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Travelling A
Name:
Designation:
Code No.
Departure Arrival
rival Daily A
Amount
Cost of Air Amount
Mode of Distance Rate
Tickets/ (Road
Journey by Road Per Km
Train/Bus Milage)
Charges No. of
Date Hours
Days
5 6 7 8 9 10 11 12
-
LTD.
Other Expenses
Expenditure Chargeable to
Daily Allowances Self
Job No.
Lodging/Hotel Bills Etc.
3206 100%
- -
TOTAL FARE CHARGES
(Cost of Air Ticket/Train/Bus/Taxi Exps.) - Signature of Claiment:
Road Mileage in Km
Sub-Total: -
Other Expenses:
i) Hotel Charges Rs. PM/GM GM / VP (Head)
P&M Division
ii) Self Lodging Rs. -
iii) Fare/Taxi Charging Rs. - Passed for Rs. :_________________ Pay / Adj. Rs. : __________________
GM / VP (Head)
P&M Division
Net Payable / Refundable:
-