KHADIM INDIA LTD

TRAVEL EXPENSES STATEMENT

NAME : HEAD QTR. :

GRADE : DESIGNATION : COST CODE:

Travel type : Head Qtr Ex Head Qtr Out Station

Places Visited :
Purpose of visit :

Departure : am/pm Arrival : am/pm

Date Time Date Time
OUTSTAT Paid by Paid by self
Component HQ EX-HQ
ION
TOTAL
Company & Claimed

Travel fare

Lodging Expenses

Fooding Expenses

Adhoc Allowance

Daily Allowance

Conveyance

Telephone Expenses

Staff Welfare

Other Expenses

TOTAL
Travel Advance from HO RS.
LESS: = TOTAL:
advance Advance from Branch RS.
Total payment (a) To be paid to self Being returned to company

In words:- Rupees

Employee's Signature Approved by (HOD) Authorized by A/C Department

Date : Date : Date : Date :

ADHOC ALLOWANCE DAILY ALLOWANCE

Date No of Date No of
Allowance Allowance
From To Days From To Days

TOTAL TOTAL
 TRV/EXP/CHR

TRAVEL FARE
From To Travel Paid by Self paid &
Ticket #
Date Place Date Place Mode/ Class Company Claimed

TOTAL
TOTAL
LODGING EXPENSES
Date No of Invoice Room Charges/ day Paid by Self paid &
Vendor
From To Days No. Tariff Taxes Company Claimed

TOTAL

FOODING EXPENSES
Paid by Self paid &
Sr. No. Date Invoice No. Vendor
Company Claimed

TOTAL

CONVEYANCE
Travel Paid by Self paid &
Date From To Invoice No.
Mode/ Class Company Claimed

TOTAL

TELEPHONE EXPENSES
Communication Invoice Paid by Self paid &
Date Purpose
Type No. Company Claimed

TOTAL

STAFF WELFARE EXPENSES

Invoice Paid by Self paid &
Date Purpose
No. Company Claimed

TOTAL
OTHER EXPENSES
Invoice Paid by Self paid &
Date Purpose
No. Company Claimed

TOTAL