TRAVEL EXPENSE STATEMENT

Employee Name Grade

Designation Dept.
Place/s Visited
TRAVELLING EXPENSE
Date of Depature Class of
From Arrival Time To Mode of Travel Travel Amount
Travel Time

Total Rs. [A] 0

LOCAL CONVEYANCE EXPENSE
From To Mode of Travel Amount
Date

Total Rs. [B] 0

LODGING ALLOWANCE
Date No.of Rate /
Name of Hotel Class of City Amount
From To Days Day

Total Rs. [C] 0

BOARDING ALLOWANCE
Date From & To Baroda No.of Rate /
Class of City Amount
From To Start time Return time Days Day

Total Rs. [D] 0

OTHER EXPENSES (IF ANY)

Date Expense Details Amount

Total Rs.[E] 0
GRAND TOTAL Rs. [A] to [E] 0
Date of submission Advance Taken Rs.
Total Expenses Rs.
Signature of Employee Bal. due to / from Co. Rs.
NOTE : All expenses must be supported by Original Bills & Payment Vouchers
Checked by HOD Verified by HR Cleared by A/c Clearance date Amount

Remarks, if any