CLAIM FORM FOR USING OWN VEHICLE ON OFFICE DUTY

To

Local Finance
Tuticorin

Name M.MUTHUKUMAR Emp No : TUT 00449

Grade OFFICE ASSISTANT Department
Vehicle Two Wheeler Location Tuticorin
Claim for using own vehicle From:29.07.19 TO 03.08.19

Sl. No Date From To Purpose of Travel No.of

Kms
Travelled

As per Attached list

235
Total Kilometres

Bills Enclosed [ ] Yes Signature of Employee (

[ ] No Traveller)
Name and Designation S.PETER THANASINGH Signature of Approver
of approver

Total Kilometers 235 X 3 RS = 705

Claimed for
Payment Details
Remarks, If any
SL DATE FROM TO K/M
NO
1 29.07.2019 OFFICE PROFESSIONAL AXIS BANK – PROFESSIONAL 14
( CHEQUE DEPOSIT – COURIER PICK UP)
POTA GLOBAL WW-EMU-VANGURD-TEAM GLOBAL-ALLCARGO-LCL- 18
POTA GLOBAL-EVERGREEN-OFFICE GODOWN
(S BILL-BL)
ST JOHN OFFICE ST JOHN OFFICE (BL RELESE) 12
COSCO AXIS-MSC-CHOICE-COSCO 6
(BL-RTGS)

2 30.07.2019 OFFICE PROFESSIONAL AXIS BANK – PROFESSIONAL 14

( CHEQUE DEPOSIT – COURIER PICK UP)
ALL CARGO ALLCARGO-EMU-VANGURD-YML-ONELINE-HAPAG 16
(BL – S BILL)
HAPAG MSC-AXIS-HAPAG-ZIM 12
(BL)
GANESH BAKREY GANESH BAKREY 5

3 31.07.2019 OFFICE PROFESSIONAL AXIS BANK-PROFESSIONAL 14

(AUGS) (CHEQUE DEPOSIT-COURIER PICK UP)
CHAMBER OFFICE MSC
9 – HAPAG – CHAMBER OFFICE ( BL RELEASE , CO 6
ATTESTATION )
POST OFFICE AXIS – POST OFFICE – CHAMBER OFFICE ( NEFT , CO 10
ATTESTATION , REVENUE STAMP )
ZIM CHAMBER OFFICE – ZIM ( HEALTH CERTIFICATE 10
ATTESTATION , BL RELEASE )

4 01.08.2019 OFFICE PROFESSIONAL AXIS BANK-PROFESSIONAL 14

(CHEQUE DEPOSIT-COURIER PICK UP)
MSC TMB-ONELINE-ZIM-YML-MSC 14
(BL-STATEMENT)
ONELINE ZIM-YML-ONELINE-AXIS 12
BL-RTGS

5 02.08.2019 OFFICE PROFESSIONAL AXIS BANK-PROFESSIONAL 14

(CHEQUE DEPOSIT-COURIER PICK UP
ORGIN OFF AXIS-MONTANE-SEAWORLD-ONE LINE-ORGIN OFF 16
(EGM-ORGIN-BL)
HAPAG AXIS-MSC-EMU-HAPAG 8
BL-RTGS

6 03.08.2019 OFFICE PROFESSIONAL AXIS BANK-PROFESSIONAL 14

(CHEQUE DEPOSIT-COURIER PICK UP)
ZIM ZIM (EGM BILL DELIVERY) 4
PATHRAKA PATHRAKA SHIPPING-ALL CARGO 2
SHIPPING (S BILL COLLECT)
TOTAL KM 235