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Rid FRET CSIR-SERG (Council of Scientific and Industrial Research) easrgare ae CSIR Road, ATM Taramani, Wet Chennai 600 113 emamtsrergonesh a racers A safer Bat a fre avar are A are fe Form for TA claim for appearing for interview for posts under the CSIR-SERC 1. Wu ae (aw gent a) Name in Full (Capitals) 2. aan wren fre ted Feet aT aT Name of Railway Station From which Journey Commenced 3. vena AR & wae Date & Time of Departure 4. aig Reet Ht amma FR 8 wore Date & Time of Arrival at New Delhi 5, ag fiedt & weer fr fae & wat Date of Time of Departure from New Delhi 6. wir 2 4 sieofaa Ta Ru A arr fr fae & wae Date & Time of Arrival on return at the Railway Station mentioned at Column(2) above 7. ‘arat # 40M Class in which Travelled == 8.0 gw ke fie (nearer or ea feet Aor: ae age ar anit otsex) Total rail fare(excluding reservation or any other charges 6.9. for journey by road otc.) paid (both ways) a wari rat / tf Pe wie 2 A sfeafea Bra a ag fect aw ont & fae ster 3 sfeaftrs fat ox wig farsa fewe agt anf fee at w #1 | Certify that concessional return ticket was — were not being issued from the place mentioned at [2] to New Delhi on the date of start at (3) above. # ag ah wants erat | at & few at ane BOR HH aTaT Fr F ait .. _ moh, Harrah arar asa / aft Certified that | travelled by the ...... Class and shall travel by --.....--- Class for the return journey BEATE Signature: {qu Wat Full Address: 2 wenftra fre orar & Pe at) we / safe... areargareragaret, tt a ac fre fer Sher / are H sete Ge gf ate er ater ‘ew aT Hara frat $1 Certified that the candidate Shri /Ms. ~. . has appeared for test / interview on... for the post of In the CSIR-Structural Engineering Research Centre, Chennai held at New Delhi and has paid / exempted the prescribed application fee. The above mentioned candidate belongs to Scheduled Caste / Tribe. werafere arftrert Administrative Officer / wert feriwa Controller of Administration (FOR OFFICE USE ONLY) at Distance Il Class Basic Fare —. Passed for —-(Rupees. (onward) enclosed / No. indicated only) Train / Bus Tickets Expenditure is debitable to P0320414, Year 201 - 20 Drawing & Disbursing Officer Candidates’ Bank Account No.: IFSC Code No.: Name of Bank: Branch: (Please attach 1% page of the bank passbook) Pre-audited for Section Officer (F&A) Received payment of Signature of Candidate Dated:

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