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FORM T.R. 25
GAR 14-A (Sub Bill) Tour Sub - bill No. .......................
TRAVELLING ALLOWANCE BILL FOR TOUR
(NOTE: This bill should be prepared in duplicate - one for payment and the other as office copy)
PART - A
(To be filled by the Government Servant)
1. Name:
2. Designation:
3. Pay Rs.:
4. Headquarter:
5. Details and purposes of journey (s) performed: -
Departure
Arrival
Mode of travel & Class of Accommodation
Fare paid
Distance in Kms, for Road mileage
Duration of halt
Purpose of Journey
Date
Time
From
Date
Time
To
6.
Mode of Journey (s)
(i)
AIR
(a) Exchange voucher arranged by office............................................................ Yes / No
(b) Ticket/Exchange voucher arranged by .......................................................................
(ii)
RAIL
(a) Whether traveled by mail / Express/ Ordinary train ....................................... Yes / No
(b) Whether return tickets available ..................................................................................
(c) If available whether return tickets purchased? If not, state reason ..............................
(iii)
ROAD
Mode of conveyance used (i.e. by Government transport/ by taking a taxi, a single seat in a bus or other in a public conveyance, by sharing with another Government servant in a car belonging to him or to a third person to be specified) ........................................................ .............................................................................................................................................
7.
Dates of absence from place of halt on account of :
(a) Restricted Holidays and Casual Leave ......................................................................................
(b) Note being actually in camp on Sundays and Holidays ............................................................
8.
Dates on which free board and/ or lodging provided by the State or any organization financed by State funds:
(a) Board only : ................................................................................................................................
(b) Lodging only : ............................................................................................................................
(c) Boarding and lodging : ..............................................................................................................
9. Particulars to be furnished along with hotel receipts etc, in cases where higher rate of Daily Allowance is claimed for stay in hotel/other establishments providing board and/or lodging at scheduled tariff:
Period of Stay
Name of the Hotel
Daily Rate of Lodging Charged
Total Amount Paid
From
To
10. Particulars of Journey(s) for which higher class of accommodation than one to which the Government servant is entitled to was used.
Date
Name of Places
Mode of Conveyance Used
Class to Which Entitled
Class by Which Travelled
Fare of the Entitled Class
From
To
Rs.
P.
NOTE: If the journey by higher class of accommodation has been performed with the approval of the competent authority, the number and date of sanction may be quoted.
11. Details of Journey(s) performed by road between places connected by rail.
Date
Name of Places
Fare Paid
Remarks
From
To
Rs.
P.
12. Amount of Advance of Travelling Allowance, if any, drawn. Rs.
Certified that the information, as given above, is true to the best of my knowledge and belief.
Signature of the Government Servant
Date: __________________
PART - B
(To be filled by the Bill Section)
1. The net entitlement on account of Travelling Allowance work out to Rs. _________
(Rupees ...................................................................................................................) as detailed below:
(a) Railway/ Air/Bus / Steamer fares
Rs. _________
(b) Road mileage for ............ Km. @Rs .......... Paisa / Km.
Rs. _________
(c) Daily Allowance:
(i) ........ days @ Rs .............. Per day
Rs. _________
(ii) ....... days @ Rs .............. Per day
Rs. _________
(iii) ...... days @ Rs .............. Per day
Rs. _________
(iv) ...... days @ Rs .............. Per day
Rs. _________
(d) Actual expenses
Rs. _________
Gross Amount
Rs. _________
(e) Less amount of advance(s) of Travelling Allowance, if any, drawn vide Voucher(s) No......................... dated ........................
Rs.
Net Amount
Rs. _________
2. The expenditure is debitable to ..............................................................................................
_______________________ Bill Clerk (initial)
_______________________ Drawing and Disbursing Officer (Signature)