DAY WISE ADMISSION FIELD VIST CLAIM FORM

DATE:30.06.24 VEHICLE USED: Bike Owner of the Vehicle:

AKILAN A
NAME OF THE PAIR:
1. AKILAN A ,AP/CSE
2. BALAMURUGANATHAN, LI/MECH
Candidate Name of the Candidate with Mobile if photo Kms Amount
No no. Starting Point Ending Point
Uploaded Travelled in Rs.
1 ELIYAS & 9677570623 YES SETHIYATHOPE PERIYAKOMEETI 45 158
2 NITHESHKUMAR & 6383292904 YES PERIYAKOMETTI CHINNAKOMETI 15 53
3 BARTHESH & 9944521209 YES CHINNAKOMEETI KOTHATAI 10 35
4 VASATHAKUMAR & 9688395375 YES KOTHATTAI KOTHATTAI 2 7
5 ATHITHIYA & 9586985081 YES KOTHATTAI ADIVARAGANALLUR 20 70
6 SANTHATHANARAJ & 9597641927 YES ADIVARAGANALLUR PUDUCHATHIRAM 15 53
7 THIRUMA & 9579872016 YES PUDUCHATHIRAM VILLIYANALLUR 5 18
8 CHANDRU & 9344454725 VILLIYANALLUR PARANGIPETTAI 5 18
PARANGIPETTAI SETHIYATHOPE 40 140
TOTAL (A) 550
Grand Total
Tea Rs10 per head/Session & lunch Rs 60 per Day/Session(B)
120(FOOD) 40(TEA)10(BUS FARE) (A+B)=
710

Name & Signature of the Team Head Signature of the Staff Members

PRINCIPAL
 DAY WISE ADMISSION FIELD VIST CLAIM FORM

DATE:17.06.24 VEHICLE USED: Bike Owner of the Vehicle:

AKILAN A
NAME OF THE PAIR:
1. AKILAN A ,AP/CSE
2. BALAMURUGANATHAN, LI/MECH
Candidate Name of the Candidate with Mobile if photo Kms Amount
No no. Starting Point Ending Point
Uploaded Travelled in Rs.
1 AADHEESHWARI D &6383782441 YES SETHIYATHOPE KALLATHUR 40 140
2 KIRUTHIKA & 9514278559 YES KALLATHUR MELAKADAMPUR 30 105
3 AJAI & 8754298753 YES MELAKADAMPUR VANGUDI 5 18
4 ARUNA & 9944788224 YES VANGUDI VELAMPOONDI 5 18
5 ELAMPARUTHI & 9750279014 YES VELAMPOONDI VELAMPOONDI 1 4
6 THULASI & 9750279014 YES VELAMPOONDI VELAMPOONDI 1 4
7 VISHAL & 9042757196 YES VELAMPOONDI REDIYUR 6 21
8 HARISH& 9047063328 REDIYUR REDIYUR 1 4
9 LOKESK& 7639446191 REDIYUR REDIYUR 1 4
10 ANIESH 6382763776 REDIYUR REDIYUR 1 4
11 MANIKANDAN & 9003658724 REDIYUR KEELPULIYAMPATTU 5 18
12 THRUN &9791971314 KEELPULIYAMPATTU KEELPULIYAMPATTU 1 4
13 SAIPARSAD & 9942471087 KEELPULIYAMPATTU EYYLUR 5 18
EYYLUR SETHYATHOPE 35 123
TOTAL (A) 480
Grand Total
Tea Rs10 per head/Session & lunch Rs 60 per Day/Session(B)
120(FOOD) 40(TEA)30(BUS FARE) (A+B)=
670

Name & Signature of the Team Head Signature of the Staff Members

PRINCIPAL

DAY WISE ADMISSION FIELD VIST CLAIM FORM

DATE:19.06.24 VEHICLE USED: Bike Owner of the Vehicle: AKILAN A
NAME OF THE PAIR:
1. AKILAN A ,AP/CSE
2. BALAMURUGANATHAN, LI/MECH

Candidate Name of the Candidate with Mobile if photo Kms Amount

No no. Starting Point Ending Point
Uploaded Travelled in Rs.

1 HARIVARMAM & 8778456134 YES SETHIYATHOPE AYIPURAM 20 70

2 RAMYA & 9865249960 YES AYIPURAM AYIPURAM 5 18
3 DHIYA & 7538831730 YES AYIPURAM CHIDHAMBARAM 15 53
4 JAYASREE & 8248428410 YES CHIDHAMBARAM THATHAMPETTAI 15 53
5 UMAPARVATHI & 9894461179 YES THATHAMPETTAI PARATHUR 10 35
BOOTHAVARAYANPET
6 NERASHKUMAR & 9487435214 YES PARATHUR
TAI 10 35
BOOTHAVARAYANPET
7 KAVIARASAN & 8610597021 YES TAI
MANAVELI 6 21
MANAVELI SETHYATHOPE 22 77
TOTAL (A) 361
Grand Total
Tea Rs10 per head/Session & lunch Rs 60 per Day/Session(B)
(A+B)=
531
120(FOOD) 40(TEA)10(BUS FARE)

Name & Signature of the Team Head Signature of the Staff Members
 DAY WISE ADMISSION FIELD VIST CLAIM FORM
DATE:22.06.24 VEHICLE USED: Bike Owner of the Vehicle: AKILAN A
NAME OF THE PAIR:
1. AKILAN A ,AP/CSE
2. BALAMURUGANATHAN, LI/MECH

Candidate Name of the Candidate with Mobile if photo Kms Amount

No no. Starting Point Ending Point
Uploaded Travelled in Rs.

