FORM NO.2

HIMACHAL PRADESH TAKNIKI SHIKSHA BOARD,DHARAMSHALA(DARI)-176057

Bill form for Moderators, Paper-setters, examiners and other Secrecy workers etc.

1. Paper Code No………………………………………………………..

2. Identity No. if any(Must be written) ……………………………….

3. Examination held in (Month & Year)……………………………….

4. Name (In capital letters) ……………………………………………

5. Designation with complete…………………………………………..

Official address ……………………………………………

6. Whether Government or

Non Government employee………………………………………..

7. If Govt. employee state Gazetted

or non Gazetted……………………………………………………….

8 Particulars of work

done(Give details) Rate Amount

………………………………………

9. It is certified that:-

(i) I have not claimed the payment earlier in respect of the above work in any bill.

…………………….

Signature of examiner

Name……………….

Address…………….

(For Office Use only)

Bill passed for Rs. ………………………………..

(In words ………………………………………………………………………………….)

Dy.Secy Asst.Secy. Supdt. Asstt. Dealing Clerk.