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1 ºÉÉÊ ÉjÉÒ ÉÉ<Ç Öò±Éä {ÉÖhÉä Ê ÉtÉ{ÉÒ`ö Ê ÉkÉ É ±ÉäJÉÉ Ê É ÉÉÉ {É úòiéé Ê ÉkÉ òié VÉ ÉÉ JÉSÉÉÇSÉä Ê É É úhé {ÉjÉ ºÉÉnù ú ò úiéä Éä³ýÒ JÉɱÉÒ±É SÉäò ʱɺ]õ É ÉÉhÉä òéénù{éjéä ±ÉÉ ÉÚxÉ näùähªééié ªÉÉ ÉÒiÉ. ɽþÉÊ ÉtɱɪÉÉSÉä xéé É: òéì±éävé òéäb xéæ.: òéì±éävé {ÉxÉ (PUN) òéäb xéæ.: {É úòiéäséä/ òéäºéçséä xéé É: {É úòiéäséä ɹÉÇ (BÊ É±É/ Éä, +ÉìC]õÉä/xÉÉä ½äþ.): Sr.No. Name of the Statement/Document Remarks 1 College Covering Letter. 2 Receipt & Payment signed by the & Chartered Accountant. 3 Utilization Certificate (Annexure 1 ) 4 xpenditure for Sending Parcel (Annexure 2 ) 5 Photocopying of Question Paper (Annexure 3 ) 6 Cloth Bags & Stitching Charges (Annexure 4 ) 7 Remuneration to inisterial Staff (Annexure 5 ) 8 Remuneration payable to Non Teaching Staff involved in xamination work (Annexure 6 ) 9 Remuneration To Sr. Supervisor, Assistant To Sr. Supervisor, Jr. Supervisor, Custodian (Annexure 7 ) 10 TA./DA. To Sr. Supervisor xternal Theory xam (Annexure 8 ) 11 TA./DA. To xternal xaminer(pr/or) (Annexure 9 ) 12 Assistant & Servants (Annexure 10 OR 10A ) 13 Chemical & Breakages (Annexure 11 ) 14 Remuneration To xaminer & Paper Setter (Annexure 12 ) 15 Online xam (Annexure 13 ) 16 Remuneration Bill of College xamination Officer (Annexure 14 )

2 Name of the xamination Centre : Sr.No. Receipt Amount SAVITRIBAI PHUL PUN UNIVRSITY Statement of Receipts and Payments A/c ( Theory / Practical ) University xaminations April/Oct. 1 Advance received from 1 isc. xam. Charges for xam. Centres : University 1. Factotum Charges Sr.No. Payment Annexure Amount (No of / per student ) 2. xpenditure for sending parcels 2 3. Photocopying of Question Paper 3 4. Cloth Bags & stiching charges 4 5. Remuneration to inisterial Staff 5 6. Payment of Accounts Clerk 7. Auditors Fees 8. Store Clerk 9.Distribution of arklists (@ / per candidate for.. students 10. Remuneration of preparing B.d time table 11. Printing charges of B.d time table 12. Remuneration to Non Teaching Staff 6 2 Supervision Charges : A. Remuneration To (xamination Session Dates) From to From to From to From to B. Remuneration to Senior & Junior Supervisor, Assistant To Sr. Supervisor & Custodian 3 xpenditure on T.A. / D.A. to Sr. Supervisor 8 4 xpenditure on T.A /D.A. to xaminers 9 5 Assistant & Servants: 10 OR 10A Remuneration to Lab Sup. & xpert Asst. 7 Amount Remark (for office use)

3 Sr.No. Receipt Amount Sr.No. Payment Annexure Amount 6 Chemical & Breakages 11 7 Remuneration to xaminers/paper Setters 12 (Faculty Wise) Online xamination 13 9 Remuneration to College xamination Officer Unspent Balance to be sent to University 2 Amount receivable from DD/Cheque No. University Date : TOTAL RS. TOTAL RS. Amount Remark (for office use) Place: Date: Chartered Accountant (embership No.: ) Note: 1. This Statement is to be Submitted to the University within forty five days from the date of conclusion of the xamination. 2. Please submit separate statements by giving the necessary details in the formats provided by the University. Certificate: I hereby certify that all the details furnished in the statement of Receipts & Payments including annexures thereto are true and correct.

