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| DEPARTURE | ARRIVAL | Mode/Class | Fare | Hotel | DAILY ALLOWANCE | Total | Remarks | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Station | Date | Hour | Station | Date | Hour | Days | Rate | Amt | |||||
| 1. Total of Column 12 (Line Totals) | Rs. |
| 2. Transportation / Misc Charges | Rs. |
| GROSS AMOUNT PAYABLE | Rs. |
| 3. Less: Advance of TA drawn | Rs. |
| NET AMOUNT PAYABLE | Rs. |