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(DIVISIONS : J K CEMENT WORKS & JK WHITE CEM

TRAVELLING REIMBURSEMENT BIL


NAME OF EMPLOYEE :
SURESH POONIA
T.A. BILL NO.
DESIGNATION
: SR. TECHNICAL EXECUTIVEDEPARTMENT/PLACE OF WORK :
EMPLOYEE CODE NO. :
1000359
TOUR PERIOD :
FROM
CATEGORY (As per T.A. Rule) :
VI
DATE OF SUBMISSION OF BILL :
LEAVE TAKEN DURING HALTS AT
FROM
TO
1.

DETAILS OF JOURNEY AND FARE - (OUTWARD / INWARD) - TICKETS TO BE ATTACHED


TRAIN/
PLACE
COMMENCEMENT
TERMINATION
FLIGHT
NO.
FROM
TO
DATE
TIME
DATE
TIME

2. HALTING DETAILS (BOARDING / LODGING EXPENSES)


HALTING
CATEGORY
DURATION
PLACE
OF PLACE
HOURS
DAYS
LODGING

3.

OUT OF POCKET EXPENSES FOR

DAYS @ RS.

4. CONVEYANCE EXPENSES
CATEGORY
METRO CITY
DAYS

RATE

WITH BILLS
BOARDING

125

TOTAL

PER DAY

ORDINERY CITY
AMOUNT

DAYS

RATE

AMOUNT

500
300
5. MISCELLANEOUS EXPENSES : (Actual vouchers / Bills to be attached)
TELEPHONE
STATIONERY
EXTRA
CALLS
BAGGAGE
PURPOSE

OTHERS

6.

ENTERTAINMENT EXPENSES
ANNEXURE NO.

GRAND TOTAL OF EXPENSES INCURRED


(I) Rs.
LESS : ADVANCE

(TOTAL COLUMN
(II) Rs.

BALANCE PAYABLE / REFUNDABLE


PURPOSE OF JOURNEY

SIGNATURE OF EMPLOYEE
ENCLOSURES : TICKETS

(2)

OTHERS

FORWARDED BY

SCRUTINISED BY

SIGNATURE OF DEPARTMENTAL HEAD

SIGNATURE OF ATHOURITY
DEGIGNATED FOR THE PURPOSE

DETAILS OF EXTRA CONVEYANCE


DATE

PLACE

TOTAL

TOUR REPORT
PLACE OF VISIT/DATE

PERSON CONTACTED

EMPLOYEE 'S SIGNATURE

FOR ACCOUNTS DEPTT. (HEAD OFFICE /


T.A. JOURNAL NO.
CODE NO.
745201
745201
745204
745108
745903
745701
401216
7459931

342101

ACCOUNT HEAD
FARE-AIR/RAIL/BUS/TAX
LODGING/BOARDING/OUT OF P
CONVEYANCE
TELEPHONE
CHARGES GENERAL
PRINTING & STATIONERY
OUTSTANDING LIABILITIES
FREIGHT & HANDLING GENERA
OTHERS

STAFF ADVANCE ADJUSTABLE


A/C MR.
CODE NO.

DOCKET BY :
COMPUTER PUNCHING BY :

WHITE CEMENT WORKS)

ENT BILL

Cost Code
Docket No.

CTS/HISAR
TO

TTACHED :
CLASS

TICKET

FARE
NO.

(Rs.)

TOTAL FARE (Rs.)


WITHOUT BILLS
RATE

AMOUNT

TOTAL

Rs.
GRAND
TOTAL
(Rs.)

Rs.
Rs.

EXTRA CONV.
DETAILS OVERLEAF

TOTAL
AMOUNT (Rs.)
TOTALRs.

OTHERS
AMOUNT

TOTAL Rs.

TOTAL Rs.

AL COLUMN 1 TO 6)
(III) Rs.

Rs.
Rs.
Rs.

PASSED FOR PAYMENT/ ADJUSTMENT


FOR Rs.

PURPOSE

AUTORISED SIGNATORY

EYANCE EXPENSES
PARTICULARS

AMOUNT

ORT
PURPOSE / OUT-COME OF VISIT

SIGNATURE OF DEPARTMENTAL HEAD

FFICE / REGIONAL OFFICE)


DATE
AMOUNT Rs.

AX
/OUT OF POCKET EXP.

ERY
LITIES
G GENERAL

DEBIT TOTAL

DJUSTABLE

CREDIT TOTAL
SIGNATURE :
(HEAD OF ACCOUNTS)

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