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KHADIM INDIA LTD

LOCAL CONVEYANCE EXPENSES STATEMENT


NAME : LOCATION : :

GRADE : DESIGNATION :

Route Distance (In


Date Purpose Mode/ Class Amount
(From - To) Km)

TOTAL :

Amount in words.

Employee's Signature Approved by (HOD) Authorized by (A/c Head) Cashier


Date : Date : Date : Date :

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