1 RAMYA & 9865249960 YES SETHIYATHOPE AYIPURAM 20 70

2 VISWA & 7305042349 YES AYIPURAM AYIPURAM 5 18
3 SARAVANAN & 9443329642 YES AYIPURAM MELAMANKUDI 15 53
4 JAGATHESAN & 9345566935 YES MELAMANKUDI MANIKOLLAI 20 70
5 DARANI & 9994675452 YES MANIKOLLAI MANIKOLLAI 2 7
6 SRINATH & 9524487107 YES MANIKOLLAI PUTHUCHATHIRAM 8 28
7 ARIVICHIRIYAN & 9715705729 YES PUTHUCHATHIRAM PERIYAKOMETI 6 21
PERIYAKOMETI SETHYATHOPE 35 123
TOTAL (A) 389
Grand Total
Tea Rs10 per head/Session & lunch Rs 60 per Day/Session(B)
(A+B)=
559
120(FOOD) 40(TEA)10(BUS FARE)

Name & Signature of the Team Head Signature of the Staff Members

DAY WISE ADMISSION FIELD VIST CLAIM FORM

DATE:25.06.24 VEHICLE USED: Bike Owner of the Vehicle: AKILAN A
NAME OF THE PAIR:
1. AKILAN A ,AP/CSE
2. BALAMURUGANATHAN, LI/MECH

Candidate Name of the Candidate with Mobile if photo Kms Amount

No no. Starting Point Ending Point
Uploaded Travelled in Rs.

1 KAMARAJ & 9944924378 YES SETHIYATHOPE MANAVELLI 25 88

MUTHUKRISHNAPURA
2 SURYA & 9043636913 YES MANAVELLI
M 5 18
MUTHUKRISHNAPURA MUTHUKRISHNAPURA
3 SARTHBABU & 744887679 YES M M 1 4
MUTHUKRISHNAPURA MUTHUKRISHNAPURA
4 RAGANATH & 8667793501 YES M M 1 4
MUTHUKRISHNAPURA
5 VISHWA & 9043957985 YES M
KRISHNAPURAM 10 35
6 RAJAMALARKODI & 9585858171 YES MANIKOLLAI ALAMBADI 8 28
7 SASITHARAN & 7904101121 YES ALAMBADI ALAMBADI 2 7
8 JAYASHANKAR & 7373353591 YES ALAMBADI ALAMBADI 1 4
9 NAVEENKUMAR & 8270294233 YES ALAMBADI MANAVELI 5 18
MANAVELI SETHYATHOPE 30 105
TOTAL (A) 308
Grand Total
Tea Rs10 per head/Session & lunch Rs 60 per Day/Session(B)
(A+B)=
478
120(FOOD) 40(TEA)10(BUS FARE)

Name & Signature of the Team Head Signature of the Staff Members
 CLAIM FORM
Date of Visit : 1-6-24,
Region : Bhuvanakiri Region
Name of Staff :
AKILAN A , BALAMURUGANATHAM P

Lunch
Tea Rs60/-
Kilometer Amount Total
Date Visiting area Timing Rs10/- Per
Travelled in Rs. Amount
Per Head day/Per
head

BHUVANAKIRI,
THAMBIKUNALAMPA
TTINAM, 125 KMS+
ATHIVARAKANALLU 9:00 TO
6/1/2024 R, 20(BUS 458 40 120 618
6:00
ARULMOZHIDEVAN, FARE)
MUTLUR,
PERIYAKOMETI

VADALUR,
KADUKOLLAI, 120KMS+
9:00 TO
6/2/2024 KALLUKUZHI,SERAK 60(BUS 498 40 120 658
UPPAM,VADAKUTHU, 6:00 FARE)
KANNIKOVIL
BHUVANAKIRI, 110KMS+
ARULMOZHIDEVAN, 9:00 TO
6/3/2024 MANIKOLAI,PUDUCH 20(BUS 405 40 120 565
6:00
ATHIRAM FARE)
BAHUVANAKIRI,
THERKUTHITTAI,VAD 115KMS+
9:00 TO
6/5/2024 AKUTHITTAI,BOOTHA 20(BUS 423 40 120 583
VARAYANPETTAI,AR 6:00 FARE)
ULMOZHIDEVAN
TOTAL 2423

