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Requisition PT (UP)

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Name of School : BHIRINGI T.N. INSTITUTION<br />

Full Address :<br />

Village/Street :<br />

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<br />

<strong>Requisition</strong> for the payment of Para Teacher's (Upper Primary) upto March-2011<br />

Post Office : DURGAPUR-13 PIN : 713213<br />

Name of the Para Teacher Date of Birth<br />

Educational<br />

Qualification<br />

Sub-Division DURGAPUR<br />

Block/MC/MP DURGAPUR MUNICIPAL CORPORA<br />

Phone No. 0343 2582322 Mobile No. (HM or any Teacher) 9434649680<br />

Subject<br />

taken in<br />

Class<br />

DISE CODE : (OLD) 3501403 (NEW) 3501403<br />

SEX<br />

Caste (SC/<br />

ST/ OBC/<br />

Minority/<br />

General)<br />

Date of First<br />

Joininig<br />

Amount claim<br />

(Jan'11 to Mar'11<br />

1 NABA KR. MONDAL 02/10/1963 GRADUATE PSC MALE GEN 20/09/2004 22275.00<br />

2 SANTA PATHAK 14/07/1976 GRADUATE LSC FEMALE GEN 20/09/2004 22275.00<br />

3 SOME SUBHRA GOSWAMI 24/01/1981 GRADUATE SANS MALE GEN 20/09/2004 22275.00<br />

4 TARAPADA BHATTACHARJEE 29/09/1966 GRADUATE HIST MALE GEN 20/09/2004 22275.00<br />

N. B. : Pending Utilisation Certificate (UC) of all grants including<br />

Para Teachers Salary must be submitted within Nov'10.<br />

[Necessary corrections to be made in this form & corrected form<br />

to be submitted to DPO, SSM Office within 30/11/2010.<br />

Report Print : PARA TEACHER SOFTWARE, Devloped by : MIS Cell, SSM, Bardhaman<br />

Total (X)<br />

89100.00<br />

Received Amount<br />

from 01/04/10 to till<br />

date (should be<br />

date wise)<br />

(A) Due, if any (upto Dec'10) Rs.________________________<br />

(B) Excess blance if any (upto Dec'10) Rs. ________________________<br />

(C) Net amount of claim (X+A)/(X-B) Rs. ________________________<br />

Signature of the Head of Institution<br />

27 September 2010

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