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___ATTENDANCE SHEET FOR TN STEPS DATA COLLECTION: TEAM .0.3,-
Supervisor
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Signature of the Team Lead: ; Signature of the Pl:
pei —__ =~ mmm. eeTN STEPS Round-2
UNDERTAKING
working as a sic Vethn ‘cakSepimt =
am part of the data collection team for TN STEPS round 2.
I state that, as part of the data collection, | stayed in an outstation location.
The details of the stay are as follows:
1. District:
2. Name of the e of stay:
4, From: 04 [01] 2014 To Moray
5, The total amount spent by me for the above is as follows:
Number of days stay
Hy 2500 | -
M: Fi Sek ( Sos wes: mf)
Signature with Name:
Signature of the Team Lead:
Signature of the Pl:TN STEPS Round-2
UNDERTAKING
1k. ED eAT , working as a
‘am part of the data collection team for TN STEPS round 2.
I state that, as part of the data collection, | stayed in an outstation location.
The details of the stay are as follows:
4. District:
2. Name of the place of stay:
caval vehether trahal
3. Detailed address:
yosatheS |covil s+
4. From: o9fo1]2e2qy TO 4 lot [20ry
5, The total amount spent by me for the above is as follows:
oo X oe
Number of days stay 2.8.
signature with Name: ~G omg LT epee
f Basten
Signature of the Team Lead: tA By
Signature of the PI:TN STEPS Round-2
UNDERTAKING
‘Ta. A A3wins .. working as a loka. ¢ Necdion..
am part of the data collection team for TN STEPS round 2.
I state that, as part of the data collection, | stayed in an outstation location.
The details of the stay are as follows:
1. District:
2. Name of the place of stay:
a. From: 04 [or] 2024 To Inlet /B0a4
5. The total amount spent by me for the above is as follows:
Number of days stay ...2B.u. X ASE. Artes
Signature with Name: of A e Ib Rawies )
Signature of the Team Lead: ||. 4 . Gute
Signature of the Pl:TN STEPS Round-2
UNDERTAKING
+ Working as a .... leds Gaallecstiorn..
am part of the data Collection team for TN STEPS round 2.
\ state that, as part of the data collection, | stayed in an outstation location.
The details of the stay are as follows:
1. District:
2, Name of the place of stay:
4. From: ge] 01 /2e09T? 14 [ex | 202%
5. The total amount spent by me for the above is as follows:
Number of days stay ....f.
Signature with Name: 4. yA Cm Tegal Dd
Ds Banter
Signature of the Team Lead:
Signature of the Pl:TN STEPS Round-2
UNDERTAKING
++ WOrKINE as a
0 pert of the data collection team for TN STEPS round 2.
\stete that, as part of the data collection, | stayed in an outstation location.
The details of the stay are as follows:
1. District:
2. Name of the place of stay:
3. Detailed address:
4. From: 99 loi}2024 To Ww lol rosep
5. The total amount spent by me for the above is as follows:
Number of days stay...
Signature with Name: *q
caer
Signature of the Team Lead: \. A Ante
Signature of the Pl:PEI TY GASH VOUGHEK
Project Name:__ “TN _ Sheps Senne 2-2)
NATIONAL INSTITUTE OF EPIDEMIOLOGY, AYAPAKKAM,
CHENN/
Al—77
f a ‘| Amount
Date Particulars
am Rs. P.
Beal Driver, WHY g a j
oft
Hino sist
J
Hil
Total joo)
J
one Weel omy
RECEIVED PAYMENT
Med Beate
(Signature)
2PEI LY CASH VOUCHER
1
| proeet Name:__TN Stops Blot veg @2)
NATIONAL INSTITUTE OF EPIDEMIOLOGY, AYAPAKKAM,
CHENNAI -77
Amount
Particulars
Rs, Ps
A
|
\ Date
1 joloi}oxy
priver,, HE VN
4 Joo ] 4
Field sthf4- |
Popes h rnd
Total] /OO |!
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RECEIVED PAYMENT
one henotrol
.
1
|
|
ate—
Signature)NATIONAL INSTITUTE OF EPIDEMIOLOGY, AYAPAKKAM,
CHENN
Al = 77
Amount
Rs, P..