Name & Signature of the Team Head Signature of the Staff Members

PRINCIPAL
 CLAIM FORM
Date of Visit : 21-05-2024,22-5-24,23-05-24,25-05-24,26-05-24,29-05-24
Region : Bhuvanakiri Region
Name of Staff : AKILAN A , BALAMURUGANATHAM P,ARUL(29-5-24) ,
RAJAGANAPATHY(21-5-24) & MUTHUPONDY(22-5-24)

Lunch
Tea Rs60/-
Kilometer Amount Total
Date Visiting area Timing Rs10/- Per
Travelled in Rs. Amount
Per Head day/Per
head

BHUVANAKIRI, 85 KMS+
9:00 TO
5/21/2024 KEERAPALAYAM,VA 20(BUS 318 40 120 478
DAHARIRAJAPURAM 6:00 FARE)

KATTUMANNARKOIL, 115KMS+
9:00 TO
5/22/2024 BHUVANAKIRI,SAKK 20(BUS 423 40 120 583
ANKUDI 6:00
FARE)
KEERAPALIYAM, 110KMS+
SATHAPADI, 9:00 TO
5/23/2024 MELMOOLILADI,MEL 20(BUS 405 40 120 565
6:00
AMANAKUDI FARE)

KEERAPALAYAM, 105KMS+
9:00 TO
5/25/2024 THERUTHITADI,VADA 20(BUS 388 40 120 548
KUTHIDAI 6:00
FARE)
KEERAPALAIYAM,DE
VANATHAKUPPAM,E 115KMS+
9:00 TO
5/26/2024 NNAGARAM, 20(BUS 423 40 120 583
BOOTHAVARAYANPE 6:00 FARE)
TTAI

PINNALUR, 102KMS+
9:00 TO
5/29/2024 KARAIMEDU,KELAVA 20(BUS 377 40 120 537
DINATHAM 6:00
FARE)
TOTAL 3292

Name & Signature of the Team Head Signature of the Staff Members

PRINCIPAL
 CLAIM FORM
Date of Visit : 16-5-24, 17-5-24, 18-5-24
Region : Bhuvanakiri Region
Name of Staff : AKILAN A & BALAMURUGANATHAM P

Lunch
Tea Rs60/-
Kilometer Amount Total
Date Visiting area Timing Rs10/- Per
Travelled in Rs. Amount
Per Head day/Per
head

THULAMEDU,MANIK 95 KMS+
9:00 TO
5/16/2024 OLLAI, THANKADU, 20(BUS 353 40 120 513
ARULMOZHI 6:00
FARE)
BHUVANAKIRI, 110KMS+
SILAMBIMAGALAM, 9:00 TO
5/17/2024 BOOTHAVARAYANPE 20(BUS 405 40 120 565
6:00
TTAI FARE)
BHUVANAKIRI, 115KMS+
VAYALAMPUR, 9:00 TO
5/18/2024 POVALAI, 20(BUS 423 40 120 583
6:00
MELANAKUZHI FARE)
TOTAL 1660

Name & Signature of the Team Head Signature of the Staff Members

PRINCIPAL
 CLAIM FORM
Date of Visit : 29-3-24,30-3-24,9-4-24,11-4-24,21-4-24,15-5-24
Region : Bhuvanakiri Region
Name of Staff : AKILAN A & RAJAMOHAN S (FIVE DAYS)
AKILAN A & BALAMURUGANATHAM P(15-5-24)
Lunch
Tea Rs60/-
Kilometer Amount Total
Date Visiting area Timing Rs10/- Per
Travelled in Rs. Amount
Per Head day/Per
head
105KMS+
B.MUTLUR,THANKAK 9:00 TO
3/29/2024 ADU, MANJUKUZHI 20(BUS 388 40 120 548
6:00
FARE)

KEERAPLAIYAM, 110KMS+
B.MUTLUR, 9:00 TO
3/30/2024 MANJAKUZHI, 20(BUS 405 40 120 565
6:00
ADIVARAKANULLUR FARE)

KEERAPLAIYAM, 120KMS+
B.MUTLUR, 9:00 TO
4/9/2024 ATHIVARAKANULLU 20(BUS 440 40 120 600
6:00
R PERIYAKOMITI FARE)

MAJAKUZHI,
SILAMBIYAMALGALA 120KMS+
9:00 TO
4/11/2024 M, 20(BUS 440 40 120 600
VALLAM,PUTHUCHAT 6:00 FARE)
HIRAM

THULLAMEDU, 132KMS+
PUDUCHTHIRAM,VEL 9:00 TO
4/21/2024 ANGIPATTU, 20(BUS 482 40 120 642
6:00
VILLYANALLUR FARE)

THULLAMEDU,
PUDUCHTHIRAM,
VELANGIPATTU, 132KMS+
9:00 TO
5/15/2024 VILLYANALLUR, 20(BUS 482 40 120 642
ARULMOZHI, 6:00
FARE)
THANKADU,
MANIKOLLAI
TOTAL 3597

Name & Signature of the Team Head Signature of the Staff Members

PRINCIPAL