NAME OF THE EMPLOYEE

POSITION
PLACE OF POSTING
DEPARTURE ARRIV
SNO.
DATE TIME FROM DATE TIME
SIGNATURE OF Employee
SIGNATURE OF APPROVER
NAME OF APPROVER
 EQUITAS - TRAVEL EXPENSES CLAIM FORM

RRIVAL MODE
DURATION OF
OF CLASS
TO TRAVEL (Hours)
TRAVEL
DATE
DATE
POSITION
RM
EMPLOYEE NUMBER
GRADE
PURPOSE OF TRAVEL Training
Stay Food FLAT
FARE Enroute Local
Expenses Expenses Allowance
(Rs.) Exp(Rs.) (Rs.) Travel
(Rs) (Rs)
TOTAL TRAVEL EXPENSES
ADVANCE TAKEN BY THE EMPLOYEE
BALANCED PAYABLE BY COMPANY / TO BE SETTLED BY EMPLOYEE
 TOTAL
DURATION
EXPENSES
OF STAY
(Rs.)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
 0.00
0
0
OYEE 0
 Annexure
Name EMP CODE
Position Grade
Place of Posting Purpose of travel Training

LOCAL CONVEYANCE DETAILS

SNO. DATE FROM TO MODE AMOUNT (Rs.) PURPOSE
1
2
3
4

TOTAL 0
SIGNATURE OF EMPLOYEE DATE

SIGNATURE OF APPROVER DATE

NAME OF APPROVER POSITION