Feb ' 11expense SMT

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INNOVA LIFESCIENCES PVT LTD., NAME R.RENGASSAMY DESIGNATION: KAM HEAD QUARTER MADURAI MONTH: NOV.

11 PLACE OF WORK work Summery of work NO TRAIN NAME TRAIN DEPT. DATE FROM TO with DR Chem/Hosp/Stockist BUS TIME 1 2 3 4 5 6 7 8 9 10 11 MADURAI CHANNAI BUS 17.3 12 CHANNAI CHANNAI 13 CHANNAI CHANNAI 14 CHANNAI CHANNAI 15 CHANNAI CHANNAI 16 CHANNAI CHANNAI 17 CHANNAI MADURAI BUS 21.45 18 MADURAI MADURAI DETAILING PRACTICE 19 MADURAI MADURAI DETAILING PRACTICE 20 SUNDAY 21 MADURAI MADURAI 22 MADURAI MADURAI 23 MADURAI MADURAI 24 MADURAI MADURAI 25 MADURAI MADURAI 26 MADURAI T.VADIPATTY BUS 11.3 27 SUNDAY 28 LEAVE 29 LEAVE 30 LEAVE 31 HOLIDAYS _ LEAVE 3 NO OF DAYS IN FIELD

TRAVEL EXPENSES STATEM

ARRIVAL TIME

6.3

8.15

21.3

MEETING 6

SIGNATURE/DATE OF THE FIELD STAFF

EXP VERIFIED & CERTIFIED FOR RS

SIGNATURE/DATE OF RSM/DSM/SM DECLARATION : EXPENSES CLAIM MADE IN THIS STATEMENT ARE TRUE AND FAIR ALL THE DECLARATION : I HAVE ALREADY SUBMITTED DAILY REPORT UPTO TO BM/RSM/HO ON & ALL THE MONTHLY REPORT

TRAVEL EXPENSES STATEMENT DIVISON FARE Rs HQ-DA Rs EX-DA Rs OS-DA Rs ENDO REGION SOUTH TOTAL Rs FORM NO 5 REMARKS

COM. ALW OTHERS Rs Rs

221 400 175 175 175 175 400 150 150 150 150 150 150 150 175

159

274

380.00 400.00 175.00 175.00 175.00 175.00 674.00 150.00 150.00 150.00 150.00 150.00 525.00 150.00 297.50

375

122.5

6 JOURNEY DAYS

3 NO OF HOSP/INS COVERED EXP APPROVED & PASSED FOR RS SIGNATURE/DATE OF HEAD - MKTG

ALL THE MONTHLY REPORTS ALONGWITH T.E STATEMENT TO MY RSM ON.

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