Particulars
why, Hy} pisld
|. sin} pepreth mt| 100/r
\ om ROR
\ RECEIVED PAYMENT
mel, Bane
Signature)RELLY GASH VOUCHER
Project Nome the Ps Ce ny ( Bet)
NATIONAL INSTITUTE OF EPIDEMIOLOGY, AYAPAKKAM,
CHENNAI = 77
Particulars
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RECEIVED PAYMENT
ody Bat
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Project Name: Tepe Se footy (2)
NATIONAL INSTITUTE OF EPIDEMIOLOGY, AYAPAKLFIA,
CHENNAI ~77
Particulars
Driver , WHY staf
| Refresh 4} PEL LY GASH VOUCHER
Name:__TWV Stef} Sa A-2)
NATIONAL INSTITUTE OF EPIDEMIOLOGY, AYAPAKKAM,
CHENNAI ~ 77.
‘Amount
Date Particulars
Rs. P.
H wlelay- Driver, 1), VAN Joo J
wHv Rof vet nad
toa]! (oo )
gee beet omy
RECEIVED PAYMENT
Nc) Audion
(SignaturVEHICLE HIRING QUOTATION
DAT
To
‘The Director,
ICMR-National Institute of
Epidemiology, Chennai
sir,
T am herewijh submitting the quotation for daily vehicle hiring for local transport in
ni ped i
from 04/01/2107 yto IM/.01/2.07.1 for data collection under TN STEPS (Round-2)
Waeay 4
2 og C-onm
Pick-up Location: bow rte or Pick-up Hovateg S %
Drop off Location: Alva |u% Drop off time: Evening Mose pm
Minimum rate per Rates per
S.No Type of vehicle day (per100 km) additional km
(Rs) (Rs)
1 Sedan (441) {400 1H
z= SUV (741) oy 00 1e
Yours sincerely,VEHICLE HIRING QUOTATION,
DATE:OVa\/ LoLy
To
‘The Director,
ICMR-National Institute of
Epidemiology, Chennai
| Sir,
1 am herewith submitting the quotation for daily vehicle hiring for local transport in
2 pede district
from 09/41/2044 t0 11/1/29 yfor data collection under TN STERS (Round-2)
° a
Pick-up Location: Keser’ patton Pick-up time: ‘S*3°*
Auavwr Drop off time: “3,00 pm
Drop off Locatio:
Minimum rate per
S.No Type of vehicle day (per100 km) additional km
1 Sedan (4+1)
2 SUV (71)
Yours sincerely,
SRI SAI solr
Muthukagal +S
Renipet - 632 401
|
|
|
|
|
|
Seal and Signature of the TravelsVEHICLE HIRING QUOTATION
DATE:OYo1/ Dory
To
The Director,
ICMR-National Institute of
Epidemiology, Chennai
‘Sir,
Jam he bmitting the quotation for daily vehicle hiring for local transport in
am herewit
pe} district
from 09_/ol/) y_ to Nou for data collection under ‘TN STEPS (Round-2)
=. G59 4
Pick-up Location: Ket pakican Pick-up time: Mowat
Drop off Location: Fa | Uy Drop offtime: 5° 3°" Evening
Minimum rate per Rates per
S.No Type of vehicle day (per100 km) additional km
(Rs.) (Rs.)
1 Sedan (4+1) 2600 /- Lo
2 SUV (7#1) eaoole 24
Yours sincerely,
Oy
SRI VAISHNAVI TRAVELS
Ranipet - 632 401
Seal and Signature of the TravelsAvalua Cluatin- 09% — Pantpert buy
VEHICLE LOG BOOK
Total
Signat
Date of Total km Signature of
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travel | and vehicle | Starttime | Startkm | Placesvisited | Endtime | Endkm | (°° 0% | hours | he ay f
travelled driv
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GAVAR TRAVELS
1. AGENTS
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Rate/Km | Amount
Per Day
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Bill-Cum-Receipt
SRI VEERARAGAVAR TRAVELS
TRAVEL AGENTS
1/123, New St, Thakkampalayam, Ranipet, Karai, Tamil Nadu
632405
S.No. ; Dated eo)
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S.No. | PARTICULA " Km. | Rate/Km | Amoun | Remarks
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SRI VEERARAGAVAR TRAVELS
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SRI VEERARAGAVAR TRAVELS
TRAVEL AGENTS
1/123, New St, Thakkampalayam, Ranipet, Karai, Tamil Nadu
632405
S.No. Dated 12] ol | Pe
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S.No. | PARTICULAR | Km. | Rate/Km | Amount | Remarks
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SRI VEERARAGAVAR TRAVELS
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W123, New St. Thakkampalayam, Ranipet, Karai, Tamil Nada
632405
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S.No. | PARTICULAR | Km.
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SRI VEERARAGAVAR TRAVELS
TRAVEL AGENTS
1/123, New St, Thakkampalayam, Ranipet, Karai, Tamil Nadu
632405
S.No.
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S.No. | PARTICULAR | Km. | Rate/Km | Amount | Remarks
Per Day
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