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Date | DISTRICT | Cluster.iD Signature of the Team Lead: _— ATTENDANCE SHEET FOR TN STEPS DATA COLLECTION: TEAM..... DataCollector1 | Data Callector 2 Data Collector 3 AGAMA | TNea\e.saoe | Seaman. Boxer Data Collector. Signature of the Pl: TN STEPS Round-2 UNDERTAKING working as a Sxm}tht. Serlrsceh.. SoM 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: Dyoemaps 2. Name of the place of stay: Lindae. 3. Detailed address: lere.thon Ra... Smemamust READE DOI Ae! 4. From: 09 \»\\p014 To \Uleilrory 5. The total amount spent by me for the above is as follows: Number of days stay.....0. x TE, SO) : i ae Signature with Name: levotearody pickup time: Loo A™ s, ae Drop off Location: Pens Jeodlamaclar Drop offtime: @ Loo Pry ~ Minimum rate per Rates per S.No Type of vehicle day (per100 km) additional km (Rs) (Rs) 4 Sedan (4+1) coco _ a | 2 SUV (7+1) | Oo [ve | Yours sincerely, TRAVELS Poriyar Nagar Mogenakkel Main Road Ponnagararn, Dhharmapurl, Ag Seal and Signature of the Travels, VEHICLE HIRING QUOTATION DATE: O8/ot /203.4 To _ The Director, ICMR-National Institute of Epidemiology, Chennai Sir, 1am herewith submitting the quotation for daily vehicle hiring for local transport in Dinavena bre district from OY At_/2024 tol 2934 for data collection under TN STEPS (Round-2) Pick-up Location: S+le + Lodge vepetveged! Pick-uptime: SLOO AT Drop off Location: Pexy yx adarnedet Drop offtime: ALOO PrN ] Minimum rate per Rates per S.No Type of vehicle day (per100 km) additional km (Rs) (Rs.) 1 Sedan (4+1) 9500 ayy 2 SUV (7#1 | ae) 2eso 7] Sy Yours sincerely, KSHM! TRAVELS WGK. NAGAR Seal and Signature of the Travels Govt \pacoremnd Date of | Hired taxi | Total ‘Signat Starttime | Startkm | places visted | endtime | tndkm | TO#K™ | jours | Slenature of ‘ravel__ | and Vehicle ™ ofl ven rroveled | MOUS | “thestat| ott! Sewage - Ae ; a Neompanoett + awe yor one Asta, esas [2BeP) Asyer | 40 8. SP - Wseiyadamed ort | ga 29 BP Se ete sForteen fos . sirio feoorrarsst F | sone | peau | at sae seen a See RT san eaynens fas 29 BP Comore bb Srvopen) ABIO FEE \uspen| sana] 29 - rtadaceadat || ee age pastes 627 PP oo cea lasabs: jecereotedt $9 | a pen asses sar | pees s Ae ~ ease = pica ese oterteen TEP | cous pen AS Bre ESTES MI sop esabe | ag sey . , | ee Be WedNe sprorsfegan 29 feeorna geal v9 ea\erttey4 Te sporty A531 7S wispeasara | ae a Re aa VEHICLE LOG BOOK ~ T ad Signat Total 7 Slanature of pateot | Hiredtaxt | se cess navme | endam | rorikm | Toul sed travel and vehicle | StFttime | StartKm | Places visited | Endime Erdem | oveneg | ROWE | thestatt | Ste a - - SSS Se | ~ . Panes = eral 28H 90 Kemmarea’ Lucpre) asses) go : so Sy jatalnealans wast agar Eemazsena w NSO eaten | eta eine ee - a Form TSC Tripsheet for Contract Carriages AUTO - VAN TOURIST - CAR TRIPSHEET Rule 275 of Chennai Vehicle Rule 1940 2 32 Name of Driver " Licence of Carry y F LICENCE NO... cesesssssssonceceseesesseess >; Hours Duty A Marre ; No.of Destination & Km done | Date | Person] Strating duration at hati bal cing the eee each Trip| any ip ha | asiey Peta oats AS \eo oe nage: ke Lsxoopnd — = | ove] a to telet by {Sroepm)] PEs \nackaenesis’ ASA\A, Lend tm) Signature Form TSC. Tripsheet for Contract Carriages AUTO - VAN TOURIST - CAR TRIPSHEET Rule 275 of Chennai Vehicle Rule 1940 30 Name of Driver... SATMOPR AN. TRIS. BP UAL... Licence of Carty ............0 coe POPSON woes, Kgs Luggage LICENCE NO ou... cscssscssssessnseessesseeers BADGE NO vssssssseeeseeee Starting for day Hours of Duty ............ 3.0. MEM cose Date...) 8\.2\\202.4... No.of Destination & Km done Date | Person| Stating [duration athati/ "°° duringthe | {PNY each Trip| any arrival trip m done [isha HOUSE | Sater Sor ao 4 | | arowpany} les tapady] pen | ro SO ° KTEGo [BW ow NemPatsuon) | AAs pm) Lege \ Moweripatt ned Torah |& Sve) | © ope signatdte . Project Name |p wATONAL STITUTE OF EROEMIOUOGY, AVAPARKAM, CHENNAI =P [ome | cnt Pata Wee ond RT Bowninay ce prekmint Proje Name "CMRSNATIONAL INSTITUTE OF EFOMOLOGr. AVAPARCAA, CHEN eceveo rartent Ye; —_perrreasivoveien Nat AWM ond ALD Yeo ter tal Qs ECENED PaMMENT ~ - PETTY CASH VOUCHER. "Projet name: CMA NATIONAL INSTITUTE OF EPIOEMIOLOGY, AVAPARAM, CHENNAI 77 _— — ——— | EMR NATIONAL STITUTE OF EIDEMIOLOGT,AVAPARKAM, CHENNAI =77 [= [eee ES) | ee lores Wee and Artin | a0 peje Aamo Misp and —_ Paroles RE Ve okt [ toa as eceveo raven AECEWED PAYMENT Ss, || as | — senate) val wo | "Project Name: 'CMR-NATIONAL INSTITUTE OF EPOEMIOLOGY, AYAPAKKAML CuEaNAICTT PETTY cash VOUCHER ICMR NATIONAL RSTTUTE OF E10E100.06, ATAPI, CENA =77 on wasn — ie | 4 tle Murp asd wr } fo feo Newting Nehyernos nt: | | i \| | | | eee | i | | | | | | Toi \0O | recover Seose {Senature) EcEVEOPAMMENT (sanatue

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