PLEASE ATTACH SUPPORTING DOCUMENTS IN ESS. HARD COPIES NEED NOT BE SUBMITTED TO FINANCE.

TOUR TRAVELLING ALLOWANCE CLAIM Expense Report No.: 1500021708 Date : 24-02-2023

Employee Number Tour Commencement Date Destination

60004023 15-02-2023 Waluj SS

Name : VIKASH KUMAR Designation / Level : Asst Manager / E3

Scale of Pay : 60000.00 - 180000.00 Basic Pay : 67540.00 Mobile No. 7568888758

Department : AC S/S MAINT Head Office : WR-I

Amount Claimed
Type of Travel : Domestic Travel

1. Journey Fare (Ticket booked by Self) 0

2.Journey Fare (Tkt booked by Co.) 0
3. Journey Fare (Tkt Booked by Co. Fin. Adj.) 0
4. Accommodation Charges 0
5. Daily Allowance 1680
6. Conveyance & Misc. Charges 0
A. Total 1 to 6 1680
7. Less (Tkt Booked by Co. {2+3}) 0
8. Less Other Deduction (If any) 0
9. Less Advances Drawn

10. Less Advance Credit Card 0

B. Gross Claim (A-7-8) 1680
C. Net Claim (A-7-8-9-10) 1,680

Section-II Details of Miscellaneous Expanses incidental to Tour (Rule 5.4 & 5.19)
Note: Attached receipts for amount claimed.

S.No. Particulars of Expenses Amount

Total
SECTION-II: JOURNEY DETAILS (Please indicate Ticket No. or attach M/R. wherever fare claimed is for other than IInd class and for air journeys and bus journeys enclose used
ticket/folder.)
Departure Arrival Mode Class
Train/Flight
S.No. of of Ticket No. Remarks Amount
Date Time Station Date Time Station No.
travel travel

Total : 0.00
Note: Where tickets are provided by the company the fare may be indicated in Remarks column.
SECTION-IV : DETAILS OF CLAIM FOR DA & EXPENDITURE INCURRED FOR ACCOMODATION (RULE 5.3)
(Excluding leave availed).
Daily Allowance

S.No. Type of City Station Accommodation type No. of Days Remarks Amount

Other Residence (Self

001 Category III
Arrangement)
2.00 1680.00

Total : 1680
Accomodation

No. of Taxes/Other
S.No. Type of City Station Accomodation type Occupancy Name of Hotel Room Tarrif Receipt No. Amount
Days Charges

Total : 0
NOTE: Please enclose the supporting bill & receipt for the amount paid on account of hotel/guest house accommodation charges
1. Leave availed (if any) at ........................................... from ................................................. to ...............................................
2. Both Boarding and lodging/Boarding only/Lodging only was provided free of cost at ................................from.....................
to.............................
SECTION-V : DETAILS OF CONVEYANCE CHARGES CLAIMED (RULE 5.2)
Place of Visit Distance in
S.No. Date Station Means of Travel Purpose Receipt No. Amount
From To Kms

Total :0.00
CERTIFICATE:
Certified that : (i) Wherever lodging charges for stay in a hotel have been claimed; company guest house accommodation
was not available
(ii) I am/am not in receipt of HRA or availing the facility of leased accommodation at any of the tour stations
for which daily allowance has to be claimed.

SBT Details

Total Fare
Requester Flight From Flight To Departure Date Departure Time Booking date PNR Trip Type Cancelled?
Amount

APPROVER'S DETAILS

Trip Requester Forwrder/ Name Designation Date Time Status

Approver
Hemant Kumar
1500021708 60004023 60001774 DGM 24-Feb-23 5:07:25 PM
Deshmukh

Hemant Kumar
1500021708 60004023 60001774 DGM 27-Feb-23 10:52:14 AM A
Deshmukh