Name of the Legal Entity: Thermo Fisher Scientific India pvt.

Ltd

TRAVEL AND MISCELLANEOUS EXPENSES STATEMENT

Tick Type of Claim (√)
Domestic Travel Foreign Travel Petty Cash
Corporate Credit Card Number PAGE__1____ OF___1___
(If paid by Corporate Credit Card)
Emp Name RITESH GUPTA For Finance Use Only
Emp Code no. Band No ERP System SAP Date of Receipt
Booking Voucher
Reporting To NIKHIL SHRIWAS Cost Center No # Date of Booking

Department Service Division EID Location DAHEJ Booked By

Purpose of Payment
Period of travel 16/11/2023 TO 29/11/2023 Service Date of Payment
Travel Voucher#

UNION BANK OF INDIA Mode of

355602120001441 BUS/AUTO/TRAIN Payment Entry By
A/c No (current a/c) Travel

IFSC CODE UBIN0535567

Amount

Date Distance Supporting

Description Currency Fares (Air/ Train/ Bus/ Local Daily Hotel and Miscellaneous
DD/MM/YY (Kms) Meals Telephone Total Number
Taxi) or Mileage Conveyance Allowance Lodging Expenses/ Capex

16-Nov-23 courier cooler assembly 6 INR 100 190 290 A

18-Nov-23 SUVA TO ABC CIRCLE TO GNFC BHARUCH 55 INR 300 402 702 B
18-Nov-23 GNFC BHARUCH TO ABC CIRCLE TO SUVA 55 INR 300 300 600 C
20-Nov-23 SUVA TO ABC CIRCLE TO GNFC BHARUCH 55 INR 300 382 682 D
20-Nov-23 GNFC BHARUCH TO ABC CIRCLE TO SUVA 55 INR 300 430 730 E
21-Nov-23 SUVA TO ABC CIRCLE TO GNFC BHARUCH 55 INR 300 337 637 F
21-Nov-23 GNFC BHARUCH TO ABC CIRCLE TO SUVA 55 INR 300 350 650 G
22-Nov-23 SUVA TO ABC CIRCLE TO GNFC BHARUCH 55 INR 300 290 590 H
22-Nov-23 GNFC BHARUCH TO ABC CIRCLE TO SUVA 55 INR 300 470 770 I
23-Nov-23 SUVA TO ABC CIRCLE TO GNFC BHARUCH 55 INR 300 391 691 J
23-Nov-23 GNFC BHARUCH TO ABC CIRCLE TO SUVA 55 INR 300 330 630 K
24-Nov-23 SUVA TO ABC CIRCLE TO GNFC BHARUCH 55 INR 300 362 662 L
24-Nov-23 GNFC BHARUCH TO ABC CIRCLE TO SUVA 55 INR 300 455 755 M
29-Nov-23 courier cooler assembly 6 INR 100 700 800 N
Grand Total (Only For Last Page) 0.00 3800.00 0.00 4499.00 0.00 0.00 890.00 9189
Checked
Prepared By RITESH GUPTA Approved By
By
Date: 29-Nov-23 Date : Date:

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