Requisition PT (UP)

Name of School : SAMUDRAGARH 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 : SAMUDRAGARH PIN : 713519
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division KALNA
Block/MC/MP PURBASTHALI-I
Phone No. 03454 266249 Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 2609802 (NEW) 2609602
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 BANSHILAL BAG 28/12/1977 GRADUATE SCIENCE MALE GEN 18/11/2004 22275.00
2 CHAITALI MITRA 01/02/1963 GRADUATE BIO.SC FEMALE GEN 18/11/2004 22275.00
3 CHAITALI PAN 24/04/1975 GRADUATE BENG FEMALE GEN 18/11/2004 22275.00
4 KALPANA BHOWMICK 28/12/1972 GRADUATE HIST FEMALE GEN 18/11/2004 22275.00
5 PARIMAL MAJUMDER 31/12/1970 GRADUATE HIST MALE GEN 18/11/2004 22275.00
6 SUBHASH CH ROY 18/03/1970 GRADUATE BENG MALE SC 18/11/2004 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