Regd Off: 1 Floor, CSIDC Commercial Complex, Mahadev Ghat Road, Raipura Chowk Raipur-492013, Chhattisgarh

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CHHATTISGARH RAILWAY CORPORATION LIMITED

( A Joint Venture of Ministry of Railways and Govt of C.G.)


Regd Off: 1st Floor ,CSIDC Commercial Complex, Mahadev Ghat Road, Raipura Chowk Raipur-492013,Chhattisgarh

RAIPUR

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Travel Claim Form

Name of Employee - --------------------------------------------

Employee Code - --------------------------------------------

Designation - --------------------------------------------

Purpose of Visit

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A -Travel Fare

Departure Arrival Mode


Sl Date & Date & of Amount
No Time From Time To Travel Class Distance ( Rs.)
1
2
3
4
5
6
Total

B - Lodging & Boarding / Out of Pocket

Amount ( Rs.)
Sl Check In Check Out No of Out of
No Date Time Date Time Days Rate Lodging Boarding Pocket
1
2
3
4
5
6
Total
C - Details of Local Conveyance on Tour

Sl No Date From To Distance Mode Amount Purpose

Total

D – Grand Total ( A+B+C ) - ----------------------------------------------

Claimed BY Tour Approved BY Checked By

Employee Name & Signature ------------------------ Accounts

Approved By

MD
Brief Tour Report

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Employee Name & Signature

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