12/06/2006 22275.00
5 SANJOY DEBNATH
GRADUATE LAN MALE GEN 24/03/2009 22275.00
6 SANTANA DEBNATH 22/12/1978 POST GRADU HIST FEMALE GEN 23/02/2006 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