Requisition PT (UP)

Name of School : KHAJA ANOWAR SAHID BERH 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 : SRIPALLY PIN : 713103
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (N)
Block/MC/MP BURDWAN MUNICIPALITY
Phone No. 0342 2634464 Mobile No. (HM or any Teacher) 9434669058
Subject
taken in
Class
DISE CODE : (OLD) 3301706 (NEW) 3301706
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 ARABINDA GHOSH 09/05/1968 POST GRADU BEN MALE GEN 15/09/2004 22275.00
2 BISWARUP SAMANTA 03/02/1979 GRADUATE PSC MALE GEN 15/09/2004 22275.00
3 KRISHNA PAL 01/03/1965 POST GRADU LSC FEMALE GEN 15/09/2004 22275.00
4 LOPA MUDRA KHAN 24/10/1981 GRADUATE MATH FEMALE GEN 15/09/2004 22275.00
5 MADHU CHANDA DAS GUPTA 19/10/1961 POST GRADU ENG FEMALE GEN 15/09/2004 22275.00
6 NIBEDITA GHOSH 10/01/1972 POST GRADU HIST FEMALE GEN 18/09/2008 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