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 and Casting yard

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
Narmada Canal
Station(Sughad Bus
01-06-2021 Kalupur Station 01-06-2021 Stand) Two Wheeler 30 135
02-06-2021 Kalupur Station 02-06-2021 GNLU Station Two Wheeler 42 189
Narmada Canal
Station(Sughad Bus
03-06-2021 Kalupur Station 03-06-2021 Stand) Two Wheeler 30 135
04-06-2021 Kalupur Station 04-06-2021 GNLU Station Two Wheeler 42 189
05-06-2021 Kalupur Station 05-06-2021 GNLU Station Two Wheeler 42 189
07-06-2021 Kalupur Station 07-06-2021 Casting yard Two Wheeler 44 198
08-06-2021 Kalupur Station 08-06-2021 Casting yard Two Wheeler 44 198
Narmada Canal
Station(Sughad Bus
09-06-2021 Kalupur Station 09-06-2021 Stand) Two Wheeler 30 135
10-06-2021 Kalupur Station 10-06-2021 GNLU Station Two Wheeler 42 189
11-06-2021 Kalupur Station 11-06-2021 GNLU Station Two Wheeler 42 189
12-06-2021 Kalupur Station 12-06-2021 Casting yard Two Wheeler 44 198
14-06-2021 Kalupur Station 14-06-2021 Casting yard Two Wheeler 44 198
Narmada Canal
Station(Sughad Bus
15-06-2021 Kalupur Station 15-06-2021 Stand) Two Wheeler 30 135
Narmada Canal
Station(Sughad Bus
16-06-2021 Kalupur Station 16-06-2021 Stand) Two Wheeler 30 135
17-06-2021 Kalupur Station 17-06-2021 GNLU Station Two Wheeler 42 189
18-06-2021 Kalupur Station 18-06-2021 Casting yard Two Wheeler 44 198
19-06-2021 Kalupur Station 19-06-2021 Casting yard Two Wheeler 44 198
 Narmada Canal
Station(Sughad Bus
21-06-2021 Kalupur Station 21-06-2021 Stand) Two Wheeler 30 135
22-06-2021 Kalupur Station 22-06-2021 GNLU Station Two Wheeler 42 189
23-06-2021 Kalupur Station 23-06-2021 Casting yard Two Wheeler 44 198
Narmada Canal
Station(Sughad Bus
24-06-2021 Kalupur Station 24-06-2021 Stand) Two Wheeler 30 135
Narmada Canal
Station(Sughad Bus
25-06-2021 Kalupur Station 25-06-2021 Stand) Two Wheeler 30 135
26-06-2021 Kalupur Station 26-06-2021 GNLU Station Two Wheeler 42 189
28-06-2021 Kalupur Station 28-06-2021 Casting yard Two Wheeler 44 198
29-06-2021 Kalupur Station 29-06-2021 Casting yard Two Wheeler 44 198
30-06-2021 Kalupur Station 30-06-2021 Casting yard Two Wheeler 44 198
Total 1016 4572

SIGNATURES AND APPROVAL

Employee
Immediate Supervisor
Department Head
Admin Department
Finance Department