SUI NORTHERN GAS PIPELINES LIMITED

EMPNO:

523897

Nabeel Ahmed Siddiqui

NAME:
DEPARTURE

DESIGNATION:

ARRIVAL

HA CLAIM FORM (EXECUTIVES)

Engineer Tele
II
GRADE:

DURATION OF TOUR

S.No

STATION

DATE

Faisalabad(T)

05-10-15

Multan A7

06-10-15

TIME

HOURS MINUTES

PASSAGE ARRANGED BY
SELF
AIR*
FARE

ACCOMMODATION ARRANGED BY

COMPANY
TRAIN FARE FARE** BY
ROAD

STATION

DATE

TIME

0700

Multan A7

05-10-15

1200

520 (DAEWOO)

1900

Faisalabad(T)

06-10-15

2130

520 (DAEWOO)

P l e a s e

Rs

08-10-2015

DEPARTMENT:

SELF
SELF

t i c k

1040 Rs.

MESS

a p p r o p r i a t
780

DATE

SIGNATURE
CLAIMANT

VERIFIED BY
HEAD OF DEPTT

CHECKED BY
LOG, SPT / ADMIN DEPTT

TO BE USED BY LOG. SPT / ADMIN DEPTT . ONLY

DURATION OF TOUR
6-12 Hrs
(40%)

12-18 Hrs
(60%)

TO BE USED BY ACCOUN

S . No.
18-24 Hrs
(100%)

Present Claim No.

Checked and pased for payment / recovery Rs.___________________________(Rupe

Previously Claimed Rs.

Data Entry Oprator.

Serial No._______________________
SIGNATURE

GAS PIPELINES LIMITED

M FORM (EXECUTIVES)
Telecom
ACCOMMODATION ARRANGED BY
COMPANY

FSD-T

LOCATION:
INCIDENTAL /

JOB NO:

PURPOSE OF

CONVEYANCE

HA DAYS / AMOUNT

CHARGES (IF

HOTEL

ANY)

JOURNEY
Rs.
Permanent
Rs.
TOUR

780

HA Days
Rs.

P l e a s e

t i c k
Rs.

a p p r o p r i a t e
780

Rs.

b o x e s
Rs.

Rs.

GROSS AMOUNT: Rs.

SANCTIONED BY
for MANAGING DIRECTOR
TO BE USED BY ACCOUNTS DEPARTMENT ONLY

nd pased for payment / recovery Rs.___________________________(Rupees ____________________________________________________________Only)

ACCOUNTANT

INCIDENTAL EXPENSES

S.No

DETAIL

PURPOSE OF JOURNEY

AMOUNT

1. SCADA drawing verifications

FSD(T)--------------- DAEWOOFSD

60

DAEWOO(MUL) -------RESIDENCE (9km, 2 x 9 x10)

180

Residence ---------- Multan A7 (12km, 4 x 10 x12)

480

DAEWOO FSD ---------------- HQ

60

Residence in Gulgasht Colony, Multan (12kms from A7)

In case of claiming taxi charges please mention location and distance in

KMs.
TOTAL:

780

ENTITLEMENT / HA RATES:
Grades

Hotel
entitlement
upper limit

Halting
Halting Allowance if
Allowance if
staying at own
staying in hotel
arrangement

Mode of Travel
Grade I-VII: Sleeper ACC by Rail / Economy

I-VI

Four Star Hotel

Rs. 800/-

Five Star Hotel

lodging &

meals etc

Grades

Domestic Travel Daily Allowance

1.

A claim must be submitted with in tw

2.

Time should be expressed in hours a

3. Used ticket be attached in case of Air

Rs. 2000/- # per day

Class by Air
Grade VIII-IX: Sleeper ACC by Rail / Club

Boarding

VII-IX

FOR STAYING IN COMPANY MESS/ PROJECT CAMPS

I-III

Rs. 650/-

4. Attach permission if travelled by perso

IV-VI

Rs. 900/-

5. Attach Toll Receipt for processing the

VII & above

Rs. 1200/-

6. Incomplete Form will not be entertaine

Rs. 3000/- # per day

Class by Air / Club Class (foregin)

PURPOSE OF JOURNEY

g verifications

ANY OTHER DETAIL

INSTRUCTIONS
1.
2.

A claim must be submitted with in two weeks of the completion of the tour.
Time should be expressed in hours and minutes i.e. 9 am. = 0900 hours and 1 pm = 1300 hours.

3. Used ticket be attached in case of Air Travel.

4. Attach permission if travelled by personal car & mention distance in KM f

5. Attach Toll Receipt for processing the claim.

6. Incomplete Form will not be entertained.

**