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.~ Government of West Bengal Finance Department Audit Branch No.3595-F(Y) NOTIFICATION Dated 05th June, 2018 Sub: Mandatory use of e-billing Module of IFMS for drawal of various claims in TR Form No. 21 Finance Department, Government of West Bengal vide Notification No.965-F(Y) dated 18.02.2015 had introduced the modified bill forms as per WBTR-2005 for preparation of claims by the DDOs through e-billing Module of IFMS and submission of the same at the Treasuries in digitized format. Almost all the TR Forms h ave already been made mandatory for preparation and submission through e-billing Module. In the meantime, TR Form No. 21 has already been developed and made available in IFMS (e-billing) for drawal of bills relating to Travelling Allowances for Tours, Transfers and Leave Travel Concessions (LTC). However, the drawal of bills in TR Form No. 21 through e-billing in digitized format was not manda tory till date. 2. It has been reported by DDOs and Treasuries that there are questions about the appropriate TR Form to be used for drawal of claims related to Composite Transfer Grant, Travel Concession, Home Travel Concession and T.A Bill for the police personnel for the purpose of election duty (Both Advance and Adjustment). The matter of providing an appropriate Bill Form for the purpose of drawal of said claims was under active consideration of the Government since sometime past. 3. Now considering all these aspects, the Governor is pleased to introduce the revised format of TR Form No. 21 annexed herein and to direct that: 1. Henceforth, all Advances and Adjustment of such Advances relating to Travelling Allowances for Tour, Transfer, Leave Travel Concession (LTC), Home Travel Concession (HTC), Travel Concession (TC) and Composite Tra nsfer Grant shall be drawn mandatorily in TR Form No. 21 though e-billing Module of IFMS w.e.f. 01.07.2018. 2. Amount of claim relating to LTC, HTC, TC and Composite Transfer Grant shall be booked in the Sub-Detailed Head "07-0ther Allowan ces" under Detailed Head "01-Salaries" of the employee concerned in which his/ her is Pay is drawn. 3. Bills relating to Advance of Travelling Allowances to the Police Personnel deployed in election duty and adjustment thereof shall be drawn in TR Form No. 21 only. 4. Necessary amendments in the West Bengal Treasury ules shall be made in due course. (H.K. Dwivedi). Additional Chief S~ry to the Government of West Bengal Annexure: Revised format of TR Form No. 21

\_ No.3595/ 1(500)-F(Y) Da ted 05 1 h June, 2018 Copy forwarded for information and necessary action to: 1. Principal Accountant General (A&E), West Bengal, Treasury Buildings, 2, Government Place West, Kolkata - 700001. 2. Principal Accountant General (Audit), West Bengal, Treasury Buildings, 2, Government Place West, Kolkata - 700001. 3. Accountant General (Receipt Works & Local Bodies Audit), West Bengal, CGO Complex, 3rct MSO Buildin g, 5 th Floor, Block DF, Sector I, Salt Lake, Kolkata - 700064. 4. Additional Chief Secretary / Principal Secretary / Secretary, Department. He is requested to circulate this order to all the Offices/ local bodies/parastatals under the Department. 5. Financial Advisor,, Department. 6. Commissioner of Police, Kolkata, Lalbazar, Kolkata-700001. 7. Special Secretary/ Additional Secretary/ Commissioner/ Joint Secretary/ Deputy Secretary, Finance Department. 8. - --- ------------------Department. 9. Commissioner, Division. 10. Director,----------------- --- ---- 11. Director of Treasuries & Accounts, West Bengal, Mitra Building, 8, Lyons Range, 3rd Floor, Kolkata - 700001. 12. Director, Directorate of Pension, Provident Fund and Group Insurance, West Bengal, Purta Bhavan, 2nd Floor, Salt Lake, Kolkata-700091 13. District Magistrate / District Judge / Superintendent of Police,, _ 14. Sub-Divisional Officer,--- ------- ------- - - 15. Pay & Accounts Officer, Kolkata Pay & Accounts Office-I, 81/2/2, Phears La ne, Kolkata - 700012. 16. Pay & Accounts Officer, Kolkata Pay & Accounts Office-II, P-1, Hyde La ne, Kolkata - 700073. 17. Pay & Accounts Officer, Kolkata Pay & Accounts Office-III, SUBHANNA, SGO Complex, S 1 h & 6th Floor, Plot No.9, Block-OF, Sector-I, Bidhannagar, Kolka ta- 700064 18. Treasury Officer, ---- -------------- - -- 19. Group / Branch, Finance Department. 20. Sri Sumit Mitra, Network Administrator, Finance (Budget) Department. He is requested to upload copy of this order in the website of Finance Department. J~~ tothe Government' of West Bengal

