Local conveyance claim format-with in same city

A)Travel details(Own car 8.00 Rs./K.M,Scooter/ Bike-4.00 Rs/K.M)

Employee Name  : Hirday kumar Joshi Designation : Manager

Branch Name  : Delhi Period : From                         01-12-2020 to 31-12-2020

Employee Code  (ECN)  : ZL73 Date of claim submission'             : 05/01/2021

Date Location From Location To Customer name Purpose of travel Mode of Travel Distance Rate Rs/k.M. Amount
07/12/2020 gandhi chowk, mohan garden uttam nagar sector 37 gurgaon sanjay tiwari PD Metro and Auto 40 8 320.0
09/12/2020 gandhi chowk, mohan garden uttam nagar Sector 23 a, Palam Vihar, gurgaon RAJESH KUMAR PD Metro and Auto 42 8 336.0
10/12/2020 gandhi chowk, mohan garden uttam nagar Jai Vihar Najafgarh Vishal PD Metro and Auto 8 8 64.0
11/12/2020 gandhi chowk, mohan garden uttam nagar Village Karala DEEPAK SINGH PD Metro and Auto 17 8 136.0
11/12/2020 Village Karala Azadpur mandi SHIV KUMAR PD Metro and Auto 40 8 320.0
14/12/2020 gandhi chowk, mohan garden uttam nagar PHASE II, MAYAPURI AJAY NATH JAIN PD Metro and Auto 12 8 96.0
14/12/2020 PHASE II, MAYAPURI Om Vihar Ph - 5, Uttam Nagar RAVINDRA KUMAR AGARWAL PD Metro and Auto 14 8 112.0
15/12/2020 gandhi chowk, mohan garden uttam nagar KIRARI SULEMAN NAGAR NANHEY LAL YADAV PD Metro and Auto 25 8 200.0
16/12/2020 gandhi chowk, mohan garden uttam nagar SAINI MARKET VIKASH NAGAR UTTAM NAGAR NANDU SINGH PD Metro and Auto 4 8 32.0
16/12/2020 SAINI MARKET VIKASH NAGAR UTTAM NAGAR dev Nagar,karol Bagh SHUBHAM MANCHANDA PD Metro and Auto 40 8 320.0
17/12/2020 gandhi chowk, mohan garden uttam nagar SHADIPUR DEPOT YASHPAL ARORA PD Metro and Auto 17 8 136.0
17/12/2020 SHADIPUR DEPOT Samaipur Village SANJIV KUMAR PD Metro and Auto 38 8 304.0
18/12/2020 gandhi chowk, mohan garden uttam nagar Pushpanjali enclave, pitampura, DINESH KUNDNANI PD Metro and Auto 14 8 112.0
18/12/2020 Pushpanjali enclave, pitampura, Bhim Garh Kheri, Near Railway Station, GURGAON BHARAT SHARMA PD Metro and Auto 57 8 456.0
19/12/2020 gandhi chowk, mohan garden uttam nagar Laxmi Vihar, Laxmi Vihar Colony, najfgarh MANOJ KUMAR PD Metro and Auto 11 8 88.0
22/12/2020 gandhi chowk, mohan garden uttam nagar bharat Vihar Sector 15 dwarikaDelhi RV SHEKHAR PD Metro and Auto 6 8 48.0
22/12/2020 wazirpur industrial area Sadar NARENDER DWIVEDI PD Metro and Auto 50 8 400.0
23/12/2020 gandhi chowk, mohan garden uttam nagar Telmill Gali Phar Ganj NAND KISHOR ARORA PD Metro and Auto 30 8 240.0
23/12/2020 Telmill Gali Phar Ganj reghar pura karol bagh YASHWANTI PD Metro and Auto 25 8 200.0
26/12/2020 gandhi chowk, mohan garden uttam nagar Begampur RAJA SONI PD Metro and Auto 16 8 128.0
26/12/2020 Begampur Azadpur mandi HARINDER PRASAD PD Metro and Auto 17 8 136.0
26/12/2020 Azadpur mandi Sanjay Gandhi Transport Nagar RAJKUMAR PD Metro and Auto 5 8 40.0
26/12/2020 Sanjay Gandhi Transport Nagar ranhola nangloi MANOJ KUMARI
MUNNI KUMAR GUPTA PD Metro and Auto 24 8 192.0
27/12/2020 gandhi chowk, mohan garden uttam nagar RANI GARDEN,SHASTRI NAGAR PD Metro and Auto 31 8 248.0
27/12/2020 RANI GARDEN,SHASTRI NAGAR Aya Nagar Phase-6 SUSHMITA CHODHARY PD Metro and Auto 67 8 536.0
28/12/2020 gandhi chowk, mohan garden uttam nagar narela industrial area VINEET JAIN PD Metro and Auto 62 8 496.0
29/12/2020 gandhi chowk, mohan garden uttam nagar nangloi sleeper market BOBY PD Metro and Auto 10 8 80.0
29/12/2020 nangloi sleeper market Village Karala Hemant PD Metro and Auto 27 8 216.0
30/12/2020 gandhi chowk, mohan garden uttam nagar rajni enclave nangli dairy stand PARITOSH KUMAR SINGH PD Metro and Auto 6 8 48.0

TOTAL 6040.0
SIGNATURE OF EMPLOYEE: Hirday kumar Joshi Approving Authority's Name & Signature  : Gaurav sharma

For the use of Accounts department

Total Amount Claimed     :

Total Amount Approved :

Reason For Rejection       :

Date of Claim/Rejection :

Checked by : Authorised by: