TRAVEL EXPENSES CLAIM FORM

Tractebel Engineering pvt. ltd.

✘

Name: Vijay Kumar * Department & Location: HYDRO POWER / Gurgaon

Designation: Deputy Manager PBX Ext./Mobile: 8130096763

TehriPSP : P.017857 / Site Visit &
Employee Code: 2021128 Project No./ Purpose
Meeting with Client
* Traveled with Mr. Gagan Ratnakar (Consultant) and Mr. Yashasvi Dodla (PGET). All expenses paid by me.
(A) JOURNEY EXPENSES
Departure Arrival
Sr. No. Mode of Travel Flight/Train No Amount Claimed
Date Time Station Date Time Station
1 01.05.2022 11:30 Gurugram 01.05.2022 17:00 Rishikesh Taxi
2 03.05.2022 11:00 Rishikesh 03.05.2022 18:00 Gurugram Taxi
* Start & end time from/to Railway Station/Airport. Total -

(B) ACCOMMODATION EXPENSES & DAILY ALLOWANCE

Name of Hotel/Guest
Sr. No. Station Date(s) No. of Days Accomodation Charges Daily Allowances Amount Claimed
House

01.05.2022 & Maharishi Ayurveda

1 Rishikesh 2 21000* 21000
02.05.2022 Wellness Retreat

2
3
* Accomodation Charges for all the three persons Total 21,000.00
( C) CONVEYANCE EXPENSES
Place of Visit
Sr. No. Station Date Mode of Travel Amount Claimed
From To

Total -
(D) OTHER EXPENSES SUMMARY OF ALL EXPENSES
Amt reimb.
Sr.No. Particulars Amount Sr. No. Item Amount Claimed
by Client
1 Telephone 1 Journey (A) -
Fax/Email/Photocopy Accommodation
2 2
DA (B) 21,000.00
3 3
Business Meeting Expense Conveyance ( C) -
4 Food Expenses* 3901 4 Other Expenses (D) 3,901.00
Total 3901 5 Sub Total (A+B+C+D) 24,901.00
* Food expenses for all the three persons 6 Less Advance
7 Amount Refundable/Payable (24,901.00)

Reimbursable from Client : YES/ NO Remarks, If any Details of Amount Refunded:

Name of Client: THDC Limited, Rishikesh,

Uttarakhand

I hereby certify that I had incurred the above expenditure wholly and Authorized/ Checked &
exclusively for the performance of official duties Approved by:
Recommended by: Verified by:

Signature of an employee
PM/HOD FAA Dept. Division Head
Date : 09.05.2022

GGNA-G-01136-135 Rev 00 F-135(b)_Travel Expenses Claim Form

 TRAVEL EXPENSES CLAIM FORM

Name: Raghvendra Shrivastava Product/Department & Location: HYDRO POWER / Gurgaon

Designation: DGM PBX Ext./Mobile: 9910406152

Tehri PSP : P.017857 / Site Visit &
Employee Code: 2018030 Project No./ Purpose
Meeting with Client

(A) JOURNEY EXPENSES

Departure Arrival
Sr. No. Mode of Travel Flight/Train No Amount Claimed
Date Time Station Date Time Station
1 19.12.2021 11:30 New delhi 19.12.2021 19:00 Rishikesh Taxi - -
2 21.12.2021 14:00 Rishikesh 21.12.2021 20:30 New Delhi Taxi - -
3
* Start & end time from/to Railway Station/Airport. Taxi Booked by Office. Total -

(B) ACCOMMODATION EXPENSES & DAILY ALLOWANCE

Name of Hotel/Guest Daily

Sr. No. Station Date(s) No. of Days Accomodation Charges Amount Claimed
House Allowances

19.12.2021 & Vasundhra Palace,

1 Rishikesh 2 6400 6400
20.12.2021 Rishikesh

2
3
Total 6,400.00
( C) CONVEYANCE EXPENSES
Place of Visit
Sr. No. Station Date Mode of Travel Amount Claimed
From To
1
2
Total -
(D) OTHER EXPENSES SUMMARY OF ALL EXPENSES
Amt reimb.
Sr.No. Particulars Amount Sr. No. Item Amount Claimed
by Client
1 Telephone 1 Journey (A) -
Fax/Email/Photocopy Accommodation
2 2
DA (B) 6,400.00
3 Business Meeting 3
Expense Conveyance ( C) -
Others (Food 4516
4 Expenses*) 4
Other Expenses (D) 4,516.00
Total 4516 - 5 Sub Total (A+B+C+D) 10,916.00
*Food Expenses for all three persons 6 Less Advance
7 Amount Refundable/Payable (10,916.00)

Reimbursable from Client : Yes / No Remarks, If any Details of Amount Refunded:

Name of Client: THDC Limited

I hereby certify that I had incurred the above expenditure wholly and exclusively for the performance of official duty.

Signature of Employee

Date
*Recommended By Checked & Verified by FAA Dept. **Approved By

Signature
Name
Note:
* Recommendation:
1. Recommendation required from the immediate supervisor. In case immediate supervisor is Product Head or BL Head
or MD & CEO (BE Head), recommendation is not required
* *Approval:
1. Direct reportees of MD & CEO (BE Head) require approval from him
2. Claim raised by a Product Head require approval of respective BL-Head
3. Claim raised by a Technical employee require approval from Product Head but non-reimbursable (Domestic) travel
expenses (which are not part of ongoing Projects) require approval from BL-Head
4. Claim raised by Technical Employee for all overseas travel require approval from BL-Head
5. Claim raised by all other support employee require approval from respective Support Line Head

GGNA-G-01136-135 Rev 02