Annexure-I T.R. FORM NO.21 [See sub-rule (2) of T.R. 4.104] Travelling Allowance Bill for Transfer/Leave Travel Concession/Travel Concession/ Home Travel Concession/Tour/Composite Transfer Grant Name of the Office D.D.O. Code Bill No. Date / / Token No. Date / / T.V. No. Date / / Head of Account Code PART A (To be filled up by beneficiary) 1. Unique Number: 2. Name: 3. Designation: 4. Basic Pay on the date of Travel: 5. Claim Type: Advance/ Adjustment against advance/ Reimbursement Advance Details Sanction ID Sanction No. Sanction date Sanctioned Amount Sanctioning Authority Adjustment against Advance/ Reimbursement Gross Claim Net Claim Advance Voucher No. Voucher Date Advance Drawn by Advance Amount () (DDO Code) Refund Challan No Challan Date Refund Amount Treasury Code 6. Claim for: A) Transfer/ Composite Transfer Grant Headquarters (a)old: (b)new: Residential address (a)old: (b)new: B) LTC/TC/HTC Headquarter: a)nature and period of leave sanctioned: b)for the Year/Block of Year: C) Tour Headquarter: Residential Address: Purpose of journey(s) performed:

6. Details of journey(s) performed by the Govt employee as well as members of his/her family (Sanction No. and date to be given in Col-6 in case journey(s) has been performed in higher class of accommodation than the one to which the Govt. Employee is entitled and approved by competent Authority.) Departure Date & Time From Date & Time Arrival To Distance in kms. by road Mode of travel and class of accommodation used Ticket No. Fare paid () Class to which entitled Fare of the entitled class () Duration of halt (for tour only) 1 2 3 4 5 6 7 8 9 10 11 7. Particulars of journey(s) performed by road between places connected by rail: Date Name of the Place Class for which From To From To entitled Mode of Conveyance used Rail Fare () 1 2 3 4 5 6 7 8.Particulars of the members of the family as on the date of travel [vide T.R. 4.104(4)] (For Transfer/LTC/TC/HTC only) Sl No. 1. 2. 3. 4. Name Age 9. For Transfer only a) Transportation charges of personal effects (Money receipts to be attached): Relationship with the Government employee Date Mode Station Weight in Rate Amount Remarks From To Kgs. b) Transportation charges of personal conveyance: (Money receipts to be attached) (i)mode of transport and station to which transported: (ii) Amount:

10. For Tour only A. Mode of Journey: (i) Air (a) Exchange voucher arranged by office Yes/No (b) Ticket/Exchange voucher arranged by Yes/No (ii) Rail Whether travelled by mail/express/ordinary train (iii) Road Mode of conveyance used. i.e., by Government transport/by taking a taxi, a single seat in a bus or other public conveyance/by sharing with another Government employee(s) in a car belonging to him or to a third person to be specified, B. Dates of absence from place of halt on account of - (a) R.H. and C.L., (b) not being actually in camp on Sundays and holidays. C. Dates on which free boarding and/or lodging provided by the State or any organisation financed by State funds:- a. Boarding only. b. Lodging only. c. Boarding and lodging. (both) D. Particulars to be furnished along with hotel receipts, etc., in cases where higher rate of D.A. is claimed for stay in hotel/other establishments providing board and/or lodging at scheduled tariffs. From Period of stay Daily rate of Total amount Name of the hotel* To lodging charged paid 1 2 3 4 5 Certified that: (i) Information, as given above, is true to the best of my knowledge and belief. (ii) That my husband/wife is not employed in Government service/that my husband/wife is employed in Government service and the concession has not been availed of by him/her separately or himself/ herself or for any of the family members for the concerned block of years (for LTC/HTC/TC only). Date Signature of the Government employee

Individual Claim Summary A. Railway /air/ bus/steamer fare (for Transfer/ LTC/TC/HTC/Tour) Other Particulars ( for Transfer only) (i) Road mileage for kms @ per km B. (ii) Transfer grant& Packing Allowance (iii) Transfer incidentals (DA for days @ Per day (iv) Transportation of personal effects (v)transportation of private conveyance Daily Allowance (for Tour only) C. (i) days @ per day (ii) days @ per day (iii) days @ per day D. Other Expenses, if any (for Tour only) E Composite Transfer Grant Gross Amount F Advance Drawn, if any G Refund Amount, if any Net Amount**

PART B (To be filled in the Bill Section) A. Railway /air/ bus/steamer fare (for Transfer/ LTC/TC/HTC/Tour) Other Particulars ( for Transfer only) (i) Road mileage for kms @ per km B. (ii) Transfer grant& Packing Allowance (iii) Transfer incidentals (DA for days @ Per day (iv) Transportation of personal effects (v)transportation of private conveyance Daily Allowance (for Tour only) C. (iv) days @ per day (v) days @ per day (vi) days @ per day D. Other Expenses, if any (for Tour only) E Composite Transfer Grant Gross Amount E. Advance Drawn, if any F. Refund Amount, if any Net Amount Net Amount (in words) Rupees only Allotment received Progressive Expenditure (including this bill) Balance available Passed for payment Rupees (in words) Bill clerk Accountant Signature of Drawing & Disbursing Officer Countersignature of Controlling Officer Certified that necessary entries have been made in the Service Book of (for LTC/TC/HTC only) Please pay Rupees (in words) as per beneficiary list. Signature of the Drawing &Disbursing Officer For use at the Treasury Examined and entered. Please pay Rupees (in words) only as per beneficiary list. Accountant/J.A.O. T.O./A.T.O./P.A.O./A.P.A.O. For use at the Office of the Accountant General (Audit), West Bengal Admitted Objected for reasons stated below. Auditor S.O./A.A.O./ Audit Officer