Date______________

መሓሪ ገ/ዮሃንስ የውሃ ሃብት ስራዎች ኣማካሪ ድርጅት

Mehari G/yohannes Water Resource Consultancy Firm (MGWRCF)
የውሎ አበል የትራንስፖርት ወጪ ማወራረጃ
TRAVEL EXPENSE CLAIM STATEMENT FORM LOANA
ስም የወር ደመወዝ
Name _________________________________ MONTHLY GROSS SALARY
መምሪያው የቀን ውሎ አበል በጀት
DEPARTMENT ________________ DAILY PERDIEM _________ Source of Budget ________
ምድብ ቦታ በቅድሚያ የተወሰደ ብር
Duty station __________________________ ADVANCE TAKEN ____________________
ሰነድ ቁጥር
የጉዞው ምኽንያት REFERENCE _________________________
PURPOSE OF TRAVEL ___________________________________________________________

PLACE OF TRAVEL DEPARTURE TIME RETURN

የሄደበት ቦታ ወደ ጉዞ የተነሱበት ቀን የተመለሱበት ቀን NO/ PERDIEM TOTAL
FROM TO DATE TIME DATE TIME DAYS የውሎ አበል ጠቅላላ
ከ ወደ ቀን ሰዓት ቀን ሰዓት የቀናት ተከፋይ
ብዛት

Total Per Diem (a)

Fuel/Transport (b)
Other Expenses (c)
Total per diem & other expenses (d)=(a + b + c)
Advance taken (e)
Difference payable to or (receivable from) traveler (f)=(d-e)

___________________ _________________ ___________________

Traveler’s Name & Signature Recommended by Approved by

መሓሪ ገ/ዮሃንስ የውሃ ሃብት ስራዎች ኣማካሪ ድርጅት

Mehari G/yohannes Water Resource Consultancy Firm (MGWRCF)
ለጉዞ ወጪዎች ቅድሚያ ክፍያ መጠየቅያ ቅጽ
Travel Advance Request Form
 ስም
Name of Travelling Person _________________________________________________________
መምርያ
Department _____________________________________________________________________
በጀት
Source of budget _________________________________________________________________
ምድብ ቦታ
Duty of Station __________________________________________________________________
የሚሄዱበት ቦታ
Place of Travel ___________________________________________________________________
የጉዞ ምክንያት
Purpose of Travel ________________________________________________________________
የመነሻ ቀን
Date of Departure ________________________________________________________________
በመስክ የሚቆዩበት ቀን
Duration of Travel ________________________________________________________________
የወር ደመወዝ
Monthly Gross Salary _____________________________________________________________
የውሎ አበል
Perdiem Rate ___________________________________________________________________
የተጠየቀው የውሎ አበል መጠን
Perdiem Requested ______________________________________________________________
ነዳጅ
Fuel _________________________________________________________________________
ሌሎች ወጪዎች
Other Expenses __________________________________________________________________
ጠቅላላ የቅድሚያ ክፍያ ድምር
Total Advance Payment __________________________________________________________
የገንዘብ ልክ በፊደል
Amount in Words
______________________________________________________________

ጠያቂው ወጪውን ያረጋገጠው የፈቀደው ባለስልጣን

Requestd by Recommeded by Approve
ይህን የሂሳብ ሰነድ እንደተመለሱ ያወራርዱ
This Advance Must Be Settled Immediately on Return from Trip