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
01-10-2021 Kalupur Station 01-10-2021 Karmayogi bhavan Two Wheeler 25 225
Narmada Canal
Station(Sughad Bus
04-10-2021 Kalupur Station 04-10-2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
05-10-2021 Kalupur Station 05-10-2021 Stand) Two Wheeler 15.5 139.5
06-10-2021 Kalupur Station 06-10-2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
07-10-2021 Kalupur Station 07-10-2021 Stand) Two Wheeler 20.9 188.1
08-10-2021 Kalupur Station 08-10-2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
11-10-2021 Kalupur Station 11-10-2021 Stand) Two Wheeler 15.5 139.5
12-10-2021 Kalupur Station 12-10-2021 GNLU Station Two Wheeler 20.9 188.1
Narmada Canal
Station(Sughad Bus
13-10-2021 Kalupur Station 13-10-2021 Stand) Two Wheeler 15.5 139.5
14-10-2021 Kalupur Station 14-10-2021 Karmayogi bhavan Two Wheeler 25 225
Narmada Canal
Station(Sughad Bus
16-10-2021 Kalupur Station 16-10-2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
18-10-2021 Kalupur Station 18-10-2021 Stand) Two Wheeler 15.5 139.5
Narmada Canal
Station(Sughad Bus
19-10-2021 Kalupur Station 19-10-2021 Stand) Two Wheeler 15.5 139.5
20-10-2021 Kalupur Station 20-10-2021 GNLU Station Two Wheeler 20.9 188.1
 21-10-2021 Kalupur Station 21-10-2021 Karmayogi bhavan Two Wheeler 25 225

22-10-2021 Kalupur Station 22-10-2021 Casting Yard,Kathwada Two Wheeler 14 126

25-10-2021 Kalupur Station 25-10-2021 GNLU Station Two Wheeler 20.9 188.1

26-10-2021 Kalupur Station 26-10-2021 Casting Yard,Kathwada Two Wheeler 14 126

27-10-2021 Kalupur Station 27-10-2021 GNLU Station Two Wheeler 20.9 188.1

28-10-2021 Kalupur Station 28-10-2021 Casting Yard,Kathwada Two Wheeler 14 126

29-10-2021 Kalupur Station 29-10-2021 GNLU Station Two Wheeler 20.9 188.1
30-10-2021 Kalupur Station 30-10-2021 GNLU Station Two Wheeler 20.9 188.1
Total 413.6 3722.4
SIGNATURES AND APPROVAL
Employee
Immediate Supervisor
Department Head
Admin Department
Finance Department