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MEDICAL REPRESENTATIVE'S MONTH : _NOV 2010_______

EXPENSE STATEMENT HEADQUARTER : N.GOA(MAPUSA)

DATE OF POSTING : _______ 1\12\10

NAME OF MR :VINOD AGARVADEKAR__ EMP CODE NO. :_0207777_ REGION :PUNE_ (Must be posted on reach R.O. by 5th of every month)

Mode Postage Telex / Station-


PLACE Mention Fare D.A. Phone Sample Others Daily Total
DATE Bus /Train ORDINARY COUIER Fax ery
Scooter,etc
From To . Rs. Ps. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Ps.
1 MAPUSA PANJIM+GMC 114 195 40 349 0

2 MAPUSA PANJIM 101 195 296 0

3 MAPUSA MAPUSA 180 40 360 580 0

4 HOLIDAY(DIWALI) 0 0

5 HOLIDAY(DIWALI) 0 0

6 HOLIDAY(DIWALI) 0 0

7 SUNDAY 0 0

8 MAPUSA SIOLIM+PERNEM 220 195 415 0

9 MAPUSA OLD GOA+MARCELA 220 195 415 0

10 MAPUSA MAPUSA+PANJIM 101 195 296 0

11 MAPUSA PANJIM+VASCO 308 195 30 533 0

12 MAPUSA ASSNORA+BICHOLIM 220 195 415 0

13 MAPUSA CALANGUTE+GMC 114 195 35 344 0

14 SUNDAY 0 0

15 MAPUSA MAPUSA 180 180 0

16 MAPUSA GMC+GOA VELHA 220 195 80 100 495 0

17 MAPUSA VASCO 308 195 503 0

18 MAPUSA PANJIM 101 195 296 0

19 MAPUSA MAPUSA 180 180 0

20 MAPUSA PANJIM+GMC 114 195 309 0

21 SUNDAY 0 0

22 MAPUSA MAPUSA+PANJIM 101 195 80 376 0

23 MAPUSA OLD GOA+MARCELA 220 195 66 481 0

24 MAPUSA MAPUSA 180 180 0

25 MEETING CALANGUTE 55 195 250 0

26 MEETING CALANGUTE 195 195 0

27 MEETING CALANGUTE 55 195 250 0

28 SUNDAY 0 0

29 MAPUSA PORVORIM+GMC 114 195 309 0

30 MAPUSA PANJIM+GMC 114 195 80 95 484 0

31 0 0

Total 2800 0 4425 0 385 360 0 0 66 195 8231 0

Summary Signature of MR
No of Days F / W At H.O. At. Ex. Stn. At. O. Stn. Leave Taken Holidays Total

4 19 0 0 7 30 Approval & Remarks of AM / RSM Original : AM / CC. RSM / MR


MONTH : ____________________

AREA MANAGER'S EXPENSE STATEMENT HEADQUARTER : ____________________

DATE OF POSTING : ____________________

NAME OF AM :__________________________________________ EMP CODE NO. :________________________ REGION :___________________ (Must be posted on reach R.O. by 5th of every month)

Mode Postage Telex / Station- NO. OF


PLACE Mention Fare D.A. Phone Sample Others Daily Total STATION STATION
DATE Bus /Train ORDINARY COUIER Fax ery DOCTORS
Scooter,etc PLANNED COVERED
From To Rs. Ps. Rs. Rs. Ps. Rs. Rs. Rs. Rs. Rs. Rs. Ps. MET
.

1 0 0 0 0 0 12 0 0 23 23 58

2 0 0 0 223 0 0 0 0 0 0 223

3 0 0 0 0 0 10 0 0 0 23 33

4 0 0 0 0 0 0 0 0 0 0 0

5 0 0 0 0 0 10 0 0 0 23 33

6 0 0 0 0 0 0 0 0 0 0 0

7 0 0 0 0 0 10 0 0 0 50 60

8 0 0 0 0 0 0 0 0 0 0 0

9 0 0 0 0 0 10 0 0 0 50 60

10 0 0 0 0 0 0 0 0 0 0 0

11 0 0 0 0 0 0 0 0 0 0 0

12 0 0 0 0 0 0 0 0 0 0 0

13 0 0 0 0 0 0 0 0 0 0 0

14 0 0 0 0 0 0 0 0 0 0 0

15 0 0 0 0 0 0 0 0 0 0 0

16 0 0 0 0 0 0 0 0 0 0 0

17 0 0 0 0 0 0 0 0 0 0 0

18 0 0 0 0 0 0 0 0 0 0 0

19 0 0 0 0 0 0 0 0 0 0 0

20 0 0 0 0 0 0 0 0 0 0 0

21 0 0 0 0 0 0 0 0 0 0 0

22 0 0 0 0 0 0 0 0 0 0 0

23 0 0 0 0 0 0 0 0 0 0 0

24 0 0 0 0 0 0 0 0 0 0 10

25 10 0 0 0 0 0 0 0 0 0 10

26 0 0 0 0 0 0 0 0 0 0 0

27 0 0 0 0 0 0 0 0 0 0 0

28 0 0 0 0 0 0 0 0 0 0 0

29 0 0 0 0 0 0 0 0 0 0 0

30 0 0 0 0 0 0 0 0 0 0 0

31 0 0 0 0 0 0 0 0 0 0 0

Total 0

Summary Signature of AM
At. Ex. Leave
No of Days F / W At H.O. At. O. Stn. Holidays Total
Stn. Taken

Approval & Remarks of RSM Original : RSM / CC. AM

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