PROGRESSIVE INFOTECH PVT. LTD.

ELIGIVILITY AS PER GRADE: E1 PROJECT NAME: PNB

TRAVEL EXPENCE FORM
Name of Associate: YOGENDRA KUMAR Associate Code & Grade: 002819 E1
Designation: ENGINEER DESKSIDE Department: WARRANTY
Place Visited: AGRA Purpose: GAIL & DRDO CALLS
Total No of days: 2 working DAYS Client name: GAIL & DRDO
Departure Date: 30-04-2011 Time: 04:30 AM Arrival Date: 02-05-2011 Time: 11:00 PM
Bus/Train/Air Travel Fare: (Attach Proof of Payment in the Form of Tickets,even if arrange by office)
DATE FROM TO AMOUNT REMARKS
30-4-2011 KALE KHAN ND ISBT AGRA 150 BY BUS
4/11/2011 ISBT AGRA KALE KHAN ND 150 BY BUS

TOTAL (A) Rs: 300

LOCAL CONVEYANCE ONLY: (Travel by Rikshaw, Bus, Auto, taxi etc in NCR and out location)
DATE FROM TO AMOUNT REMARKS
30-4-2011 HOME KALE KHAN ND 35 BY BIKE (10X2.5)+ TOLL= 10
30-4-2011 ISBT AGRA GAIL PLACE AGR 20 BY AUTO
30-4-2011 GAIL PLACE AGR ISBT AGRA 20 BY AUTO
2/5/2011 ISBT AGRA DRDO, CANT AGRA 35 BY AUTO
2/5/2011 DRDO, CANT AGRA ISBT AGRA 35 BY AUTO
2/5/2011 KALE KHAN ND HOME 35 BY BIKE (10X2.5)+ TOLL= 10
TOTAL (B) Rs: 180
MISCELLANEOUS: ( Mention details of Phone, fax, Exigencies with proof of Payment)
DATE FROM TO AMOUNT REMARKS
30-4-2011 SELF ARRANGEMENT 150

TOTAL (C) Rs: 150

DAILY ALLOWANCE: (Arrangement on own / company) (Calculate based on No. of days on tour)
Boarding / DA Lodging (Hotal or Own Arrangement)
No. of Days: 2 DAYS No. of Days:
Rs. 150 Per day Total: 300 Rs. Per day Total
TOTAL (D) Rs: 300 Remarks (if any)

GRAND TOTAL = A+B+C+D Rs 930

ADVANCE TAKEN Rs

BALANCE AMOUNT Rs

Associate's signature: Manager's Signature:

S.N. Case ID CCR No. S.N. Case ID CCR No. S.N. Case ID CCR No.
1 BACKUP 26112
2 …. 26113