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

Request
Travel Request No. 1800041584 05-04-2023
MOVEMENT CUM CANCELLATION ORDER Date

Employee No. Employee Name Tour Duration Destination


90087309 Praveen . 16-Mar-23 - 26-Mar-23 SINGHANA ,PACHERI KALAN,K

1. Place Of Posting : Narnaul Type of Travel: Domestic Travel


2. Account Unit* : Contract/FTB
3. Office Phone No / Mobile No. : / 9643220012
4 Designation / Level : Field Supervisor / Field Supervisor
5. Department : MAHENDRAGARH TLC TBCB
6. Basic Pay Rs. : 23000.00
7. Age : 32

DETAILS OF MOVEMENT/CANCELLATION
Station Train
Date of Mode of Class of
S.No. Name/No Travel Mode Remarks
Travel Travel Travel
From To Flight No

L43/1,47/2 AND
001 16-03-2023 NARNAUL
BACK
OFFICE VE NA NA Tour within Region ROW WORK

L47/1,48/0 AND
002 17-03-2023 NARNAUL
BACK
OFFICE VE NA NA Tour within Region ROW WORK

NIHALOTH AND
003 18-03-2023 NARNAUL
BACK
OFFICE VE NA NA Tour within Region ROW WORK

PATHANA,TATIJA,
004 23-03-2023 NARNAUL SINGHANA AND OFFICE VE NA NA Tour within Region NOTICE WORK
BACK

PATHANA,THALI
005 25-03-2023 NARNAUL
AND BACK
OFFICE VE NA NA Tour within Region NOTICE WORK

L14/1,8/2,17/1 AND
006 26-03-2023 NARNAUL
BACK
OFFICE VE NA NA Tour within Region EARTHING WORK

Purpose of Tour/Journey ROW,NOTICE AND EARTHING WORK


Approver's Details
Forwarder/
Trip Requester Name Designation Date Time Status*
Approver

* Status blank/F = Forwarded // A = Approved // R = Rejected

Travel Plan/Flight Details


Starting location of trip
Date of Trip Segment End location of trip segment Comment
segment

Leave Details during Tour Duration


From Date To Date Type of Leave Status
REQUEST FOR TOUR ADVANCE
Travel Request No.-1800041584
(Rule 13.1)
TOUR COMMENCEMENT
PROJECT DEPARTMENT DESTINATION EMPLOYEE NO.
DATE
MAHENDRAGARH TLC
16-03-2023 SINGHANA ,PACHERI KALAN,K 90087309
TBCB
Name Designation Scale of Pay Pay
23000.00 -
Praveen . Field Supervisor 23000.00
105000.00
DETAILS OF ADVANCE REQUIRED
1. Journey Fares
S.No. From To Mode Class Ticket By Company Amount

Purpose of Tour : ROW,NOTICE AND EARTHING WORK


2a. Daily Allowance :
S.No. Place Type Of Accomodation No. of Days Amount

2b. Accomadation Charges :


S.No. Place Type Of Accomodation No. of Days Amount

2c. Conveyance Charges


S.No. Place No. of Days Amount

3. Total Advance Required :


Total journey fare + (90% of Sl. 2) - Deduction = Total Advance Total of Sl. No. 2
Rs. 0.00 + Rs. 0.00 0.00 = Rs. 0.00
Certified that
a) No previous advance is outstanding against me.
b) Adjustment bill for advance of Rs. ..............................has been forwarded to Accounts on (date)
c) Advance of Rs. ...................................is outstanding against me.
Note : 1. Please tick whichever certificate is applicable.
2. If 'C' is applicable, please obtain Head of Division's approval.

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