Requisition PT (UP)

Name of School : GOLGRAM GOLAM IMAM 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 : GOLGRAM PIN : 713424
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (S)
Block/MC/MP RAINA-I
Phone No. 03451 210194 Mobile No. (HM or any Teacher) 9732049936
Subject
taken in
Class
DISE CODE : (OLD) 2810202 (NEW) 2810103
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 APARNA MALLICK 10/10/1978 POST GRADU BEN FEMALE GEN 27/11/2004 22275.00
2 ARCHANA DAS(MAJI) 28/01/1972 GRADUATE BEN FEMALE SC 27/11/2004 22275.00
3 ARUP KUMAR GHOSH 28/11/1973 GRADUATE LSC MALE GEN 27/11/2004 22275.00
4 MIRZA GOLAM NABI 26/02/1968 GRADUATE MATH MALE MIN 27/11/2004 22275.00
5 SAMPA MAJI 25/02/1980 POST GRADU SO.SC FEMALE SC 27/11/2004 22275.00
6 ZIAFAT HOSSAIN 26/02/1968 GRADUATE GEO MALE MIN 27/11/2004 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