FORMAT NO.

5
EXPENSE STATEMENT FOR THE MONTH
NAME : NAVEEN CHATURVEDI DATE 3/5/2022
DESIGNATION : ASE MONTH FEBRUARY
DIVISION : FEMINORA HEAD QUARTER JABALPUR
Daily Transit
TOWNS Distance Mode of
Date Day Allowance Allowance
in Kms Travel Fare
From To Rs. Rs. Rs.
1-Apr-22 FRI JABALPUR JABALPUR BIKE 275
2-Apr-22 SAT JABALPUR KATNI 90*2*3.75 TRAIN 675 285
3-Apr-22 SUN
4-Apr-22 MON JABALPUR REWA 265+165 TRAIN 430 1000
5-Apr-22 TUE REWA SHAHDOL 165 BUS 165 1000
6-Apr-22 WED REWA JABALPUR 265 TRAIN 265 1000
7-Apr-22 THU JABALPUR JABALPUR BIKE 275
8-Apr-22 FRI JABALPUR JABALPUR BIKE 275
9-Apr-22 SAT WEEK OFF WEEK OFF
10-Apr-22 SUN JABALPUR MEETING OS TRAIN 2606
11-Apr-22 MON MEETING OS MEETING OS TRAIN 1000 275
12-Apr-22 TUE MEETING OS MEETING OS 275
13-Apr-22 WED MEETING OS MEETING OS 275
14-Apr-22 THU MEETING OS JABALPUR TRAIN 2027 275
15-Apr-22 FRI MEETING OS MEETING OS TRAIN 1000
16-Apr-22 SAT MEETING OS JABALPUR TRAIN 275
17-Apr-22 SUN WEEK OFF WEEK OFF
18-Apr-22 MON JABALPUR JABALPUR BIKE 275
19-Apr-22 TUE JABALPUR SATNA 190 TRAIN 190 1000
20-Apr-22 WED SATNA JABALPUR 190 TRAIN 190 1000
21-Apr-22 THU JABALPUR JABALPUR BIKE 275
22-Apr-22 FRI JABALPUR JABALPUR BIKE 275
23-Apr-22 SAT JABALPUR KATNI 90*2*3.75 TRAIN 675 285
24-Apr-22 SUN WEEK OFF WEEK OFF
25-Apr-22 MON JABALPUR JABALPUR BIKE 275
26-Apr-22 TUE JABALPUR JABALPUR BIKE 275
27-Apr-22 WED JABALPUR JABALPUR BIKE 275
28-Apr-22 THU JABALPUR JABALPUR BIKE 275
29-Apr-22 FRI JABALPUR REWA 265 TRAIN 265 1000
30-Apr-22 SAT REWA JABALPUR 265 TRAIN 265 1000

7753 13145 550

TOTAL
Manager's Sign: Date:
Days Spent H.Q Ex. H.Q. O.S. Transit
For Office use only:
Checked by:
Passed by:
 Misc. Exp. Total

Rs. Rs.
275
960
500 500 NET
150 1580 COR
500 1665 MOB
700 1965 PPE
275
275

2606
1275
275
275
2302
1000
275

275
1190
1190
275
275
960

275
275
275
275
1265
1265

1850 23298
TOTAL
Sign: