03/13/2015

STAFF EXPENSE REIMBURSEMENT FORM

Employee :

Ghufran Ahmed

Employee ID: CACSL

A0274

Grade :

34-40

Date:

20-Feb-15
MM/DD/YY

Supervisor :

Rakesh Kumar Singh

Date
(MM/DD/YY)

SO No.

Department: Service Support

Kms

Location

Food &
Accomodation

Travel

Local Conveyance

Gurgaon

Mobile/Data Card
Exps

Freight/Loading &
Unloading Chgs Consumables

Other

Total

21-Jan-15 SER-CONT-CA-00303

Home(Masjid Luharpura, Ghaziabad) to Embassey of Malta Paschim Vihar New Delhi To Home

70

By Bus+Auto

275

275

23-Jan-15 SER-CONT-CA-00041

Home(Masjid Luharpura, Ghaziabad) to CM Residence, New Delhi to Home

58

BIKE

232

232

24-Jan-15 SER-CONT-CA-00171

Home(Masjid Luharpura, Ghaziabad) to ACS Xerox Sec-62 Noida to Home

30

BIKE

120

120

27-Jan-15 SER-CONT-CA-00064

Home(Masjid Luharpura, Ghaziabad) To RBI Vasant Vihar Delhi To Home

60

BIKE

240

240

Home(Masjid Luharpura, Ghaziabad) to Mercer Noida Sec-135 to Home

58

BIKE

232

232

30-Jan-15 PJP-DEL-2001-007

Home(Masjid Luharpura, Ghaziabad) to Crown Plaza ( Akriti ) Greater Noida to Home

50

BIKE

200

200

31-Jan-15 SER-CONT-CA-00280

Home(Masjid Luharpura, Ghaziabad) to Century Link Sec-62 Noida to Home

32

BIKE

128

128

60

BIKE

240

240

28-Jan-15

2-Feb-15

SER-CONT-CA-1415-158

SER-CONT-CA-1415-087 Home(Masjid Luharpura, Ghaziabad) to ITC Saket Delhi to Home

3-Feb-15 PJP-DEL-2001-007

Home(Masjid Luharpura, Ghaziabad) to Crown Plaza ( Akriti ) Greater Noida to Home

50

BIKE

200

200

4-Feb-15 CHB-JB-SER-2013-0307

Home(Masjid Luharpura, Ghaziabad) to Nahru Place Delhi To RBI Delhi to Home

83

By Bus+Auto

315

315

Home(Masjid Luharpura, Ghaziabad) to Mercer Noida Sec-135 to Home

58

BIKE

232

232

Home(Masjid Luharpura, Ghaziabad) to Canon India Sector-58 Noida To Home

34

BIKE

136

136

Home(Masjid Luharpura, Ghaziabad) to Nahru Place Delhi To Ireland Embassey Delhi to Home

90

By Bus+Auto

350

350

Home(Masjid Luharpura, Ghaziabad) to Crown Plaza ( Akriti ) Greater Noida to Home

50

BIKE

200

200

Home(Masjid Luharpura, Ghaziabad) to Ireland Embassey Delhi

43

By Bus+Auto

170

170

11-Feb-15 SER-CONT-CA-14-15-038

BPTP Zorbagh Delhi to RBI Delhi to Home

42

By Bus+Auto

160

160

13-Feb-15 SER-CONT-CA-00332

Home(Masjid Luharpura, Ghaziabad) to J P Green Greater Noida to Home

58

BIKE

232

232

Home(Masjid Luharpura, Ghaziabad) to Mercer Noida Sec-135 to Home

58

BIKE

232

232

16-Feb-15 SER-CONT-CA-1415-149

Home(Masjid Luharpura, Ghaziabad) to HCL A-9 Noida to Home

38

BIKE

152

152

SER-CONT-CA-1415-149

Home(Masjid Luharpura, Ghaziabad) to HCL A-9 Noida to Home

38

BIKE

152

152

SER-CONT-CA-1415-149

Home(Masjid Luharpura, Ghaziabad) to HCL A-9 Noida to Home

38

BIKE

152

152

SER-CONT-CA-1415-149

Home(Masjid Luharpura, Ghaziabad) to HCL A-9 Noida to Home

38

BIKE

152

152

SER-CONT-CA-1415-149

Home(Masjid Luharpura, Ghaziabad) to HCL A-9 Noida to Home

38

BIKE

152

152

4,654

5,004

5-Feb-15

SER-CONT-CA-1415-158

6-Feb-15 SER-CONT-CA-00374
9-Feb-15

SER-CONT-CA-00378

10-Feb-15 PJP-DEL-2001-007
11-Feb-15

14-Feb-15
17-Feb-15
I hereby
18-Feb-15
certify that,
19-Feb-15
all the
expenses
20-Feb-15
claimed
above
are
20-Feb-15
incurred for
Item total :
Business
purpose and
are as per
the
Company's
Policy,
wherever
prior
approvals
are required,
such
approvals
are attached
along with
the
supporting
documents.

SER-CONT-CA-00378

SER-CONT-CA-1415-158

Mobile

350
1,174

SO No.
SO#
SO#
SO#

SO Wise Total
SO Wise Total
SO Wise Total
-

Check Total (Should be zero)

Approved By:

1 of 2

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