You are on page 1of 2

Adecco ISR

Head
Emp Code: G83788 Reporting Manager: K Karunakar Kurnool
Quarter :
Emp Name: N.SANKAR Reporting Manager No.: 900404 Month : OCT
Designation: ISR Reporting Manager Desg.: TSI

Places of Travel Hotel


Allowance
Work Type Stay/Out
Amount
Date (HQ/OS/E KM's Fare Amount Station Food Mobile Internet Others Total Amount Remark
( As per HQ/OS/
x-Station) Allowanc
From To Mode of Travel Ex station)
es

1/Oct/21 HQ KURNOOL KURNOOL 50 50.00


2/Oct/21 EX-STATION KURNOOL KOYALAKUNTLA OWN VEHICLE 240 600 50 650.00
3/Oct/21 SUNDAY SUNDAY -
4/Oct/21 EX-STATION KURNOOL VELDURTHY OWN VEHICLE 84 210 50 260.00
5/Oct/21 EX-STATION KURNOOL ALLAGADDA OWN VEHICLE 240 600 50 80 730.00 COURIER
6/Oct/21 EX-STATION KURNOOL NANDYALA OWN VEHICLE 160 400 50 450.00
7/Oct/21 EX-STATION KURNOOL VELUGODU OWN VEHICLE 210 525 50 575.00
8/Oct/21 EX-STATION KURNOOL SUNNIPENTA OWN VEHICLE 390 975 50 1,025.00
9/Oct/21 HQ KURNOOL KURNOOL 50 50.00
10/Oct/21 SUNDAY SUNDAY -
11/Oct/21 EX-STATION KURNOOL NANDIKOTKUR OWN VEHICLE 84 210 50 260.00
12/Oct/21 EX-STATION KURNOOL NANDYALA OWN VEHICLE 160 400 50 450.00
13/Oct/21 EX-STATION KURNOOL BETHAMCHARLA OWN VEHICLE 140 350 50 400.00
14/Oct/21 EX-STATION KURNOOL ATMAKUR OWN VEHICLE 160 400 50 450.00
15/Oct/21 HOLIDAY HOLIDAY -
16/Oct/21 EX-STATION KURNOOL GUNTAKAL OWN VEHICLE 260 650 50 700.00
17/Oct/21 SUNDAY SUNDAY -
18/Oct/21 HQ KURNOOL KURNOOL 50 50.00
19/Oct/21 EX-STATION KURNOOL CHAGALAMARRI OWN VEHICLE 320 800 50 850.00
20/Oct/21 EX-STATION KURNOOL ALLAGADDA OWN VEHICLE 240 600 50 650.00
21/Oct/21 LEAVE LEAVE -
22/Oct/21 EX-STATION KURNOOL GOOTY OWN VEHICLE 210 525 50 575.00
23/Oct/21 EX-STATION KURNOOL KOYALAKUNTLA OWN VEHICLE 240 600 50 650.00
24/Oct/21 SUNDAY SUNDAY
25/Oct/21 HQ KURNOOL KURNOOL 50 50.00
26/Oct/21 EX-STATION KURNOOL GUDUR OWN VEHICLE 84 210 50 260.00
27/Oct/21 EX-STATION KURNOOL NANDYALA OWN VEHICLE 160 400 50 450.00
28/Oct/21 EX-STATION KURNOOL NANDIKOTKUR OWN VEHICLE 84 210 50 260.00
29/Oct/21 HQ KURNOOL KURNOOL 50 50.00
30/Oct/21 HQ KURNOOL KURNOOL 50 50.00
31/Oct/21 SUNDAY SUNDAY
TOTAL 9,945.00
By signing this document , I agree that I have reviewed this document and acknlowge the reimbursements claimed on this sheet by Team member
Name of Signature of
Note : (1) Kindly, fill TSI/RSM/ZSM
work details for all the days in above Exp statement. On any day, if you have not incurred any expenses, then also, just mention the Work Place / Travel details / Leave.
TSI/RSM/ZSM
(2) In case, you have not worked on any particular day like Sunday or Holiday, then just mention as Sunday or Holiday.
(3) please ensure to send approved hard copy of the Exp Statement to Mumbai Central office with all the supporting & approved soft copy of Exp Statement to expchl@cipla.com
(4) please ensure, all the details of hard copy & soft copy of exp statement should be same.

You might also like