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iil
Date
1st December
EMPLOYEE DETAILS
Name
Rahul Kumar
Contact Number
9958 173834
Desionation
Bank Account Number
Consultant
30950355379
Proiect No (WBS No
Travel Date
From
To
Taleiqoan
Paniim
Corlim
Corlim
SN
01.o2.2016
02.02.2016
3 03.02.2016
4 04.02.2016
Corlim
Taleiqoan
Paniim
5 0s.02_2016
Paniim
Corlim
Bambolim
6 07.02_2016
bambolim
Pani m
7 08_02.2016
Paniim
Corl m
Corlim
Corlim
09.02.2016
9 10.02.2016
10 11.02.2016
8
11
Employee Number
Department / Group
Bank Name
Claim Month
Mode of Travel
12.02_2016
13.02.2016
15.02.2016
16.02.2016
17.02.2016
18.02.2016
19.02.2016
18 20.02.2016
19 22.02.2016
20 23.02.2016
12
13
14
15
16
17
Taleiqoan
Paniim
Corlim
Taleigoan
Taleqaon
Taleiqoan
Paniim
Corlim
Paniim
Pan m
Corlim
Corlim
Corlim
bambolim
Pan m
Taleqaon
Paniim
Taleiqoan
Pan m
Corlim
Taleqaon
Taleqaon
Paniim
Paniim
21 24_02.2016
Paniim
22 25.02.2016
23 26.02.2016
Taleiqoan
Taleqaon
Corlim
bambolim
Corlim
Corlim
24 27.02.2016
25 29_02.2016
Paniim
Paniim
Taleigoan
99385
BD-Proiect -Goa
SBI
Feb-1 6
2- wheeler
Claim
Distance
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Support
Claim Rate
35
25
25
Amount
5
q
4-7E,
tz3
35
28
125
175
140
150
30
25
125
35
175
25
25
25
125
125
125
15
5
5
-7 tr,
35
tr
25
175
125
35
175
2B
140
74
25
125
15
7q
28
140
15
5
5
?4
75
175
140
tr
28
25
tz3
35
175
3360
Total
A\
RAP-DeP
tnbe- S/S
R*h'1|-
Approving Auttfority
Employee Signature
lYote: Approving
Gatedorv
Group A
Group B
Group C
NA
Rs B/- per Km
Rs B/- per Km