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
02-08-2021 Kalupur Station 02-08-2021 Karmayogi bhavan Two Wheeler 25 225
03-08-2021 Kalupur Station 03-08-2021 GNLU Station Two Wheeler 20.9 188.1
04-08-2021 Kalupur Station 04-08-2021 GNLU Station Two Wheeler 20.9 188.1
05-08-2021 Kalupur Station 05-08-2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
06-08-2021 Kalupur Station 06-08-2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
07-08-2021 Kalupur Station 05-08-2021 Stand) Two Wheeler 15.5 139.5
09-08-2021 Kalupur Station 09-08-2021 GNLU Station Two Wheeler 20.9 188.1
10-08-2021 Kalupur Station 10-08-2021 GNLU Station Two Wheeler 20.9 188.1
11-08-2021 Kalupur Station 11-08-2021 Karmayogi bhavan Two Wheeler 25 225
12-08-2021 Kalupur Station 12-08-2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
13-08-2021 Kalupur Station 13-08-2021 Stand) Two Wheeler 15.5 139.5
14-08-2021 Kalupur Station 14-08-2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
16-08-2021 Kalupur Station 16-08-2021 Stand) Two Wheeler 15.5 139.5
17-08-2021 Kalupur Station 17-08-2021 Karmayogi bhavan Two Wheeler 25 225
Narmada Canal
Station(Sughad Bus
18-08-2021 Kalupur Station 18-08-2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
19-08-2021 Kalupur Station 19-08-2021 Stand) Two Wheeler 15.5 139.5
21-08-2021 Kalupur Station 21-08-2021 GNLU Station Two Wheeler 20.9 188.1
 Narmada Canal
Station(Sughad Bus
22-08-2021 Kalupur Station 22-08-2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
23-08-2021 Kalupur Station 23-08-2021 Stand) Two Wheeler 15.5 139.5
24-08-2021 Kalupur Station 24-08-2021 GNLU Station Two Wheeler 20.9 188.1
25-08-2021 Kalupur Station 25-08-2021 Karmayogi bhavan Two Wheeler 25 225
26-08-2021 Kalupur Station 26-08-2021 GNLU Station Two Wheeler 20.9 188.1

27-08-2021 Kalupur Station 27-08-2021 Casting Yard,Kathwada Two Wheeler 14 126

31-08-2021 Kalupur Station 31-08-2021 Casting Yard,Kathwada Two Wheeler 25 225
Total 472 4248
SIGNATURES AND APPROVAL
Employee
Immediate Supervisor
Department Head
Admin Department
Finance Department