PAREKH INTEGRATED SERVICES PVT LTD

Kothari Metals Ltd, Railway Station, Warehouse No. 10, Jagacha, Kolkata International
Unitech Logistic City, Kona Expressway, Santragachi, Howarh – 711302, West Bengal
E-mail Id: accSDMAEast.corteva@pispl.in, Phone: 033-66452170 / 033-66452180

Note: This claim should be submitted once in a month by the employee- Last date of submission TER 15th of next month , Activity report must be sent along with claim and copy
should be sent to your supervisor as soon as claims are prepared, failure to do so may result in stoppage of payment.)

MDO /J.MDO/MIO Monthly Travel Expenses Report

Name : Designation : Period From:

Head Quarter : MRPL : Period To:

Fuel & Maintenance Claim Vehicle No:

KMS Bill Amount for Accounts Dept. to fill in

Date Bill Number
(Mandatory) Fuel Maintenance Allowed Disallowed

Total - -
Boarding & Lodging
for Accounts Dept. to fill in
Date Place Fare Lodging charges Food Charges
Allowed Disallowed

Total - - -
Telephone Expenses Mobile Number:
Bill Number Net Claimable for Accounts Dept. to fill in
Date Personal calls amount
(for Postpaid) amount Allowed Disallowed

Total -

Miscellaneous Expenses
(Claim details as given below only.)
Courier Misc Exp. for Accounts Dept. to fill in
Date Bill No. Total claimed
Exp. Xerox / Scan Cherges Allowed Disallowed
-
-
-
-
Total -
Total amount claimed in expenses report : ________________________________________________________
I certify that the above expenses claimed from the organization have been incurred for official purpose only, and lam aware of attaching my travel report for this period
along with this claim is mandatory as per organization's policy, otherwise this expenses will not be paid to me. No forged bills will be submitted as it is against organization policy
and I am aware of dismissal from service if found to be forged one.

Signature of Employee :

Date :
Checked by Approved by(Finance Department )
 PAREKH INTEGRATED SERVICES PVT LTD
Kothari Metals Ltd, Railway Station, Warehouse No. 10, Jagacha, Kolkata International Unitech Logistic City,
Kona Expressway, Santragachi, Howarh – 711302, West Bengal
E-mail Id: accSDMAEast.corteva@pispl.in, Phone: 033-66452170 / 033-66452180

Monthly Report-MDO/J.MDO/MIO
Monthly Report - J-MDO/MDO/MIO
(Copy of this report should be sent to supervisor and original to HO as and when TER is prepared )
Name Headquarter :
Period From: Period To:
Small Former Meeting (Informal) - Comprising of 15 to 40 Farmers

No. of Partcipants

Place

Date
Farmers Meeting (Formal) - Comprising of - 50 Farmers

No. of Partcipants

Place

Date
One to One Contact with Farmers ( & Group of 3 to 5 Farmers)

No. of Persons

Place

Date
One to One Contact with Farmers ( & Group of 3 to 5 Farmers) - Contacted

No. of farmers Contacted

Place

Date
Demonstration Conducted

Product & Crop

No. of Demo

Date
Field Days Conducted

Product

Place
No. of farmers
participated
No. of trade channel
people participated