FORMAT NO.

5
EXPENSE STATEMENT FOR THE MONTH
NAME : NAVEEN CHATURVEDI DATE 3/2/2022
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-Jan-22 TUESDAY JABALPUR JABALPUR BIKE 275
2-Jan-22 WEDNESDAY JABALPUR KATNI 90*2*3.75 TRAIN 675 285
3-Jan-22 THURSDAY JABALPUR REWA 265 TRAIN 265 1000
4-Jan-22 FRIDAY REWA SHAHDOL 165 BUS 165 1000
5-Jan-22 SATURDAY REWA JABALPUR 165+265 TRAIN 430 1000
6-Jan-22 SUNDAY WEEK OFF WEEK OFF
7-Jan-22 MONDAY JABALPUR JABALPUR BIKE 275
8-Jan-22 TUESDAY JABALPUR JABALPUR BIKE 275
9-Jan-22 WEDNESDAY JABALPUR JABALPUR BIKE 275
10-Jan-22 THURSDAY JABALPUR JABALPUR BIKE 275
11-Jan-22 FRIDAY JABALPUR JABALPUR BIKE 275
12-Jan-22 SATURDAY WEEK OFF WEEK OFF
13-Jan-22 SUNDAY WEEK OFF WEEK OFF
14-Jan-22 MONDAY JABALPUR JABALPUR BIKE 275
15-Jan-22 TUESDAY JABALPUR JABALPUR BIKE 275
16-Jan-22 WEDNESDAY JABALPUR SATNA 190 TRAIN 190 1000
17-Jan-22 THURSDAY SATNA JABALPUR 190 TRAIN 190 1000
18-Jan-22 FRIDAY JABALPUR JABALPUR BIKE 275
19-Jan-22 SATURDAY JABALPUR KATNI 90*2*3.75 TRAIN 675 285
20-Jan-22 SUNDAY WEEK OFF WEEK OFF
21-Jan-22 MONDAY JABALPUR REWA 265 TRAIN 265 1000
22-Jan-22 TUESDAY REWA SHAHDOL 165 BUS 165 1000
23-Jan-22 WEDNESDAY REWA JABALPUR 165+265 TRAIN 430 1000
24-Jan-22 THURSDAY JABALPUR JABALPUR BIKE 275
25-Jan-22 FRIDAY JABALPUR SATNA 190 TRAIN 190 1000
26-Jan-22 SATURDAY SATNA JABALPUR 190 TRAIN 190 1000
27-Jan-22 SUNDAY WEEK OFF WEEK OFF
28-Jan-22 MONDAY JABALPUR JABALPUR BIKE 275

3830 13595
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 1765 NET
150 1315 COR
500 1930 MOB
700 700 PPE
275
275
275
275
275

275
275
1190
1190
275
960

1265
1165
1430
275
1190
1190

275

1850 19275
TOTAL
Sign: