Company name

Vehicle Usage Form (Format No. VUF/Ver 1.0)

Name
(Name must be in CAPITAL letter & as per Bank account Name)
Designation :
Location :
Type of Vehicle :
Salary A/C No :
Month of :

METER METER OFFICIAL PERSONAL WHERE REMARKS

DATE FROM TO
START END USE USE

The amount of official use KM for the month……………is computed as follows:

Particulars Bike Car Park/Toll Total

Official use distance (KM)@3.5 0 0
Rate @ 10 0 0
0

User Sign Checked By Approved By

Note:
1. If name differ from Bank account, the conveyance reimbursement can’t be transferred.
2. Rate for Two-wheeler is 3.50 (Eligible – Asst. Manager & below) & For Car is Rs. 10.00 (Eligible – Manager and above)
3. Please submit to HR dept. after verifying by HOD.
4. HR will Submit to Finance & Accounts Dept.