Travel Expense Reimbursement request form

Sales. Off: 5/613, Mukhathala, Kaniyanthode, Kollam, Kerala, India, PIN 691 577

NAME : ARUN KUMAR AG EXPENSES FOR THE WEEK FROM: 8/04/2019 TO 13/02/2019/
DESIGNATION :DSE

Date ODO Meter Starting ODO Meter End Total KM Total Exp: DA Total
Opening KM Time Closing KM Time Covered KM*2.5 Amount
8/4/19
Sl Customer Name/ New/Follow Up Customer Type of Feedback
No Address Customer Phone No Vehicle Enquiry
NJANA
1 PRAKASHAM/CHIRAYINKEEZHU NEW 8943739881 1055XP AFTER 15TH APRIL
2 SHERRIN NEW 9947766646 1080XP DECISION PENDING
3
4
5
6

Date ODO Meter Starting ODO Meter End Total KM Total Exp: DA Total
Opening KM Time Closing KM Time Covered KM*2.5 Amount

9/4/19 145 363 100 463

Sl Customer Name/ New/Follow Up Customer Type of Feedback
No Address Customer Phone No Vehicle Enquiry

1 KOLLAM ANNUAL DAY KOLLAM ANNUAL DAY MEETING

2
3
4
5
6

Date ODO Meter Starting ODO Meter End Total KM Total Exp: DA Total
Opening KM Time Closing KM Time Covered KM*2.5 Amount
10/4/19
Sl Customer Name New/Follow Up Customer Type of Feedback
No Customer Phone No Vehicle Enquiry
1
2
3
4
5
6
Date ODO Meter Staring ODO Meter End Total KM Total Exp: DA Total
Opening KM Time Closing KM Time Covered KM*2.5 Amount
11/4/19
Sl Customer Name/ New/Follow Up Customer Type of Feedback
No Address Customer Phone No Vehicle Enquiry

1
2
3
4
5

Date ODO Meter Starting ODO Meter End Total KM Total Exp: DA Total
Opening KM Time Closing KM Time Covered KM*2.5 Amount
12/4/19
Sl Customer Name/ New/Follow Up Customer Type of Feedback
No Address Customer Phone No Vehicle Enquiry
1
2
3
4
5
6

Date ODO Meter Starting ODO Meter End Total KM Total Exp: DA Total
Opening KM Time Closing KM Time Covered KM*2.5 Amount

13/4/19
Sl Customer Name New/Follow Up Customer Type of Feedback
No Customer Phone No Vehicle Enquiry

6
Total number of Customer Met

Number of New Customer

Number of Follow up Customer
Total Conversion
Total lost
Number of Retail

Signature of the Employee :

Verified By DSM : Name & Signature :………………………………………………………………..

Verified By GM : Name & Signature :……………………………………………………………….

Verified By Accounts : Name & Signature :………………………………………………………………..

Payable Amount :…………………..

Approved By

(Authorized Signatory)