H.P.T.R.

-7

TRAVELLING EXPENSES CLAIM FORM

1. Establishment : SWAN RIVER (IWM) PROJECT
2. Name & Designation :
3. Basic Pay :
Departure

ARRIVAL

Satation

Date &
Hour

Station

Date &
Hour

Grand Total

Month :
Head Quarter : Una, H.P.

Km/mode
Rate/Class Actual
Hotel
of
of Trevel fare paid Charges
Journey
(if any)
5

2012

DAILY ALLOWANCE
Rate
No. of
Admisisb
days
le
9

10

Amount

Total of
Line

11

12