Key Stone Infra Build & SGS Infra

TRAVEL CLAIM FORM

Name :- Design. :- Dept. :- Emp. ID_______
Total Travel Time (days)………………………..
(I) AIR / TRAIN/ BUS FARE :
Departure Arrival
Mode & Class of
Date Time Station Date Time Station Amount (INR) Remarks
Travel

TOTAL-I 0

(II) HOTEL EXPENSES /BOARDING / LODGING /DAILY ALLOWANCE (VOUCHER ATTACHED) :

Date No. of Amount of Hotel
Place Bill No Daily Allowance Amount (INR) Remarks
From To Days/Hrs. Bills

TOTAL-II 0
(III) CONVEYANCE CHARGES :

Date Place Particular (Mode of Travel) Amount (INR) Remarks

TOTAL-III 0

Sl. No. Date Particulars Bill No Amount Remarks

TOTAL-IV 0
TOTAL CLAIM
Sl. No. Particulars Amount (INR) Remarks
(I) Air / Train / Bus Fare
(II) Hotel / Boarding/Lodging/Daily Allow.
(III) Conveyance Charges
(IV) Miscellaneous Expenses
TOTAL-I+II+III+IV 0
Less: Advance taken by the employee
Balance payable to the employee

Signature of Employee Signature of Approving Authority

Place :- Name-
Date :- Designation : Date :
SPECIAL APPROVAL :

The Amount of Rs……..…………in excess of entitlement of employee is approved.

Name of Approving Authority Designation Signature

1. All details must be completed for each claim submitted. Incomplete forms shall not be accepted.
2. For all actual expenses, original bills should be provided.
3. The amount payable to employees will be credited to bank a/c or by cash as applicable.
4. If the amount claimed is in excess of the entitlement as per travel policy, the approval of next level from reporting level
is required