Requisition PT (UP)

Name of School : KALIGRAM 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 : KALIGRAM PIN : 713102
Name of the Para Teacher Date of Birth
Educational
Qualification
Sub-Division BURDWAN (N)
Block/MC/MP BURDWAN-I
Phone No. 0342 2327267 Mobile No. (HM or any Teacher) 9475266623
Subject
taken in
Class
DISE CODE : (OLD) 0611502 (NEW) 0611004
SEX
Caste (SC/
ST/ OBC/
Minority/
General)
Date of First
Joininig
Amount claim
(Jan'11 to Mar'11
1 ANUP KR. GUPTA 20/01/1977 GRADUATE SO.SC MALE GEN 08/12/2005 22275.00
2 DEBABRATA MONDAL 01/01/1966 POST GRADU SCIENCE MALE GEN 14/09/2004 22275.00
3 JHUMA GUPTA 25/07/1974 POST GRADU BIO.SC FEMALE GEN 08/12/2005 22275.00
4 PALAS DEY 12/02/1981 POST GRADU BEN MALE GEN 16/09/2004 22275.00
5 SOUMITA GHOSH 06/06/1984 GRADUATE ENG FEMALE GEN 14/06/2006 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