TRAVELLING EXPENSE STATEMENT / CLAIM

01-02-2024-22-02-2024
Name AYYAPPAN Period : Purpose of
Journey Adalat work at Ernakulam
Designation Relationship officer Head Quarters : Ernakulam
Employee code MM10086174 Sitting Branch : THALAIVASAL MML

Starting End Lodging

KM Travel Mode & Haulting Place & Lodging Laundry Other
Date Time Date Time From To meeter meeter Fare DA Total
Travelled Class Duration From To Charge expenses Expenses
Reading Reading
01/02/2024 9.30 am 01/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
02/02/2024 9.30 am 02/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
03/02/2024 9.30 am 03/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
04/02/2024 9.30 am 04/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
05/02/2024 9.30 am 05/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
06/02/2024 9.30 am 06/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
07/02/2024 9.30 am 07/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
08/02/2024 9.30 am 08/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
09/02/2024 9.30 am 09/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
10/02/2024 9.30 am 10/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
11/02/2024 9.30 am 11/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
12/02/2024 9.30 am 12/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
13/02/2024 9.30 am 13/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
14/02/2024 9.30 am 14/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
15/02/2024 9.30 am 15/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
16/02/2024 9.30 am 16/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
17/02/2024 9.30 am 17/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
18/02/2024 9.30 am 18/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
19/02/2024 9.30 am 19/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
20/02/2024 9.30 am 20/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225
21/02/2024 9.30 am 21/02/2024 5.30 pm Ernakulam Ernakulam 150 100 75 325
22/02/2024 9.30 am 22/02/2024 5.30 pm Ernakulam Ernakulam 150 75 225

Total
6,050
Note; Travel Advance 0
Balance Amount
6,050
Authorised b : ……………………………… Date : …………………..(Accounts dept) for Amount of Rs: ….…………/-
Approved by : …………………………………………Signature : ……………………………… Date: ………………….. (Approving authority)

Approved/ Passed for Rs………………/- (Rupees ……………………………………………………………………………………………….…………..only)