Requisition PT (UP)

Name of School : DOMOHANI KELEJORA GIRLS' HIGH
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 : DOMOHANI BAZAR PIN : 713334
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division ASANSOL
Block/MC/MP BARABANI
Phone No. 0341 2772100 Mobile No. (HM or any Teacher) 9832216379
Subject
taken in
Class
DISE CODE : (OLD) 0404201 (NEW) 0404201
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 ASIMA MAJI 09/06/1981 GRADUATE MATH FEMALE GEN 11/10/2006 22275.00
2 CHHANDA SINGH 23/08/1980 GRADUATE HIST FEMALE GEN 20/01/2006 22275.00
3 MOUMITA DAS 20/06/1980 GRADUATE BEN FEMALE GEN 21/09/2004 22275.00
4 PAMPA GARAI 02/04/1984 GRADUATE MATH FEMALE GEN 17/04/2009 22275.00
5 PAPIA MONDAL 29/10/1983 GRADUATE BEN FEMALE GEN 03/12/2007 22275.00
6 PAPIYA MUKHERJEE 15/03/1981 GRADUATE HIST FEMALE GEN 20/01/2006 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