FORM No

FORM No. 6-A

(See CHAPTER XI, PARAGRAPH 251)

Bill for advance to gazetted officers

NOTE—Government accepts no responsibility for any fraud or misappropriation in respect of money, cheques or drafts made over to a messenger.

Name of Gazetted servant–––––––

Designation–––––

District––––––

Audit No.	Head of Account	Voucher No. first of ––––– list of second payment for–––––– 19 .
		Rs. p.
Received		UNDER RUPEES–––––
Advance of pay
Advance of travelling allowance
Advance for house building
Advance for the purchase of conveyance sanctioned by–––––in–––––dated–––––a duly authenticated copy of which is attached
	Total
deduct—Income Tax––––
	Surcharge
	Super Tax
	Net amount payable

(Net amount to be written in words) Rupees–––––

Please pay to _______________________________________________________ Date––––– Signature Signature.

Certified that :

Advance of pay—(1) The transfer involves change of station and that the advance does not exceed one month’s substantive pay.

(2) The advance was not drawn at the old station. (This certificate is necessary when advance is drawn at the other station after transfer).

Advance of travelling allowance—The amount of travelling allowance advance drawn does not exceed the transfer travelling allowance to which I am entitled in consequence of transfer vide rough calculation attached.

House building/repair advance—(1) The advance is required for construction/repair of a house for the personal residence of myself or my family as laid down in paragraph 244-A of the Financial Handbook, Volume V, Part I.

(2) I am not likely to retire before complete recovery of the advance is effected.

Motor car/boat/cycle advance—An agreement in Form no. 25-A has been executed and sent to Government.

NOTE—Strike off the certificates not required.

Dated Signature of Officer.

(A) IN CASES OF PAYMENT AT THE TREASURY

Pay Rs.*( )–––––

Examined and entered.

Accountant

Treasury Officer.

Dated–––––19 .

(B) IN CASE OF PAYMENT AT THE BANK

The Agent, State Bank of India–––––

please pay Rs.*( )–––––

–––––Treasury.

Dated–––––19 .

Treasury Officer.

PAYEE’S DISCHARGE TO THE BANK

Received Payment.

Name–––––

Office–––––

FOR USE IN ACCOUNTANT GENERAL’S OFFICE

Admitted for Rs.

Objected to Rs.

Auditor Superintendent.

*To be stated in words and figures.