Requisition PT (UP)

Name of School : BURDWAN C.M.S. 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 : BURDWAN PIN : 713101
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (N)
Block/MC/MP BURDWAN MUNICIPALITY
Phone No. 0342 2566210 Mobile No. (HM or any Teacher) 9434210615
Subject
taken in
Class
DISE CODE : (OLD) 3303605 (NEW) 3303605
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 GOLAPI ADITYA 01/03/1981 GRADUATE SCIENCE FEMALE GEN 15/09/2004 22275.00
2 JAGANATH NAYEK 23/10/1972 POST GRADU HIST MALE GEN 15/09/2004 22275.00
3 LUNA DAWN 03/08/1983 POST GRADU SCIENCE FEMALE GEN 19/09/2007 22275.00
4 SANGITA DAS 04/12/1983 GRADUATE BEN FEMALE GEN 12/12/2005 22275.00
5 SUMAN LAHA 18/12/1977 POST GRADU BEN MALE GEN 15/09/2004 22275.00
6 TANUSHREE SADHU 21/04/1980 GRADUATE SCIENCE MALE GEN 16/01/2010 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