Requisition PT (UP)

Name of School : MAHATA 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 : MAHATA PIN : 713124
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (N)
Block/MC/MP BHATAR
Phone No. Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 0515003 (NEW) 0515004
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 NANDARANI PAL 12/02/1970 POST GRADU HIST FEMALE GEN 24/09/2004 22275.00
2 RISHIKESH MONDAL 08/12/1979 GRADUATE BEN MALE SC 24/09/2004 22275.00
3 SARAPATI MISTRI 24/12/1972 POST GRADU HIST FEMALE OBC 24/09/2004 22275.00
4 SK AMIR ALI 06/02/1972 GRADUATE MATH MALE MIN 24/09/2004 22275.00
5 SK SARIDUL HAQUE 31/12/1975 POST GRADU LSC MALE MIN 24/09/2004 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)
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