Himachal Futuristic Communications Limited

TRAVEL BILL/ CLAIM Deptt. Projects

Name:Anil kumar.Ravu Desig.Sr engg Infra PURPOSE NLD Priliminary Route Survey
I) AIR/RAIL/BUS FARE Date 10/6/2012 Departure Time 8.00 pm Station Hyderabad Date 11/6/2012

Code: 80296

Arrival Time 8.00AM

Mode & Class of Station Banglore Travel BUS Amount 1150 Remarks Bus ticket

Total : II) CONVEYANCE CHARGES Date 11/6/2012 11/6/2012 11/6/2012 Place TIN FACTORYE TO KAMMANAHALLI kammanahalli to office KUKATPAALLl to house Particulars (Mode) Auto auto auto

1150 Amount 300 90 80 Remarks

Total : III) BOARDING/LODGING (VOUCHER ATTACHED) Date From To No. of Days Place/ Journey Daily Allowance Journey Halt

470 Amount for Hotel Accommodation Remarks

Total : IV) MISCELLANEOUS EXPENSES S.No. Date Particulars

0 Amount Remarks

Total

Signature of Employee: Date: Note :

_______________________

Signature of Head of Deptt.: _________________ Date: _________________

If mode of travel or conveyance higher than the admissible is used, specific approval of Director concerned is required.

CLAIM
To be filled by the individual S.No. 1 2 3 4 5 Conveyance Charges Accomodation Charges Daily Allowance Miscellaneous Expenditure Total Expenses Less : advance Particulars Journey Fare (Company Paid) Amount Claimed (Rs.) For Accounts Deptt.

1150 470 0 0 0 1620 0

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