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SRS GROUP

LOCAL CONVEYANCE FORM


(IT Department)

Date: _____________

1. Name: _________________________________

2. Employee No. ____________

3. Designation: ____________________________

4. Department : _____________

5. Purpose: _____________________________________________
Date of Visit

Time
Departure
Arrival

Total
Lunch, Dinner Bill attached
Other Expenses (if any)
GRAND TOTAL

From

To

Kms.
Run

..
..
..

Mode of
Journey

Rs.
Rs.
Rs.
Rs.

Amount (Rs.)

____________
____________
____________
____________

In Words (Rupees _____________________________________________________________)

Employee's Signature

Sanctioning Authority

SRS GROUP
LOCAL CONVEYANCE FORM
(IT Department)

Date: _____________

1. Name: _________________________________

2. Employee No. ____________

3. Designation: ____________________________

4. Department : _____________

5. Purpose: _____________________________________________
Date of Visit

Time
Departure
Arrival

From

To

Kms.
Run

Mode of
Journey

Amount (Rs.)

Total

..

Rs. ____________

Lunch, Dinner Bill attached

..

Rs. ____________

Other Expenses (if any)

..

Rs. ____________

GRAND TOTAL

Rs. ____________

In Words (Rupees _____________________________________________________________)

Employee's Signature

Sanctioning Authority

SRS GROUP
MONTHLY LOCAL CONVEYANCE FORM
(IT Department)
Employee Name: Manoj Kumar

Employee Code:
For the Month:

1-Aug-13
5-Aug-13
6-Aug-13
7-Aug-13

SRS
SRS
SRS
SRS

TOWER
TOWER
TOWER
TOWER

SEC-24 FLOURTECH
SEC-24 FLOURTECH
16/5 FLOURTECH
16/5 FLOURTECH

BIKE
BIKE
BIKE
BIKE

Total
Kms.
Run
28
28
12
12

12-Aug-13
17-Aug-13

SRS TOWER
SRS TOWER

SEC-58 FLOURTECH
SEC-24 FLOURTECH

BIKE
BIKE

48
28

3.00
3.00

21-Aug-13
22-Aug-13
27-Aug-13
31-Aug-13

SRS
SRS
SRS
SRS

SEC-24
SEC-24
SEC-24
SEC-24

BIKE
BIKE
BIKE
BIKE

28
28
28
28

3.00
3.00
3.00
3.00

Place
Date of Visit

From

TOWER
TOWER
TOWER
TOWER

To

FLOURTECH
FLOURTECH
FLOURTECH
FLOURTECH

Mode of Travel

TOTAL

Signature of Claimant:

Rate

Amount

3.00
3.00
3.00
3.00

84.00
84.00
36.00
36.00

851
Aug-13
REASON

FOR
FOR
FOR
FOR

SERVICE
SERVICE
SERVICE
SERVICE

NARENDER
NARENDER
NARENDER
NARENDER

144.00 FOR SERVICE


84.00 FOR SERVICE
84.00
84.00
84.00
84.00

FOR
FOR
FOR
FOR

SIR
SIR
SIR
SIR

NARENDER SIR
NARENDER SIR

SERVICE
SERVICE
SERVICE
SERVICE

NARENDER
NARENDER
NARENDER
NARENDER

804.00

Checked By

Authorised By

Approved By

SIR
SIR
SIR
SIR

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