Monthly Routine Expense/Work Detail Statement

Consumer Healthcare Expense Format - RSM / TSI /TSO / ISR

Head
Emp Code: 2282161 Reporting Manager: CHARLYVNOTH SALEM
Quarter :
Emp Name: K.KANNAIYAN Reporting Manager No.: 9994117118 Month : Oct-23
Designation: ISR Reporting Manager Desg.: TSI
Work Type Places of Travel Hotel Stay
Date (HQ/OS/Ex- KM's Fare Amount Out Station Food Mobile Internet Others Total Amount
Station) From To Mode of Travel Allowence
1-Oct-23 HQ SUNDAY Own Vehicle
2-Oct-23 HQ HOLIDAYS Own Vehicle
3-Oct-23 HQ SALEM SALEM Own Vehicle
4-Oct-23 HQ SALEM SALEM Own Vehicle
5-Oct-23 Ex-Station SALEM THARAMANGALAM&JALAKANDAPURAM&NANGAVALLI Own Vehicle 160 560 560
6-Oct-23 HQ SALEM SALEM Own Vehicle
7-Oct-23 Ex-Station SALEM DEVITIPATTY &THOPPUR&PANNAPPATTY Own Vehicle 180 630 630
8-Oct-23 SUNDAY
9-Oct-23 Ex-Station SALEM EDAPADY&KONGANAPURAM Own Vehicle 180 630 630
10-Oct-23 Ex-Station SALEM OMALUR&KARUPPUR&VELLALAPPATTY Own Vehicle 140 490 490
11-Oct-23 HQ SALEM SALEM Own Vehicle
12-Oct-23 HQ SALEM SALEM Own Vehicle
13-Oct-23 Ex-Station SALEM SIVATHAPURAM&SIDDHARKOIL&ELAMPILLAI Own Vehicle 140 490 490
14-Oct-23 HQ SALEM SALEM Own Vehicle
15-Oct-23 SUNDAY
16-Oct-23 Ex-Station SALEM MECHERI&METTUR&KOLATHUR Own Vehicle 180 630 630
17-Oct-23 HQ SALEM SALEM Own Vehicle
18-Oct-23 Ex-Station SALEM THARAMANGALAM&JALAKANDAPURAM&NANGAVALLI Own Vehicle 160 560 560
19-Oct-23 HQ SALEM SALEM Own Vehicle
20-Oct-23 HQ SALEM SALEM Own Vehicle
21-Oct-23 Ex-Station SALEM DEVITIPATTY &THOPPUR&PANNAPPATTY Own Vehicle 180 630 630
22-Oct-23 HQ SUNDAY Own Vehicle
23-Oct-23 HQ SALEM SALEM Own Vehicle
24-Oct-23 HOLIDAYS Own Vehicle
25-Oct-23 HQ SALEM SALEM Own Vehicle
26-Oct-23 Ex-Station SALEM SIVATHAPURAM&SIDDHARKOIL&ELAMPILLAI Own Vehicle 140 490 490
27-Oct-23 Ex-Station SALEM EDAPADY&KONGANAPURAM Own Vehicle 180 630 630
28-Oct-23 HQ SALEM SALEM Own Vehicle
29-Oct-23 SUNDAY
30-Oct-23 Ex-Station SALEM OMALUR&KARUPPUR&VELLALAPPATTY Own Vehicle 140 490 490
31-Oct-23 HQ SALEM SALEM Own Vehicle
- - - 6,230 - - - - 6,230

Name of Signature of
RSM/ZSM RSM/ZSM
Note : (1) Kindly, fill work details for all the days in above Exp statement. On any day, if you have not incurred any expenses, then also, just mention the Work Place / Travel details / Leave.
(2) In case, you have not worked on any particular day like Sunday or Holiday, then just mention as Sunday or Holiday.
(3) please ensure to send approved hard copy of the Exp Statement to Mumbai Central office with all the supporting & approved soft copy of Exp Statement to expchl@cipla.com
(4) please ensure, all the details of hard copy & soft copy of exp statement should be same.
SALEM

Oct-23

Remark
ve.