CENTRAL COUNCIL FOR RESEARCH IN UNANI MEDICINE

(Ministry of AYUSH, Govt. of India)

Jawahar lal Nehru AYUSH Anusandhan Bhavan

61-65, Institutional Area, Opp. D-Block, Janakpuri
New Delhi-110058
Dated :......................

CONVEYANCE FORM

Form for claiming of conveyance charges for Gazetted/Non-Gazetted

officer......................................................................................................................................
..................................................................................................................................................

Particular of expenditures

Date Model Vehicle Distanc Amount

of No. e
From To conveya traveled
nce in
K.M.

Purpose of Journey
:.......................................................................................................................................................................................
.........................................................................................................................................................................................
.........................................................................................................................................................................................

Certified that expenditure on conveyance hire charges in this bill has actually incurred by me.

Signat
ure of claimant
Dated :.........................

Note :- Bus tickets/receipt given by Taxi, Scooter/Tanga / Autorickshaw drivers should be enclosed.
Where the conveyance driver refuse to give a receipt is not obtained the vehicle No. should be
indicated.
 P.T.O.

CERTIFICATE AS REQUIRED UNDER THE DELEGATION OF POWER RULES,

1953

1. Certified that Shri/Smt..............................................................................................who has

claimed Rs. ........................ as conveyance charges in this bill was authorized by me.
2. Certified that the expenditure was actually unavoidable is within the schedule scale of charges
for the conveyance used.

3. Certified that the Government Servant concerned is not entitled to draw traveling allowance
under ordinary rules for journey and that is not granted any compensation leave and does not
and will not otherwise receive and financial remuneration for the performance of the duty which
necessity the journey.

4. Certified that the total amount of conveyance hire reimbursed to the official during this month
including the amount claimed in this voucher does not exceed Rs. 300/-

5. Certified that the place visited in not less than 1.6 Km. by the shortest route from the office of
the Government.

6. Certified that the distance for which conveyance hire has been charged is correct as verified by
me to the best of my knowledge.

7. Certified that the staff Car/field Car could not be made available for the journey performed by
the government servant concerned.

8. Certified that it was necessary to hire a Taxi/Scooter due to the urgency of the official record.

9. Certified that the office cycle has not been provided to the Government servant concerned is out
of the order (Applicable) only in the case of Class-IV staff.

Administrative Officer
CCRUM, New Delhi

To,

Cash Section

Pay Rs...................... (Rupees ........................................................................................................................................

.........................................................................................................................................................................................
..

Accounts Officer
CCRUM, Hqrs.