Monthly Routine Expense/Work Detail Statement

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

Head
Emp Code: 2896272 Reporting Manager: CHARLY VINOTH DHARMAPURI
Quarter :
Emp Name: V SAKTHIVEL Reporting Manager No.: 9994117118 Month : Oct-23
Designation: ISR Reporting Manager Desg.: TSI
Work Type
Hotel Stay Out
Date (HQ/OS/Ex- Places of Travel KM's Fare Amount Food Mobile Internet Others Total Amount Remark
Station Allowence
Station)
From T Mode of Travel
1-Oct-23 SUNDAY
2-Oct-23 HOLLYDAY
3-Oct-23 HQ DHARMAPURI DHARMAPURI Own Vehicle
4-Oct-23 Ex-Station DHARMAPURI PENNAGARAM Own Vehicle 100 350 350
5-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR ROAD,MG ROAD Own Vehicle 220 770 770
6-Oct-23 Ex-Station DHARMAPURI MARANDALLI,RAYAKOTTAI Own Vehicle 130 455 455
7-Oct-23 Ex-Station DHARMAPURI HOSUR, ARASANATTI Own Vehicle 220 770 770
8-Oct-23 SUNDAY
9-Oct-23 Ex-Station DHARMAPURI CHETTIKARI,ODASALPATTI,MANIYAMBADI Own Vehicle 80 280 280
10-Oct-23 Ex-Station DHARMAPURI PALACODE,MARANDALLI Own Vehicle 100 350 350
11-Oct-23 HQ DHARMAPURI DHARMAPURI Own Vehicle
12-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR ROAD, MOKOONDAPALLI Own Vehicle 220 770 770
13-Oct-23 Ex-Station DHARMAPURI PAPPIRETTIPATTI,THENKARAIKOTTAI Own Vehicle 120 420 420
14-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR ROAD,MG ROAD Own Vehicle 220 770 770
15-Oct-23 SUNDAY
16-Oct-23 Ex-Station DHARMAPURI POCHAMPALLI,MATHUR Own Vehicle 100 350 350
17-Oct-23 Ex-Station DHARMAPURI PALACODE,KARIMANGALAM Own Vehicle 80 280 280
18-Oct-23 Ex-Station DHARMAPURI PENNAGARAM Own Vehicle 100 350 350
19-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR,MG ROAD Own Vehicle 220 770 770
20-Oct-23 Ex-Station DHARMAPURI HARUR Own Vehicle 100 350 350
21-Oct-23 HQ DHARMAPURI DHARMAPURI Own Vehicle
22-Oct-23 SUNDAY
23-Oct-23 LEAVE
24-Oct-23 HOLLYDAY
25-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR ROAD,ARASANATTI Own Vehicle 220 770 770
26-Oct-23 HQ DHARMAPURI DHARMAPURI Own Vehicle
27-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR ROAD,MG ROAD Own Vehicle 220 770 770
28-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR ROAD, BEDRAPALLI Own Vehicle 220 770 770
29-Oct-23 SUNDAY
30-Oct-23 Ex-Station DHARMAPURI THOPPUR Own Vehicle 80 280 280
31-Oct-23 Ex-Station DHARMAPURI HOSUR,BAGALUR ROAD,MG ROAD Own Vehicle 220 770 770

Total - - - - 2,970.00 10395 10395

By signing this document , I agree that I have reviewed this document and acknlowge the reimbursements claimed on this sheet by Team member
Signature
Name of RSM/ZSM of
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.