Requisition PT (UP)

Name of School : UKHRA ADARSHA HINDI 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 ANDAL
Phone No. 0341 2666963 Mobile No. (HM or any Teacher) 93331731794
Subject
taken in
Class
DISE CODE : (OLD) 0104402 (NEW) 0103504
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 A.K. RAO 17/12/1979 GRADUATE MALE 22275.00
2 AMERESH KUMAR 12/01/1971 GRADUATE MALE 22275.00
3 CHANDAN VISWAKARMA 16/08/1980 GRADUATE MALE 22275.00
4 MD NARSUZMA KHAN 10/01/1982 GRADUATE MALE 22275.00
5 S.CHOUDHARY 14/09/1984 GRADUATE FEMALE 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