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DISHA MICROFIN PVT.

LTD
Head Office:
404, 3rd Eye Complex, Opp, Honest Restaurant,
Panchwati, Ahmedabad - 380006.

Registered Office:
101, Mangaltirth Complex, 15, Sampatrao C
BPC Road, Alkapuri, Baroda - 390005.

TRAVEL EXPENSES CLAIM FORM


Employee Name:Krishna
Ramroop
Ballabh
SinghRathore
Sikarwar
Travel Start Date:30/07/2013
30-Sep-13
Time: _______________________________

Employee Code No.: NA


600 Location/Department
Indore
: _Ratlam/Operation
Travel FinishDate
Date:31/08/2013
31/10/13 Designation:
Management
Regional Manager.
Trainee
Time:

Detail of Programme:
Property
MPsearch,Field
& RAJ. Survey
Visit,Infrastrure,CM
& AM Meet_________________________________________________
Interview,
Details Of expense &
Local
Place of Visit
Mode of
Conveya
Sr. No. Date From
To Travel/Class Laundry
Fare
Exp.
/ Travel Exp
Hotel Exp.Food Exp. nce Exp.
1 30-Sep-13 Khandwa,
Auto/Train
50
1280 1800
2265
905
to
Indore,
Bus/bike
2
31/10/13 Ujjain

50

1280

1800

525

905

Any Other Exp.


Mobile Exp.
750

Total
Advance Taken
Claim by
By : Ramroop
Krishna
Singh
Ballabh
Sikarwar
Rathore Approved by Name :_______________________
Blance Payment
Signature : __________________________
Signature : _______________________A ccounts :______________________
Receivable

Total
7050
0
0
0
0
0
0
7050
0
7050

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