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09 Log Book Format

This document outlines the log book format for claiming conveyance reimbursement. It includes sections to record the vehicle details, odometer readings at the beginning and end of the month, total kilometers covered, fuel consumption, and details of official trips including dates, mileage, and purpose. Expenses incurred can be claimed including fuel bills, maintenance costs, toll charges, and driver's salary. The employee must declare the accuracy of the claim and supporting documents, and the employer must certify the expenses were for official use.

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2K views2 pages

09 Log Book Format

This document outlines the log book format for claiming conveyance reimbursement. It includes sections to record the vehicle details, odometer readings at the beginning and end of the month, total kilometers covered, fuel consumption, and details of official trips including dates, mileage, and purpose. Expenses incurred can be claimed including fuel bills, maintenance costs, toll charges, and driver's salary. The employee must declare the accuracy of the claim and supporting documents, and the employer must certify the expenses were for official use.

Uploaded by

venky
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Vehicle Usage Form: This section contains a form layout related to official use of a personal vehicle for company business, including fields for details and approvals.
  • Declaration: Includes a declaration statement by an employee regarding vehicle use, along with spaces for signatures and authorization.

Log book Format

CONVEYANCE REIMBURSEMENT

LOG OF OFFICIAL USE OF THE VEHICLE FOR THE MONTH/YEAR OF :


Claimnant : Employee No. :
Vehicle Registration No. : Make :
Does not exceed
Cubic Capacity of engine in Liters : 1.6 liters

Exceeds 1.6 liters


Odometer reading at the beginning of the month (A)
Odometer reading at the end of the month (B)
Total KMs covered by the vehicle in the month (C) = (B) - (A)
Fuel Consumption (in liters)
Average mileage given by the Car (Approximate)

Date of approval by
Date Milometer Total Mileage Purpose Official Details of official visit
supervisor
From To Official Personal From To

TOTAL MILEAGE (C) (D) 0

Details of Expenses actually incurred (Supported by actual petrol bills) Rs.


Car running and Maintenance Expenditure (Supported by actual
maintenance expenses) (E) 0
EXPENDITURE FOR OFFICIAL PURPOSE (F = E*D/C)

I) Fuel
Petrol/Diesel(in
Bill No. Date Name of the vendor Amount(Rs/Ps)
Litres)

Sub Total

II) Car Maintenace & Repairs


Bill No. Date Name of the vendor Particulars Amount(Rs/Ps)

Sub Total

III) Toll Charges


Bill No. Date Name of the vendor Particulars Amount(Rs/Ps)

Sub Total

IV) Drivers Salary


Month Amount(Rs/Ps)

Sub Total

Total
DECLARATION

I hereby confirm that my claim for official use of my personal vehicle and the supportings/documents submitted herewith are based on the actual expenditure incurred by me on my
vehicle.
I certify that all information provided is correct and all the supporting documents provided are authentic.

I hereby authorise the Company to recover the said Income Tax, Interest, Penalty etc. from my salary/dues/arrears etc.

Signature of Employee
Name of the Employee
Employee No
Date

Certified that the above claim for official use of personal vehicle by employee, has been incurred by the employee wholly and exclusively in connection with official duties.

Signature of Employer

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