Annexure - 7

"TCF"

TATA SKY LIMITED

Travel Expense Statement Period from _01.04.07______ to ___15.04.07__________
Name : Emp No.: Travel Details Time of Departure Date of Arrival Time of Arrival Mode of Travel Dept: PLACE OF VISIT: MUMBAI CORPORATE Local Travel Fare date FROM TO Local Conveya ncw Food Room Rent (Air/Rail/ Own (Incl Taxes) Vehicle/ Taxi/Bus) (9) (10) Food (incl Tips) Per Diem Conveyance / Car Hire Charges Staff Welfare Entertainment Exp (11) (12) (13) (14) (15) (16)=(9 to 15) Mobile Exp Remarks OUTSTATION TRAVEL Grade : Location:Kolkata Claim Date :

(1) 1-Apr-07 2-Apr-07 3-Apr-07 4-Apr-07 5-Apr-07 6-Apr-07 7-Apr-07 8-Apr-07 9-Apr-07 10-Apr-07 11-Apr-07 12-Apr-07 13-Apr-07 14-Apr-07 15-Apr-07

(2)

(3)

(4)

(5)

(6)

(7)

(8)

CONVEYANCE / CAR HIRE CHARGES DATE FROM MODE AMOUNT PURPOSE OF TRAVEL Total Claim -

TO

Less : Paid by Company (Travel Agent)

Less : Paid by Company (Car hire)

Less : Paid by Corp. Credit Card

Less : Advance adjusted

Balance : (Recoverable) / Payable Note:

1. Any Exception to the policy should be clearly highlighed and should be authorised by RH/COF 2. All original Bills & Travel Documents should be submitted along with this claim. 3. A copy of TAF should be attached. 4. The employee should use one voucher for a period of 10 days as per the claim cycle -

Claimaint's Signature

Approved by TL /AM / SM

Verified by Regional Accountant

Approved by BM

Approved by RH / COF

Finance Coordinator

Count of Supportings attached

Date :

Date :

Date :

Date :

Date :

Date :

Expense Claim Voucher EXPENCESS STATEMENT FOR THE PERIOD 1.7.11 TO16.7.11
Name : BISWAJIT ROUT Emp No.:2929
GL Code 1-Jul-11 2-Jul-11 Sunday 4-Jul-11

TATA SKY LIMITED

Dept:Sales Date of Submission :25.4.11 19.7.11
5-Jul-11 6-Jul-11 7-Jul-11 8-Jul-11 9-Jul-11 Sunday 11-Jul-11 12-Jul-11 13-Jul-11 14-Jul-11 15-Jul-11 16-Jul-11 Total

Grade :M5

Location:BALESORE

Mode of Travel Purpose of Travel Time of Departure Date of Arrival Time of Arrival From To To From A) Local Conveyance & Food Local Conveyance (Use Ann "A" for details) Food expenses TOTAL ( A ) B) Outstation Travel Fare(Air/Rail/Others)Bike @ Rs 4/ Room Rent (Incl taxes) Food (incl Laundry) Per Diem Conveyance / Car Hire (Use Ann "A" for details) TOTAL ( B ) C) Other Expenses Entertainment expenses Staff Welfare expenses 35105000 / 33003005 33608000

meet with Aom

TOUR(BIKE)
DEALER VISIT

TOUR(BIKE)
DEALER VISIT

9AM

TOUR(BIKE&TRAIN) TAXI &TRAIN MONTHLY MEETING MONTHLY MEETING MONTHLY MEETING 8PM

MEETING

MEETING

TOUR(BIKE) Dealer Visit 7.30am

TOUR(BIKE) TOUR(BIKE) TOUR(BIKE) TOUR(BIKE) Dealer Visit Dealer Visit&DISTAPPT Dealer Visit&DISTAPPT Dealer Visit 9AM 9AM 9am 9am

BALASORE BALASORE

BHUBANESWAR BALASORE

BALASORE BALASORE

BALASORE BHADRAK TIHIDI BHADRAK

BHADRAK BHDRAK KOLKATA

HOTEL BHUBANESWAR BHUBANESWAR HOWRAH BHUBANESWAR BHUBANESWAR BHUBANESWAR

BHUBANESWAR BALASORE

BALASORE BALASORE

BALASORE BHADRAK AGARPADA

BHADRAK BHANDARIPOKHARI BHDRAK

BHADRAK BHADRAK

BHADRAK BHADRAK

BHADRAK BALASORE

150 50 200

150 50 200

300 100 400

34003000 / 34001001 34002001 34002001 34002001 34003003

150 125

540

264 290

1,000 1,350 125

150 1,000 291 1,000

440

220

110

110

360 280

500
275

500 554 2,475 1,291 1,000 150 940

500 720

500 610

500 640 640 -

500

1,040

3,344 3,350 1,111 2,500 10,305 -

Mobile expenses for Printing & Stationery Repairs & Maintenance Courier expenses Internet charges others(court paper) TOTAL ( C ) GRAND TOTAL ( A+B+C) Less: Paid by company (travel agent) 16002000 Paid by corporate credit card 2000027 NET PAYABLE Remarks (if any) Own Bike usage details Bike No.(ORO1 D 8194) Opening reading Closing Reading Total KMs

34000002 33608000 35102001 / 33003004 35106003 35100005 35106004 35102000

1,000 80
50.00

820

70 50 325 1,040 554 1,000 2,291 70 1,070 940 720 610

80 30 190 830 820 1,460

2,475

150

1,820 80 130 100 2,130 12,835 12,835

325

1,040

554

2,475

1,070

150

940

720

610

830

1,460

16,050 16,060 10

16,075 16,210 135

16,210 16,230 20

16,265 16,277 12

16,277 16,387 110

16,387 16,442 55

16,442 16,464 22

16,464 16,486 22

16,486 16,576 90

Claimants Signature Date

Approved by TL /AM / SM Date

Verified by Regional Accountant Date Date

Approved by RH / COF Date

Count of Supportings attached

ANNEXURE " A" TATA SKY LIMITED Local Conveyance Claim Form
Period 18.4.2011 To 30.4.2011
LOCATIONBALASORE EMPLOYEE NAME: BISWAJIT ROUT DATE DETAILS OF EXPENDITURE MODE OF DESTINATION TRAVEL FROM TO 18-Apr-11 tour

No. of KMs

AMOUNT SPENT TOTAL Purpose of Travel

19-Apr-11

tour

20-Apr-11

tour

21-Apr-11

Tour

22-Apr-11

Tour

23-Apr-11 24-Apr-11

Tour Tour

25-Apr-11

Tour

26-Apr-11

tour

27-Apr-11

tour

28-Apr-11

tour

29-Apr-11

tour

30-Apr-11

tour

TOTAL FOR THE PERIOD