REIMBURSEMENT COVERING SHEET

Name

Employee Code

100212405

Department

HHP

Location

Mumbai

Date

21-01-2015

Sr. No.

Vipin Manglani

Particulars

Expenses for Local Conveyance

Expenses for Tour

Expenses for Mobile

Other Expenses

From

To

Total

21-Dec-14

20-Jan-15

8,650

21-Dec-14

20-Jan-15

1,500

Total

10,150

Associate Signature :
(I hereby certify that the above claims are true and in case it is found to be false, the management can take appropriate action against me )

Checked & Approved by

HR Section

Reporting Supervisor

HOD/BM/RM/RSM/ZSM

Name

Name

Rishi.k

Signature

Signature

Local Conveyance Log sheet

Name

Vipin Manglani

Employee Code

100212405

Department

HHP

Location

Mumbai

Date

21-01-2015

Claims for the month(s) of

21 December 2014 TO 20 January 2015

Destination/Place

Date

22-Dec-14
Monday

From

To

Purpose

Time

Kms

@ Rs.5.0 /km

Total

avin enterprise (Thane)

parab's

market visit

12:20 to 12:50

10

5.00

50.00

parab's

bhavesh telecom

market visit

1:15 to 1:40

14

5.00

70.00

bhavesh telecom

mobility

market visit

2:20 to 2:35

5.00

30.00

mobility

aarti electronics

market visit

2:45 to 3:00

5.00

35.00

aarti electronics

chetali

market visit

3:10 to 3:25

5.00

40.00

chetali

shiv shakti telecom

market visit

4:00 to 4:15

5.00

20.00

shiv shakti telecom

plus telecom

market visit

4:30 to 4:45

5.00

45.00

plus telecom

shree balaji mobile

market visit

4:55 to 5:10

5.00

35.00

shree balaji mobile

samrat mobile

market visit

5:30 to 5:50

5.00

20.00

samrat mobile

ishwar telecom

market visit

6:10 to 6:30

5.00

15.00

72

5.00

360.00

5.00
23-Dec-14
Tuesday

avin enterprise (Thane)

satguru telecom

market visit

1:20 to 1:35

10

5.00

50.00

satguru telecom

manas telecom

market visit

1:45 to 2:05

5.00

25.00

manas telecom

r.p communication

market visit

2:20 to 2:35

5.00

35.00

r.p communication

aradhna mobile

market visit

2:45 to 3:00

5.00

40.00

aradhna mobile

perfect mobile

market visit

3:10 to 3:25

5.00

25.00

perfect mobile

welcome mobile

market visit

4:00 to 4:15

5.00

35.00

welcome mobile

dp's ultra

market visit

4:30 to 4:45

5.00

25.00

dp's ultra

vinod gift

market visit

4:55 to 5:10

5.00

25.00

vinod gift

vishwas watch

market visit

5:30 to 5:50

5.00

35.00

vishwas watch

sri sai ent

market visit

6:10 to 6:30

5.00

40.00

67

5.00

335.00

5.00
24-Dec-14

avin enterprise (Thane)

nilesh teleocm

market visit

1:20 to 1:35

5.00

25.00

national ele

market visit

1:45 to 2:05

5.00

35.00

national ele

saideep collection

market visit

2:20 to 2:35

5.00

30.00

saideep collection

ambika ele

market visit

2:45 to 3:00

5.00

20.00

ambika ele

nath krupa mobile

market visit

3:10 to 3:25

5.00

40.00

nath krupa mobile

bhavani electronics

market visit

4:00 to 4:15

5.00

20.00

bhavani electronics

manta mobile

market visit

4:30 to 4:45

5.00

40.00

mamta mobile

shree kishna mobile

market visit

4:55 to 5:10

5.00

30.00

shree krishna mobile

deekay intrenational

market visit

5:30 to 5:50

5.00

45.00

deekay international

mukesh novelty

market visit

6:10 to 6:30

5.00

15.00

60

5.00

300.00

Wednesday nilesh telecom

Total

995.00

Associate Signature :
(I hereby certify that the above claims are true and in case it is found to be false, the management can take appropriate action against me )

