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
12/1/2021 Kalupur Station 12/1/2021 Karmayogi bhavan Two Wheeler 25 225
12/2/2021 Kalupur Station 12/2/2021 GNLU Station Two Wheeler 20.9 188.1
12/3/2021 Kalupur Station 12/3/2021 GNLU Station Two Wheeler 20.9 188.1
12/4/2021 Kalupur Station 12/4/2021 GNLU Station Two Wheeler 20.9 188.1

Narmada Canal
Station(Sughad Bus
12/6/2021 Kalupur Station 12/6/2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
12/7/2021 Kalupur Station 12/7/2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
12/8/2021 Kalupur Station 12/8/2021 Stand) Two Wheeler 20.9 188.1
12/9/2021 Kalupur Station 12/9/2021 GNLU Station Two Wheeler 20.9 188.1
12/10/2021 Kalupur Station 12/10/2021 Karmayogi bhavan Two Wheeler 25 225
12/11/2021 Kalupur Station 12/11/2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
12/12/2021 Kalupur Station 12/12/2021 Stand) Two Wheeler 15.5 139.5
12/13/2021 Kalupur Station 12/13/2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
12/14/2021 Kalupur Station 12/14/2021 Stand) Two Wheeler 15.5 139.5
12/15/2021 Kalupur Station 12/15/2021 Karmayogi bhavan Two Wheeler 25 225
Narmada Canal
Station(Sughad Bus
12/16/2021 Kalupur Station 12/16/2021 Stand) Two Wheeler 15.5 139.5
12/17/2021 Kalupur Station 12/17/2021 GNLU Station Two Wheeler 20.9 188.1
12/18/2021 Kalupur Station 12/18/2021 GNLU Station Two Wheeler 20.9 188.1
 Narmada Canal
Station(Sughad Bus
12/20/2021 Kalupur Station 12/20/2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
12/21/2021 Kalupur Station 12/21/2021 Stand) Two Wheeler 15.5 139.5
12/22/2021 Kalupur Station 12/22/2021 GNLU Station Two Wheeler 20.9 188.1
12/23/2021 Kalupur Station 12/23/2021 Karmayogi bhavan Two Wheeler 25 225

12/24/2021 Kalupur Station 12/24/2021 Casting Yard,Kathwada Two Wheeler 14 126

Narmada Canal
Station(Sughad Bus
12/27/2021 Kalupur Station 12/27/2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
12/28/2021 Kalupur Station 12/28/2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
12/29/2021 Kalupur Station 12/29/2021 Stand) Two Wheeler 15.5 139.5
12/30/2021 Kalupur Station 12/30/2021 GNLU Station Two Wheeler 20.9 188.1
12/31/2021 Kalupur Station 12/31/2021 GNLU Station Two Wheeler 20.9 188.1
Total 519.8 4678.2
SIGNATURES AND APPROVAL
Employee
Immediate Supervisor
Department Head
Admin Department
Finance Department