Requisition PT (UP)

Name of School : ACHRA JAGNESWAR INSTITUTION
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 : ACHRA PIN : 713335
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division ASANSOL
Block/MC/MP SALANPUR
Phone No. Mobile No. (HM or any Teacher) 9474544868
Subject
taken in
Class
DISE CODE : (OLD) 3104103 (NEW) 3104103
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 ALO SINHA 11/04/1973 GRADUATE LAN FEMALE GEN 16/12/2004 22275.00
2 DIPA MAHATA 27/11/1984 POST GRADU LAN FEMALE GEN 01/08/2009 22275.00
3 MAMONI GHOSH 13/03/1987 GRADUATE SO.SC FEMALE GEN 01/08/2009 22275.00
4 MRINAL KANTI DEOGHARIA 26/10/1974 GRADUATE LAN MALE GEN 16/12/2004 22275.00
5 SUJIT MONDAL 28/12/1980 GRADUATE PSC MALE SC 01/08/2009 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