Jaffer Agro Services (Private) Limited

Citi Tower, 33-A, Block-6, PECHS, Shahrah-e-Faisal, Karachi-75400

UAN: 111-527-527 Tel: (92-21) 34373111 (15 lines) Fax: (92-21) 34373055
Factory: F-52, S.I.T.E., Karachi. Tel: 32570712, 32576441

Monthly Expenses Claim Form

MECF # _____
Expense Month
May-13
Territory Manager

Employee Code
Employee Name

12965
Mluhammad Rashid Akram

Designation

Reporting Region
Area

Multan
Mian Channu

Grade
MG-1
Imprest with you: Rs.20000/-

Make/Model
Vehicle No

Vehicle Running Status

Suzuki Cultus
ATJ-764

Meter Reading At Openming (KM)

28267

Less :Meter Reading At Closing (KM)

A = Total Running (KM)

31617
3350

B = Total Petrol / Diesel Consumed in (Ltrs)

C = Total CNG Consumed in (KGs)
D = Vehicle Exp (Total of Sr No 2 (a & b) + 3 (a, b, c, d, e & f))

209.40
21.41
21,025

No Of Oil Changed
No Of Oil Filter Changed
No Of Air Filter Changed
No Of Services Done

Productivity

No Of Seat Cover Changed

Average KM Per Liter (A / (B+C))

No. of Wheel Change

16.00
6.28

Average vehicle Exp Per KM Per (D / A)

S#

1
2
a
b
3

005 Lodging Expenses ( *Detail below)

010 Vehichle Fuel

a
b
c
d
e
f
g
h

Amount of Oil
Amount of Oil Filter
Amounr of Air Filter
Amount of Services Done
Amount of Seat Covers
Other parts
Other
Amount of Wheel

4
5
6
7
8
9
10
11
12
13
14
15
16

Vouchers Reference No

Expenses Head

From

Amount

6700

Petrol / Diesel amount

CNG amount

1
10

9
12

9
3

20,825
1,417

13

13

200

14

27

14

350

28
31

30
31

3
1

1045
200

32
33

32
33

1
1

1200
261

015 Vehicle Repair / Service (Oil Filter/Air Filter/Other Repairs)

020 Rent (Office / Godown / Garrage)

025 Transportation Charges (Toll Tax)
030 Labour Charges
035 Conveyance / Travelling / Hotel
040 Entertainment
045 Stationary
050 Postage
060 Telephone
070 Bank Charges
075 Promotional Exp
080 Temporary Staff Salary (Driver salary)
085 General Exp (Misc) (Mobile set repair)

100 Internet Charges

* Detail of daily visits and lodging expenses

Date

Total No of Vouchers

To

Place Visited

Lodging
Expenses /
Daily
Allowance

Date

Total Claim Rs.

Place Visited

Lodging
Expenses /
Daily
Allowance

Date

32198
Place Visited

23

Tolamba & Chak no 120/15-L

& Mohsin wal

500

24

Jandali Bangla, Mian Channu

& Tolamba

500

25

Mohsin wal & Wanjari

15

Chak no 122, 123 & 47/15-L &

Jandali Bangla

500

26

Sunday (Holiday)

16

Tolamba & Mian Channu

500

27

Multan office (Training)

17

Mian Channu & Jandali

Bangla

500

28

Mian Channu & Wanjari

Mian Channu & Khanewal

600

29
30

Tolamba & Khalaqabad

600

31

Diwan & Mohsin wal & chak no

127/15-L

12

Sunday (Holiday)

13

Mian Channu, Wanjar & Chak

no 130/15-L

14

Jandali Bangla & Pull 59

4
5
6

Multan office (Regional Meeting)

7
8

Mian Channu & Chak no 120/15L

500

Chak no 127, 130 & 132/15-L

500

18
19

Tolamba & Mohsinwal

500

20

Mian Channu, Wanjari &

Mohsin wal

10

Mohsin wall & Wanjari

500

21

Jandali Bangla & Chak no 92

& 59/15-L

11

Holiday (Election)

22

Mian Channu & Chak no 109 &

99/15-L

Sunday (Holiday)

Verified by Supervisor ______________ Approved By______________

500

500

Mian Channu & Mohsiwal

Total Lodging / DA* Expenses Rs.

Employee's Signature_______________ Audited By________________

Lodging
Expenses /
Daily
Allowance

Total Claimed Rs.

Additin Rs.
Deduction Rs. (Personal use)
Withheld Rs.

6700
32198

Amount Approved Rs.

* if DA applicable