Name of Salesman :Period of Claim :- From Day Date Departure Place Time 1-Apr-11 Arrival Place

WIPRO LTD. TRVELLING EXPENSE STATEMENT SACHIN BINOKHE

To Time 23-Apr-11 Place Visited During the Day Night Halt P.C. No.: Mode of Travel

Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Sunday

Plese give break up /details for o

EMENT

Travel Fare

0.00 1 Bhatta 0.00 0.00 0.00 0.00 0.00

0.00

0.00

0.00

0.00

0.00 0.00 Plese give break up /details for other expenses Other Expense 0.00 0.00 0.00 0.00 0.00 Total Days Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Rs-> 6229.00 21 Days Sales Supervisor 11480 Rs-> Rs-> Rs-> Indore R E C E I P T 18704.00 (RupeesEighteen Thousand even Hundred & Four Rs. Only Towards my R.D. 21-Feb-11 Date:2-Apr-11 To 31-Mar-11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Head Quarter

Toatal Travel Expenses

Subsidy for the month of :-

Incentive for the month of:-

Total R.D.Expenses:-

Target:

Actual:

Percentage of Achivement:

Amount

From M/S

Exp. / Subsidy. / Incentive for the period

0.00

0.00

WIPRO CONSUMER CARE LTD.

RD Claim Summary Sheet Formet Name Of the SO - SM Head Quarter PJP Available ( Yes / Not ) No. of Days Available for the PC No. of Days Worked for the PC Leave if any ( Allowed / Not Allowed ) No. of Days Worked in HQ. No. of Days Worked in Ex. - HQ. No. of Days Worked in Outstation Indore No For the Pc - 12

Total Bhatta for the PC Basic Salary Bhatta Converance Travel Telephone Others ( Specify ) Incentives ( Target / Achiavement Certification ) Total RD Expenses for the PC Note : 100% DSR Should be Prepared For All Working Days including Leave days.

( Signature with name of SM - SO ) Date :

( Signature with name of authorised by ) Date :