4 ANNXUR 1 U T I L I Z A T I O N C R T I F I C A T Certified that the xamination Advance of /- ( ) sanctioned by for the conduct of xaminations April/Oct has been utilized by scrupulously observing all the Rules and s prescribed in the rates of Remuneration booklet & prevailing rules of T.A./ D. A. of. Certified that the total expenditure is /- and an amount of is receivable from /payable to the. Place : Date : Chartered Accountant (embership No ) Certified that the original vouchers and stamped receipts for the above mentioned statement of Accounts are retained in this office and will be made available as and when required. Place : Date :

5 Statement showing xpenditure for Sending parcels (Annexure 2 ) Sr. No. Date Name of the Person Designation To CAP/Sub centre ode of Journey T.A () D.A. () () TOTAL

6 (Annexure 3 ) Statement showing xpenditure of Photocopying of Question Papers Name of College Sr. No. Date No of Students Amount

7 Statement showing xpenditure of Cloth Bags Name of College (Annexure 4 ) Sr. No. Bill No. Amount

8 Annexure '5' Statement Showing details of Payments to inisterial Staff (Office Peon, Sweeper, Waterman, Watchman, Dispatch Clerk) Sr.N o. Date of xam session No. of students No.of Blocks No. Office Peon Sweeper No. No. Waterman No. Watchman Dispatch Clerk No. Grand = orning, = vening

9 (Annexure 6 ) Statement showing Remuneration Payble to Non-Teaching Staff involed in xamination work Sr.No. Name of xam No. of Students Registerd for xam per Candidate Amount TOTAL I, hereby certify that informaion given above is correct. Deputy Registrar (xamination) Director Board of xamination and valuation

10 Statement Showing Details of Payments made towards Supervison Charges Date of xam Session Annexure '7' Sr. No. Date of xam Session No. Students No of Blocks Senior Supervisor (Internal & xternal) No. Asst. to Sr Supervisor No. Junior Supervisor No. No. Custodian Grand Rs =orning =vening

11 Statement showing of T.A./D.A. to xternal Senior supervisor for Theory Papers (Annexure 8 ) Sr. No. Name of the xt. Senior Supervisor Basic Pay From Station ode of Journey Period from to (Dates) TA DA (TA & DA) Note:- fo kihb fu;qdrh vkns'k tks.;kr ;kok-

12 (Annexure 9 ) Statement showing of TA/DA for Practical/Oral xternal xaminer Sr.No. Name of the xternal xaminer Subject Class PR/OR No. of Students From Place (Coll. Name) Period From - To (Date) No. of Days TA DA (TA/DA) TOTAL Note:- fo kihb fu;qdrh vkns'k tks.;kr ;kos-

13 Statement showing remuneration paid to xpert Asstt./Lab.Supervisors, (Other than ngineering) for Practical xaminations (Annexure 10 ) Sr.N o. Category (xpert/lab Supervisor) No.of Staff Subject Class No.of Students No.of Batches Preparation Days xam Cleaning Days TOTAL

14 (Annexure 10A ) Statement showing the Staff used for Practical/Oral/Term work xam. Held in the College of ( Faculty of ngineering) No. of Supporting Staff used Payment to Supporting Staff as per rate per batch + preparation & cleaning. N.B.: Payment for the subject of exam. Be entered herewith on annex. Year & Course Subject of xam. Practical/ Oral/TW No of Students Date's of Conduct of xam Days of Preparation & Cleaning No. of Batches xpert Asstt. Lab. Asstt. Lab. Sup. Peon/ Hamal xpert Asstt. Lab. Asstt. Lab. Sup. Peon/ Hamal Grand

15 (Annexure 11 ) Statement showing of Remuneration to Lab. Staff & Chemical Breakages (Other than ngineering) Sr.No. Subject Class No. of Student Lab Staff Chemical & Breakages TOTAL

16 (Annexure 12 ) Statement showing of Remuneration Practical/Oral/Term Work xternal/internal xaminer (Faculty Wise) Sr.No. Name of the xternal/internal xaminer Category (xt./int.) Subject Class Date PR/OR/TW No. of Students Remuneration As xaminers Paper Setters TOTAL Note: izkr;f{kd@rksah@vezodz ijh{ksps osgki=d tks.;kr ;kos-

17 Statement showing details of payment towards Online exam charges (Annexure 13 ) Sr. No Date of xam Course & Subject No of Students No of Session No of Blocks Senior Supervisor System Administrator xpert Teacher Lab Assistant Peon/Waterman No. No. No. No. No. Grand Rs

18 (Annexure 14 ) Savitribai Phule Pune Univeristy (TH BILL IS TO B PAID BY TH COLLG OUT OF TH XAINATION GRANT ISSUD TO COLLG) Name of the College:- Pun Code:- Name of the College xamination Officer:- xamination (onth & Year) : obile No:- The amount due to me as College xamination Officer for the above xamination for FIRST/SCOND half of the year Amount Amount in Rupees Signature of the claimant