TRAVELLING EXPENSES Page No.
STATEMENT Date of Submission
Name : Employee Code : Period
Designation : Base Station : From To
Department : Reporting To:
MODE OF
DEPARTURE ARRIVAL Fare (Rs.) DA (Rs.) Lodging
TRAVELLING TOTAL (A) (Rs.) OTHERS (B)(Rs.)
Date Time Place Date Time Place Bill No Date Amount Bill No Date Amount
Mobile
Courier
Toll Tax
Fuel Total according
to KM
Sheet 1
Sheet 2
No. Enclosures : Sheet 3 Employee Checked by Approved by
Total Date : Date : Date :
Name : DATE:
VEHICLES LOG BOOK
Designation : Employee Code
5 or 2 Rs Per Signature of
OPENING FUEL BILL
STARTING CLOSING KMS DISTANCE Km Officer
DATE KMS FROM TO PURPOSE OF VISIT REACHING TIME
TIME READING COVERED
READING BILLNO. DATE AMOUNT
Total
Name
LOCAL CONVEYANCE FORMAT
Base Location
DATE STARTING TIME FROM TO REACHING TIME KMs VEHICLE TYPE AMOUNT (Rs.)
TOTAL