FIELD TRAVEL AND FIELD FOOD EXPENSE CLAIM FORM

Name of Employee P.RAVINDER NAIDU Designation RGM

Employee Code 11055 Month 01ST APRIL 2023 TO 15TH APRIL 2023

Sr. Location Expenses Incurred

No
Conveyance( Conveyance( Conveyance- Food-With NON AC AC- FOOD - Total
Meter Taxi / Hired from Radio Taxi GST Restaurant Restaurant URD( RCM NO
Auto ) NO RCM Travel (OLA / UBER / charged in -Without Food- ITC ) 18%
agent ) URD / TAB CAB / the Bill( NO GST Without GST
Date Mode of Travel OWN Car - Meru ) /Hired ITC ) charged in charged in
From To RCM 5% & from Travel the the Bill( RCM
ITC agent-RD NO Bill( RCM NO ITC) 18%
RCM NO ITC )
12%

1 1-Apr-23 AUTO RAMANTHAPUR BANJARAHILLS 700

2 2-Apr-23
3 3-Apr-23
4 4-Apr-23 AUTO RAMANTHAPUR AMEERPET 700
5 5-Apr-23 AUTO RAMANTHAPUR JEEDIMETLA 800
6 6-Apr-23 AUTO RAMANTHAPUR CHINTAL 700
7 7-Apr-23 AUTO RAMANTHAPUR MADHAPUR 800
8 8-Apr-23 AUTO RAMANTHAPUR KUKUTPALLY 700
9 9-Apr-23
10 10-Apr-23 AUTO RAMANTHAPUR PATANCHURU 800
11 11-Apr-23 AUTO RAMANTHAPUR HITECCITY 800
12 12-Apr-23 AUTO RAMANTHAPUR BOWENPALLY 600
13 13-Apr-23 AUTO RAMANTHAPUR SHAPUR 700
14 14-Apr-23 AUTO RAMANTHAPUR SHAMIRPET 800
15 15-Apr-23 AUTO RAMANTHAPUR MEDCHAL 900
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 0
Total Amount Claimed(a) 9000 0 9000
Total Amount Approved(b)

Total Amount Rejected(a-b)

Amount rejected on account of Amount(Rs)

(i) Excess over entitlement amount

(ii) Inappropriate supportings
(iv) Others if any please specify details
Total amount rejected(i+ii+iii+iv)

Signature of the
Signature of Employee Reporting Manager Signature of HR Signature of Accounts Signature of Reporting Manager(For final approval)
for attendance