TERUMO PENPOL Limited EXPENSES STATEMENT

(SUBMIT EVERY FORTNIGHT)

Name: Utkarsh Kumar Singh HQ: Delhi Month: October Period:16 october- 31 october
Date Station Train/Bus DCR Total
From To Km (Specify) Amount Auto/ Post DWA Subm No. of
I II Arrv/dep time(if stay) Arrv/ dep time(if stay) (Km x Taxi age . calls
rate) Y/N
16 A.N.-J.walan Saket- A.N. 20+37 86 02
17 SUNDAY
18 A.N.- J.puri DLI cantt-A.N. 40+9+35 126 -------- ----- 150 Y 03
19 A.N.- AIIMS BB AIIMS CN- A.N. 20+20 60 -------- ----- 150 Y 02
20 A.N.-IGI airport Noida- A.N. By taxi -------- ----- 225 Y 02
21 A.N.- J.walan PSRI-A.N. 35+40 400 ----- 150 Y 02
22 A.N.- Jwalan J.walan- A.N. 21+21 63 150 Y 01
23 A.N.- K.puri Pachkuiyan Rd- 13+30+25 81 ----- ---- 150 Y 03
A.N.
24 Sunday

25 A.N.- S. Ex. J.walan- A.N. 25+15+ 25 113 ------ ----- 150 Y 03

26 A.N.-G.Noida Noida- A.N. 45+35+15 143 ------ ----- 225 Y 03
27 A.N.- Faridabad Faridabad- A.N. 35+15+35 128 ------ ----- 225 Y 02
28 A.N.- K.Puri Gurgaon- A.N. 15+25+25+ 248 ------- ----- 225 Y 04
55+45
29 A.N.- C.P. J.walan- A.N. 20+10+30 90 ------ ---- 150 Y 04
30 A.N.- J.walan J.walan- A.N. 21+21 63 ------ ----- 150 Y 01
31 Sunday

Other Expenses(with Bills) (B) Total (A) 3301 1201 2100

Telephone ----- Printing & Stationary -------- Others (Pl. Specify)
Rs. Parking charges
Mobile 200 Transportation ---------
Int / Email 30 Sales promotion* --------
Fax ------ Repair & Maint. --------
Xerox ------ Rates & Taxes --------
Courier ------ Service-Traded Prod ------- Total (B) Rs.230
Postage ------ Service-Mfg-Prod. -------- Grand Total (A+B) Rs. 3531

(Rupees: )
(Certify that the DCR s are received as per Company
policy & activities are done as per plan approved)

Signature & Date Approval & date

Detail of Gift / Guest / M & SP expenses

Date Amount Gift/ Guest Name of the guest with Name of the Organisation Expected revenue & when
M& Sp designation