Reservations

Travel Reimbursement Form (Only for SC/ST eligible candidate)


TATA INSTITUTE OF SOCIAL SCIENCES
DEONAR, MUMBAI 400 088

TISS-NET 2020: (Batch 2020-2022)

Application for Reimbursement of Travel Expenses

 

IMPORTANT

-The SC/ST candidates whose family annual income for the F.Y. 2018-2019 is less than 2.5 Lakhs are eligible to get TA reimbursement.

-It is mandatory for candidates to attached the original tickets of the onward and return journey, Caste/Tribe Certificate, Income Certificate (F.Y. 2018-2019) and Photocopy of your saving Bank A/c (for ECS) to be eligible to get the reimbursement.

-TA Form has to be posted/courier to the Section Officer (SC/ST & EO Cell), Tata Institute of Social Sciences, Post Box No.8313, V.N. Purav Marg, Deonar, Mumbai 400 088.

-Kindly submit through post the TA application Form along with above documents on or before 15/01/2020. The TA form received after due date will not be considered for reimbursement.

 

Name of the Candidate: ____________________________________________________________

(in CAPITAL LETTER)

Candidate ID / Registration No.                  

Name and City of the NET Exam Centre:_______________________________________________
Category : SC / ST                                  : ___________________________
Traveling Tickets Enclosed                      : Onward Photocopy: Yes / No
                                                                 Return Photocopy : Yes / No

 

Postal Address (for Communication): ________________________________________________
________________________________________________________________________________
City:______________________State:___________________________Pin Code_______________
E-mail Id : _______________________________________________________________________
Land-line No. with STD Code_______________________Mobile___________________________

Banks Details for Electronic Fund Transfer (ECS):

Name of the Bank and Branch : _____________________________________________________

Account No. Type of Account IFSC Code MICR Code
       

(A) DETAILS OF TRAVEL

IMP: To be filled in by only SC/ST eligible candidates. Journey to be made by ordinary Railway
Sleeper Class or State Transport services.

Journey

Date &
Station

________

Departure
(From)

Mode of
Transport

_______

Arrival
(At)

Train Name
and No.
Ticket/s
No.
Amount
(in Rs.)
Onward          
 Return          
 Total          

DECLARATION BY THE CANDIDATE

I am appearing for TISS-NET for the First / Second / Third time at TISS. I hereby declare that the
above mentioned information is complete and accurate. I have fully understood the rules regarding
the reimbursement and I agree to abide by the same.

 

Date:_______________ Signature of the Candidate
…............................................................................................................................................................

NOTE TO ACCOUNTS


He / She is found eligible for reimbursement of TA as per the norms. Kindly reimburse applicable
amount to the candidate through ECS.

 

Date:______________ Section Officer (SC/ST & EO Cell)

 

Download Travelling Reimbursement (Only for SC/ST eligible candidate).pdf