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REIMBURSMENT FORM
Date Of
Name: DURGESH SURYAWANSHI 15-09-2022
Submission:
Project Name: DDUGKY
Bhopal MP.
Remarks
S.No. Date Expense Head DESCRIPTION OF EXPENSE AMOUNT (Rs.)
If Any
Chhindwara To Isra Umariya Chourai Road 22 Km, 22Km+22 Km=
1 16-Sep-22 Mobilization Isra Umariya To Chhindwara 22 Km.22Km+22 Km= 154 44Km*3.5Rs/Km=
44Km*3.5Rs/Km=154Rs. 154Rs.
Ma Online & Stationary: PV Sample print 9 Pages
Printing and
2 17-Sep-22 9*5Rs/pages=45Rs. & ID card Q-Team 50 Rs=95 95 Bill Attached
stationary
Rs
Chhindwara To Mankadai (Mohokhed) Ready
candidate Councelling.( Candidate Moved on 18th 15km+15km=30
3 17-Sep-22 Mobilization Morning 4 Candidates) 15km . Return Mankadai to 105 Km*3.5rs/km=10
Chhindwara 15Km. 15km+15km=30 5Rs
Km*3.5rs/km=105Rs.
15
16
17
18
19
Department Head
Signature of Employee
154
35
105
40
42
49
81