Sl.

Male /
No. Name Female Roll No. Mobile District Block GP
1 Agar Malwa Nalkheda Pilwas
2 Agar Malwa Nalkheda Pilwas
3 Agar Malwa Nalkheda Pilwas
4 Agar Malwa Nalkheda Pilwas
5
6
7
8

Billed Admissible (For

Amount* Purpose office use) Unbilled Amount Purpose Admissible (For office use)
200 Water bottle 115 Breakfast on 28th at Ujjain hotel
230 Food (28th Nov)
850 Food (29th Nov)
968 Food (30th Nov)
700 Dinner
1080 Food (1st Dec)

Total (a) 4028 Total (b) 115

*For the billed amount all the bills need to be submitted to PGP office along with this excel

Amount to be credited by IIM I : Provide Only One Name from the group

Name M/F Roll No Mobile Number Bank of Baroda Bank A/C Number Total claim (a+b) Remarks (for office use)