Gujarat Metro rail Corporation (GMRC) Limited

(A SPV of GoI & GoG)

Local Conveyance Reimbursement Form

Employee Name: Hardik Patel Date: 14-02-2022
Location & Department: Karmayogi Bhavan,UG Construction Designation: Senior Engineer/UG Construction

TRAVEL OBJECTIVE
Purpose of visit: Site Visit
Place(s) of visit: Narmada Canal Station, GNLU Station, Casting yard Kathwada
Date of Travel:

DETAILS OF JOURNEY(S) PERFORMED

In case of
Departure Arrival Mode of Travel travel by own
vehicle Amount
Two/four Distance
Date & time From Date & Time To wheeler or
Public Transport (in Kms) Receivable
01-01-2022 Kalupur Station 01-01-2022 Karmayogi bhavan Two Wheeler 25 225
03-01-2022 Kalupur Station 03-01-2022 GNLU Station Two Wheeler 20.9 188.1
04-01-2022 Kalupur Station 04-01-2022 GNLU Station Two Wheeler 20.9 188.1
05-01-2022 Kalupur Station 05-01-2022 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
06-01-2022 Kalupur Station 06-01-2022 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
07-01-2022 Kalupur Station 07-01-2022 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
08-01-2022 Kalupur Station 08-01-2022 Stand) Two Wheeler 20.9 188.1
10-01-2022 Kalupur Station 10-01-2022 GNLU Station Two Wheeler 20.9 188.1
11-01-2022 Kalupur Station 11-01-2022 Karmayogi bhavan Two Wheeler 25 225
12-01-2022 Kalupur Station 12-01-2022 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
13-01-2022 Kalupur Station 13-01-2022 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
17-01-2022 Kalupur Station 17-01-2022 Stand) Two Wheeler 15.5 139.5
18-01-2022 Kalupur Station 18-01-2022 Karmayogi bhavan Two Wheeler 25 225
Narmada Canal
Station(Sughad Bus
19-01-2022 Kalupur Station 19-01-2022 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
20-01-2022 Kalupur Station 20-01-2022 Stand) Two Wheeler 15.5 139.5
 Narmada Canal
Station(Sughad Bus
21-01-2022 Kalupur Station 21-01-2022 Stand) Two Wheeler 15.5 139.5
22-01-2022 Kalupur Station 22-01-2022 GNLU Station Two Wheeler 20.9 188.1
24-01-2022 Kalupur Station 24-01-2022 GNLU Station Two Wheeler 20.9 188.1
25-01-2022 Kalupur Station 25-01-2022 Karmayogi bhavan Two Wheeler 25 225

27-01-2022 Kalupur Station 27-01-2022 Casting Yard,Kathwada Two Wheeler 14 126

Narmada Canal
Station(Sughad Bus
28-01-2022 Kalupur Station 28-01-2022 Stand) Two Wheeler 15.5 139.5
29-01-2022 Kalupur Station 29-01-2022 GNLU Station Two Wheeler 20.9 188.1
31-01-2022 Kalupur Station 31-01-2022 GNLU Station Two Wheeler 20.9 188.1
Total 447 4023
SIGNATURES AND APPROVAL
Employee
Immediate Supervisor
Department Head
Admin Department
Finance Department