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LOG SHEET

(Local Conveyance & Food Claims)

Name………………………………………………………………………………………… UPI Code………………………… CIRCLE………………………………………………………… POSTING LOCATION…………………………………………… Claim Month…………………………………………..


Start End Total Personal Vehicles - Kilometers (1-Way only) Public Transport - At Actuals COMPANY VEHICLE
CAR
(Mumbai/Delhi/ CAR
No. Date Location From Location To Time Time Hours Purpose / Activity Description BIKE Bangalore/Kolkata) (Rest of the Cities) AUTO BUS TRAIN Food Bills (No Reimbursement)

Total No. of Kilometers Travelled Total Amount (Bus / Train Tickets mandatory) TOTAL

Total Amount of Reimbursements Claimed


AMOUNT CLAIMED BY EMPLOYEE @Rs.2 / KM @Rs.5 / KM @Rs.4 / KM

Local Conveyance (Bike, Car, Bus, Train, Rickshaw)…………………..Food Claims……………….Total Claim Amount……………………..

Employee Signature………………………………… …………………………………….. Reporting Manager Approval…………………………………………………………………………………. Circle Lead Approval …………………………………………………………………………. AGENCY Approval ………………………………………………………………………

Date: Date: Date: Date:

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