Requisition PT (UP)

Name of School : BELURI N.G. 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 : SITARAMPUR PIN : 713359
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division ASANSOL
Block/MC/MP KULTI MUNICIPALITY
Phone No. 0341 2510436 Mobile No. (HM or any Teacher) 9832255891
Subject
taken in
Class
DISE CODE : (OLD) 4000303 (NEW) 4000411
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 CHANDAN SARKAR 17/01/1971 GRADUATE MALE GEN 01/07/2006 22275.00
2 JAYASRI GHOSH 28/05/1963 POST GRADU FEMALE GEN 23/11/2007 22275.00
3 MD SAMIM IQBAL 05/11/1973 GRADUATE MALE MIN 05/10/2007 22275.00
4 NITU SHARMA 26/08/1978 POST GRADU HIST FEMALE GEN 18/09/2004 22275.00
5 PARAMITA MAJHI 16/01/1982 GRADUATE GEO FEMALE GEN 18/09/2004 22275.00
6 TAPAN PAL 29/01/1971 POST GRADU BEN MALE GEN 22/11/2004 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