Requisition PT (UP)

Name of School : NARI SANTANU GHOSH MEMORIAL HIGH SCHOOL
Full Address :
Village/Street : NARI
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-I
Phone No. 0342 2624241 Mobile No. (HM or any Teacher)
Subject
taken in
Class
DISE CODE : (OLD) 0608501 (NEW) 0608003
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 ANITA GHOSH (CHATTERJEE) 17/03/1963 GRADUATE LSC FEMALE GEN 20/11/2007 22275.00
2 APURBA KR. GHOSH 05/04/1965 GRADUATE BEN MALE GEN 20/11/2007 22275.00
3 KALYAN DAS 07/08/1981 GRADUATE MALE OBC 11/06/2008 22275.00
4 PRADIPKR. MAHANTA 04/03/1966 GRADUATE GEO MALE GEN 20/11/2007 22275.00
5 REBA HATI (HAZRA) 25/06/1968 GRADUATE FEMALE GEN 19/12/2007 22275.00
6 SUBHRA SOME 04/06/1988 GRADUATE ENG FEMALE GEN 06/12/2008 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