VODAFONE ESSAR DIGILINK LTD

TRAVELLING EXPENSES REIMBURSEMENT FORM

Started tour on (date and Time)

Returned to Station of origin on (date and Time)

Name

Designation : Grade : Employee No. Dept.: Location : Haryana

Purpose of Tour :

Advance taken, if any - Rs. Nil

Travelling Expenses
Date Departure Time Station Arrival Time Station Mode Ticket No. Enclosure No. Amount

Total 0
Other Expenses Daily Summary - Details on reverse and enclosed

Date Station Lodging Boarding Incidentals Local Conveyance Telephone Others Auto/Taxi Lunch/Dinner Total Enclosure No.

Totals 0 0 0 0 0 0 0 0 -

Total (in words) G.Total -

* Lunch with distribtuors

VERIFIED & APPROVED BY CHECKED BY PASSED BY

SIGNATURE HOD/CIRCLE HEAD F&A HEAD F & A

 VODAFONE ESSAR DIGILINK LTD.
D - 8 , Peeragarhi, Rohtak Road, New Delhi

BUSSINESS EXPENSES

EMPLOYEE NAME : Location

EMPLOYEE CODE : DIVISION/DEPT.

GRADE :

Kindly reimburse the following expenses incurred by me in connection with Company,s work :

Date Purpose From To km Rate Amount

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Rupees in words :
Approved by :

Signature of Employee Name :

Signature :
Date:
TD.

Incidentals Toll Tax Lunch/DinnerTotal Amount

Total -
 APOGEE Services Pvt. Ltd.
LOCAL TRAVEL CLAIMS
NAME:
Naveen
EMP CODE:
6177
DEPARTMENT:
Sales

*Travel by Own conveyance- reimbursemets would be done at the rate of Rs 3.25 per km
*Travel by Public conveyance- reimbursemets would be done on actual basis

LOCATION
DATE
FROM TO
7/1/2017 Panipat KABRI/KACHRAULI
7/2/2017 Panipat SUNDAY
7/3/2017 Panipat BABARPUR/DADLANA
7/4/2017 Panipat RAJA KHERI/NIMBRI
7/5/2017 Panipat BARANA/GARHI BASIK
7/6/2017 Panipat KABRI/KACHRAULI
7/7/2017 Panipat BABARPUR/DADLANA
7/8/2017 Panipat RAJA KHERI/NIMBRI
7/9/2017 Panipat SUNDAY
7/10/2017 Panipat BARANA/GARHI BASIK
7/11/2017 Panipat KABRI/KACHRAULI
7/12/2017 Panipat BABARPUR/DADLANA
7/13/2017 Panipat CIRCLE OFFICE
7/14/2017 Panipat NAINITAL
7/15/2017 Panipat NAINITAL
7/16/2017 Panipat SUNDAY
7/17/2017 Panipat BABARPUR/DADLANA/KACHRAULI
7/18/2017 Panipat RAJA KHERI/NIMBRI/BARANA
7/19/2017 Panipat BARANA/GARHI BASIK/RAJA KHERI
7/20/2017 Panipat KABRI/KACHRAULI
7/21/2017 Panipat BABARPUR/DADLANA
7/22/2017 Panipat RAJA KHERI/NIMBRI
7/23/2017 Panipat SUNDAY
7/24/2017 Panipat BARANA/GARHI BASIK
7/25/2017 Panipat KABRI/KACHRAULI
7/26/2017 Panipat BABARPUR/DADLANA
7/27/2017 Panipat RAJA KHERI/NIMBRI
7/28/2017 Panipat BARANA/GARHI BASIK
7/29/2017 Panipat KABRI/KACHRAULI
7/30/2017 Panipat SUNDAY
7/31/2017 Panipat BARANA/GARHI BASIK
REPORTING MANAGER NAME:
Himanshu Gand
ZONAL HEAD/VERTICAL LEAD: RAHUL MONGA

SIGNATURE:

DATE:
8/10/2017
Pvt. Ltd.
LAIMS
Naveen

6177

Sales

er km

MODE OF TRAVEL KMS AMOUNT

Motorbike 43 139.75
SUNDAY SUNDAY SUNDAY
Motorbike 55 178.75
Motorbike 38 123.5
Motorbike 57 185.25
Motorbike 43 139.75
Motorbike 55 178.75
Motorbike 38 123.5
SUNDAY SUNDAY SUNDAY
Motorbike 57 185.25
Motorbike 43 139.75
Motorbike 55 178.75
- - -
- - -
- - -
SUNDAY SUNDAY SUNDAY
Motorbike 65 211.25
Motorbike 50 162.5
Motorbike 52 169
Motorbike 43 139.75
Motorbike 55 178.75
Motorbike 38 123.5
SUNDAY SUNDAY SUNDAY
Motorbike 57 185.25
Motorbike 43 139.75
Motorbike 55 178.75
Motorbike 38 123.5
Motorbike 57 185.25
Motorbike 43 139.75
SUNDAY SUNDAY SUNDAY
Motorbike 57 185.25
3696
Himanshu Gandhi

8/10/2017
 APOGEE Services Pvt. Ltd.
DOMESTIC TRAVEL CLAIMS
NAME:

EMP CODE:

DEPARTMENT:

ENTITLEMENT Delhi Haryana B Class City

Lodging 1500 1000 1250
Boarding 300 300 300
Incidental 0 0 0
Consolidated 700/- per 450/ Per day 600/-Per day
Expense day
DATE LOCATION Lodging Boarding Incidental Consolidated Remarks
2/7/2017 Circle office Peeragarhi 280 expenses on the day of the joining

Total

REPORTING MANAGER NAME:

ZONAL HEAD/VERTICAL LEAD:
SIGNATURE:
DATE:

*A Class- (All Metros) Mumbai, Delhi, Kolkata, Chennai and Bangalore

*B Class- (State Capitals) Ahmedabad, Chandigarh, Hyderabad, Jaipur, Jodhpur, Lucknow, Udaipur, Ranchi and Patna
*C Class- (Other cities like) Ajmer, Allahabad, Ambala, Amritsar,Bhatinda, Rohtak, Karnal, Sonepat, Panipat, Ludhiana,
Rajkot, Jamnagar, Jalandhar, Kaithal, Rewari, Hissar, Yamunagar etc.
 APOGEE Services Pvt. Ltd.
LOCAL TRAVEL CLAIMS
NAME: Naveen
EMP CODE: 6177
DEPARTMENT: Sales

*Travel by Own conveyance- reimbursemets would be done at the rate of Rs 3.25 per km
*Travel by Public conveyance- reimbursemets would be done on actual basis

LOCATION
DATE MODE OF TRAVEL KMS
FROM TO
7/13/2017 Panipat Circle Office (Delhi) Motorbike 88
Circle Office (Delhi) Panipat Motorbike 88

REPORTING MANAGER NAME: Himanshu Gandhi

ZONAL HEAD/VERTICAL LEAD: RAHUL MONGA
SIGNATURE:
DATE: 8/10/2017
AMOUNT
286
286
572