Trip No.

00000000000010311897

Indian Oil Corporation Limited

Travel Expenses Claim
Employee Number 00512957 Employee Name Jyoti Sagar Medhi
Division Marketing Location Sarpara BP
Grade B Designation Assistant Manager(Plant)
Trip No. 00000000000010311897 Trip Type Outstation Tour
Trip Start Date 04.05.2022 Trip End Date 18.05.2022
DA for A Class 1,650.00 DA other than A Class 1,500.00

Local Conv. A Class 600.00 Local Conv. other than A 550.00

Basic Salary 70,000.00 Contact Number 918753945393
Email Id medhijs@indianoil.in
Journey Purpose Official tour at Silchar BP

Where Did you Stay during your tour?

Expense Summary
Claimed Approved Claimed Approved
Particulars of Claim Amount in Rs/- Amount in Rs/- Particulars of Claim Amount in Rs/- Amount in Rs/-
Paid Advance 0.00 0.00 Hotel Charges 0.00
Daily Allowance 0.00 Other Charges 0.00
Fixed & Own Conv. 0.00 GH/ Hotel Recovery 0.00
Other Conveyance 0.00 Fare Charges 0.00
Total Claimed Rs/- 0.00 Total Approved Amount in Rs/-
Remarks:
1. Details of Journey
Dep.Date/ Dep Place Arr Date / Arr. Place Dist Dist Dist. Mode Class Flight Ticket Ticket Ticket
Time Time from from No. Bkd No. Amount
Res. HQ.
2. Local Conveyance
Type From To Location Location Start Date Mode Kms. City Amount Descrp.
Location Class
3. Other Bills
Expense Type Amount Description
4. Daily Allowance
Date Stay Allowance Travel City Class Stay Type Paid GH Stay Recovery Total Daily
Allowance Charges Allowance
5. Hotel Bills
Check -In Date - Hotel Name Bill Date Dealer Hotel Charges GST Rate Total GST Discount Claimed
Check -Out Date & Address & Bill No. State ( excl. GST) Amount Amount Amount

Date Employee Signature

--------------- Last Approver Information--------------------- -------------------- For Finance Department----------------------

Approver Passed for Payment (Rs)
Designation Date
Status Remarks