Checked & Approved by

HR Section

Reporting Supervisor

HOD/BM/RM/RSM/ZSM

Name

Name

Signature

Signature

Rishi.k

Local Conveyance Log sheet

Destination/Place

Date

26-Dec-14
Friday

From

To

Purpose

Time

Kms

@ Rs.5.0 /km

Total

avin enterprise (Thane)

alshidra mobile

market visit

1:20 to 1:35

5.00

45.00

alshidra mobile

swastik telecom

market visit

1:45 to 2:05

5.00

20.00

swastik telecom

babu mobile

market visit

2:20 to 2:35

5.00

40.00

babu mobile

h.m mobile

market visit

2:45 to 3:00

5.00

35.00

h.m mobile

display mobile

market visit

3:10 to 3:25

5.00

30.00

display mobile

maha mobile

market visit

4:00 to 4:15

5.00

35.00

maha mobile

pevekar telecom

market visit

4:30 to 4:45

5.00

40.00

pevekar telecom

sahara telecom

market visit

4:55 to 5:10

5.00

45.00

sahara telecom

mukesh mobile

market visit

5:30 to 5:50

5.00

20.00

mukesh mobile

vishwa bharat

market visit

6:10 to 6:30

5.00

30.00

vishwa bharat

moon talk point

market visit

6:50to 7:10

5.00

45.00

77

5.00

385.00

27-Dec-14

avin enterprise (Thane)

shah shaklin telecom

market visit

12:15 to 12:35

10

5.00

50.00

Saturday

shah shaklin telecom

ring phones

market visit

12:50 to 1:10

5.00

15.00

ring phones

jiva telecom

market visit

1:20 to 1:35

5.00

15.00

jiva telecom

krishna electronics

market visit

1:45 to 2:05

5.00

25.00

krishna electronics

r.k com center

market visit

2:20 to 2:35

5.00

20.00

r.k com center

nilima trading

market visit

2:45 to 3:00

5.00

40.00

nilima trading

cell city

market visit

3:10 to 3:25

5.00

45.00

cell city

shree sai enterprises

market visit

4:00 to 4:15

5.00

30.00

shree sai enterprises

jalaram watch

market visit

4:30 to 4:45

5.00

25.00

jalaram watch

look

market visit

4:55 to 5:10

5.00

25.00

look

mamta mobile

market visit

5:30 to 5:50

5.00

25.00

mamta mobile

bhawani electronics

market visit

6:10 to 6:30

5.00

15.00

bhawani electronics

national ele

market visit

6:40 to 7:00

5.00

25.00

national ele

saideep ele

market visit

7:20 to 7:40

5.00

35.00

saideep ele

ambika ele

market visit

7:50 to 8:05

5.00

20.00

82

5.00

410.00

5.00

5.00

5.00

5.00

5.00

5.00

5.00

Total

795.00

Associate Signature :
(I hereby certify that the above claims are true and in case it is found to be false, the management can take appropriate action against me )

Checked & Approved by

HR Section

Reporting Supervisor

HOD/BM/RM/RSM/ZSM

Name

Name

Signature

Signature

Rishi.k

TRAVEL PLAN FORM

Name

Employee Code

Department

Location

Date

Claims for the month(s) of

Destination/Place
Date

From

To

(Arr.

(Dep. Time)

Mode of Travel

COST(Rs)

Remark

Time)

Total

0.00

HOTEL RESERVATION DETAILS

Location / Place

DATE IN
[Date & Time]

DATE OUT
[Date & Time]

No. of Days

HOTEL NAME

COST(Rs)

Total

DAILY ALLOWANCES : 75 X

Days

Total Cost of the Trip

ANY REMARKS

Associate Signature :
(I hereby certify that the above claims are true and in case it is found to be false, the management can take appropriate action against me )

Checked & Approved by

HR Section

Reporting Supervisor

HOD/BM/RM/RSM/ZSM

Name

Name

Signature

Signature

MOBILE REIMBURSEMENT FORM

Name

Vipin Manglani

Employee Code

100212405

Department

HHP

Location

Mumbai

Date

21-01-2015

Reporting to

Mihir Mogre

Mobile No.

BILL DATE

BILL PERIOD (Date)

9820007186

18-12-2014

17-01-2015

AMOUNT

1500.00

Total

1500.00

Associate Signature :
(I hereby certify that the above claims are true and in case it is found to be false, the management can take appropriate action against me )

Checked & Approved by

HR Section

Reporting Supervisor

HOD/BM/RM/RSM/ZSM

Name

Name

Signature

Signature

Rishi.k

OTHER EXPENCE REIMBURSEMENT FORM

Name

Employee Code

Department

Location

Date

Reporting to

Sr. No.

Particulars

Bill Dated

AMOUNT

Total

0.00

Associate Signature :
(I hereby certify that the above claims are true and in case it is found to be false, the management can take appropriate action against me )

Checked & Approved by

HR Section

Reporting Supervisor

HOD/BM/RM/RSM/ZSM

Name

Name

Signature

Signature