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Travelling Expenses Statement

Name Designation H.Q. Date 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 31


Total

Rajni kant SE DELHI Town


Delhi Delhi Delhi Delhi Delhi

Arrival Time
6:30 6:30 6:30 6:30 6:30 6:30 6:30 6:30 6:30 6:30 6:30 6:30 6:30 6:30

Town

diparture Boarding Arrival Time Hours


9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30 9:30

Distance in KM

Code-1417 Year 2013 Mode of Travel Train/Taxi/Air

Sunday
Delhi Delhi Delhi Delhi Delhi Delhi

Sunday
Delhi Delhi Delhi Delhi Delhi Delhi

6:30 6:30 6:30 6:30 6:30


6:30

9:30 9:30 9:30 9:30 9:30


9:30

Sunday
Delhi Delhi Delhi Delhi ON LTA ON LTA

6:30

9:30

ON LTA
Delhi Delhi Delhi Delhi

6:30 6:30 6:30 6:30

9:30 9:30 9:30 9:30


0

Details of Miscellaneous Expenses Particaulars Amount Voucher No. Postage Fax

Internet Mobile Xerox Samples Stationery Monthly Meeting Local Conveyance Entertainment Kit Allowance Transfer Parking Helmet Toll Tax Pocket Allowance
Total

250 1800 50

2100

Total Expense Fare Lodging & Laundry Daily Allowance Boarding Allowance Miscellaneous
Total

0 0 5625 0 2100
7725

Declaration : I hereby declare that Rs=8700 claimed by me in ther travel expense statement are in respect of boarding expenses incured by me during my travel.

Signature & Date

Verified by

t
Month 1 Fare Train/Taxi/Air Fortnight 0 Lodging & Daily Laundry Allowance 225 225 225 225 225 225 225 225 225 225 225 225 225 225 225 225 225 225 225 225 225

225 225 225 225


0 0 5625

are in respect

Authorised by

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