Date:_________________ Date of Return:________________

Name of Visitor:______________________________________

Address:_____________________________________________

Vehicle No:__________________________________________

Vehicle Type : (Ac /Non Ac):____________________________

Starting KM:________________ Ending KM:________________

Starting Time:______________Ending Time:_______________

Total KM:__________________Total Ot:___________________

Advance:_____________________________________________

Place of Visit:_________________________________________
NOTE

1.KM & Time Will Be Charged Office To Office.

2.Please Check The Meter Before Signing The Silp.

Signatur of Customer