Kinedex Healthcare Pvt. Ltd.

MONTHLY TRAVELLING EXPENSE STATEMENT

EMP CODE: K00040 DIVISION A\C ENTRY NO.
EMP NAME: Sajan Kumar Sethi H.Q. : Sirsa DESIGNATION: BE : Kinedex MONTH : Apr-17

DAILY STATIONA
DESTINATION TOTAL OTHER OTHER
FARE ALLOWA POSTAGE RY \
KMS PER EXPENSE EXPENSE Total
(RS.) NCE \ FAX (RS.) XEROX
DAY (RS.) REMARKS
(RS.) (RS.)
Date Day Planned Locations/NW City Visits FROM TO
01/04/2017 Sat Sirsa(64/7/7) 7 0
02/04/2017 Sun 0
03/04/2017 Mon Sirsa(64/8/13) 8 0
04/04/2017 Tue Sirsa(64/7/20) 7 0
05/04/2017 Wed Sirsa(64/7/27) 7 0
06/04/2017 Thu Fatehabad-HR(10/6/6) 6 0
07/04/2017 Fri Sirsa(64/8/31) 8 0
08/04/2017 Sat Sirsa(64/7/35) 7 0
09/04/2017 Sun 0
10/04/2017 Mon Sirsa(64/3/37) 3 0
11/04/2017 Tue Sirsa(64/7/38) 7 0
12/04/2017 Wed Sirsa(64/7/44) 7 0
13/04/2017 Thu Dabwali(7/1/1), Sirsa(64/6/46) 7 0
14/04/2017 Fri Sirsa(64/8/49) 8 0
15/04/2017 Sat Sirsa(64/8/49) 8 0
16/04/2017 Sun 0
17/04/2017 Mon Sirsa(64/9/50) 9 0
18/04/2017 Tue Sirsa(64/7/50) 7 0
19/04/2017 Wed Fatehabad-HR(10/7/7) 7 0
20/04/2017 Thu Sirsa(64/7/50) 7 0
21/04/2017 Fri Sirsa(64/6/50) 6 0
22/04/2017 Sat Dabwali(7/5/5) 5 0
23/04/2017 Sun 0
24/04/2017 Mon Sirsa(64/5/50) 5 0
25/04/2017 Tue Sirsa(64/4/50) 4 0
26/04/2017 Wed Sirsa(64/7/51) 7 0
27/04/2017 Thu Sirsa(64/7/51) 7 0
28/04/2017 Fri Sirsa(64/9/51) 9 0
29/04/2017 Sat Sirsa(64/6/51) 6 0
30/04/2017 Sun 0
0
COLUMNWISE TOTAL (RS.)------>>> 169 0 0 0 0 0 0
APPROVED BY: ABM\RBM\SM APPROVER'S REMARKS :
GRAND TOTAL (RS.)
0
HQ Expense, Ex HQ Expense, Out Station is paid to me in lieu of expenditure for the purpose of local conveyance, meal, auto fare, tea and coffee expense, repair & maintenance and other out of pocket expense incurred by me for the purpose of performing duties
assigned to me by company. I, SAJAN KUMAR SETHI here by declare that the above mentioned expenditure are incurred by me wholly and exclusively for the purpose of discharging the official duties of the company, assigned to me and incurred on behalf of company.

Signature of the Employee : SM : Anil Kumar Atar - 9888028555 ZBM : Vacant_Anil Kumar Atar - RBM : Vinod Shridhar - 9216522002 ABM : Dilbag Singh - 9729043144

NOTES: * PLEASE ENSURE THAT YOUR EXPENSE STATEMENT WITH ORIGINAL BILLS\ RECEIPTS MUST REACH TO H.O. THROUGH YOUR ABM\RBM\SM WITH APPROVAL ON OR BEFORE 12TH OF THE NEXT MONTH. * PLEASE FILL UP ALL THE COLUMNS OF THE EXPENSE STATEMENT PROPERLY. *
PLEASE DO NOT MENTION NON-WORKING DAYS IN THE EXPENSE STATEMENT. OTHER EXPENSE INCLUDES OTHER THAN THE COLUMNS PROVIDED IN THE FORMAT. * PLEASE ATTACH THE BILLS COLUMNWISE IN BUNCH. * PLEASE PROVIDE COMPLETE DETAILS ON THE BACKSIDE
OF EACH & EVERY BILLS \ RECEIPTS.