STATEMENT OF EXPENSES Division : CPD Month : 1-May

Name : AKHILESH TIWARI Emp. No. : 10613 Year : 2017

Designation : PSM H.Q. : LUCKNOW pervisor Name: ALOK SAINI

Distance FARE Allowance Post & Telephone Xerox /

Dep. Arrival Base Camp Sundry/ Total Description of Sundry /
Date From To in Other Ex. Out Tele. & Courier
Time Time (Night Stay) Rly. Bus H.Q. Internet Misc. Rs. Miscelleneous Expenses
Kilometer Mode H.Q. Station Fax & Post Exp.
1 LUCKNOW 8.3AM SANDILA 9.5AM 65*2 190 200 390
2 LUCKNOW SUNDAY 10.3AM 0
3 LUCKNOW 5.3AM MEETING 10.5AM 195*2 546 200 746
4 LUCKNOW 7.3AM BEHRICH 10.2AM 155*2 370 200 570
5 LUCKNOW 5.5AM JALALPUR 10.5AM 235*2 490 200 690
6 LUCKNOW 7.3AM LALGANG 10.3AM 135*2 410 200 610
7 LUCKNOW 6.3AM LEAVE 9.3AM 0
8 LUCKNOW 6.2AM MEETING 10.3AM 170*2 440 200 640
9 LUCKNOW 8.3AM GOLA 9.5AM 195*2 270 200 470
10 LUCKNOW 5.1AM PALIYA 11.1AM 215*2 680 200 880

11 LUCKNOW 5.2AM BALRAMPUR 10.3AM 175*2 630 200 830

12 LUCKNOW NANPARA 195*2 0
13 LUCKNOW SAHABAD 175*2 0
14 LUCKNOW CORNALGANG 115*2 0
15 LUCKNOW 7.1AM UTRAWLA 10.3AM 185*2 390 200 590
16 SUNDAY 5.3AM SUNDAY 10.5AM 0
17 LUCKNOW 6.3AM AMETHI 10.3AM 155*2 510 200 710
18 LUCKNOW 6.2AM MEHMUDABAD 10.2AM 65*2 466 200 666
19 LUCKNOW HARDOI 135*2 0
20 LUCKNOW 7.5AM BISWA 103AM 110*2 364 200 564
21 LUCKNOW 7.2AM CHANDA 10.1AM 190*2 378 200 578
22 LUCKNOW 5.3AM RUDAWLI 10.4AM 135*2 630 200 830
23 SUNDAY SUNDAY 0
24 LUCKNOW 5.2AM SULTANPUR 10.1AM 155*2 610 200 810
25 LUCKNOW 6.3AM BEHRICH 10.4AM 155*2 588 200 788
26 LUCKNOW AKBARPUR 195*2 0
27 LUCKNOW 6.3AM BALRAMPUR 10.2AM 175*2 466 200 666
28 LUCKNOW 5.3AM HARDOI 10.4AM 135*2 476 200 676
29 LUCKNOW 7.1AM SULTANPUR 10.3AM 155*2 300 200 500
30 LUCKNOW 6.2AM MOHANROAD 10.1AM 55*2 490 200 690
31 0
TOTAL 0 9694 0 0 4200 0 0 0 0 0 13894 Supervisor's Sign.
ZO RECEIPT DATE TOTAL EXPENSES CLAIMED UNDER VARIOUS HEADS 9694 4200 0 0 13894
LESS : EXPENSES DISALLOWED OR KEPT IN ABEYANCE
ADD : AMT. EARLIER DISALLOWED / ABEYANCE NOW RELEASED
NET AMOUNT PAYABLE
Zonal Office - Checked by Sign & Date Affix Rubber Stamp at HO Sales Operations - Checked by Sign & Date

Checked by ZC Name Checked by Name Employee Sign & Date Date :

STATEMENT OF EXPENSES Division :

Name : AKHILESH TIWARI Emp. No. :

Designation : PSM H.Q. :

Distance
Dep. Arrival Base Camp
Date From To in
Time Time (Night Stay)
Kilometer
1 LUCKNOW 8.2AM MOHAN ROAD 9.5AM 36*2
2 LUCKNOW MEETING 9.10AM
3 SUNDAY
4 LUCKNOW 6.4AM LALGANG+SARENI 10.2AM 100*2
5 LUCKNOW 6.2AM SULTANPUR 10.5AM 136*2
6 LUCKNOW 6.2AM PRATAPGARH 10.3AM 178*2
7 LUCKNOW 7.2AM HARDOI 10.1AM 112*2
8 LUCKNOW 8.3AM MEETING 9.5AM
9 LUCKNOW 6.5AM BEHRICH 10.1AM 127*2
10 LUCKNOW 7.2AM MADHOGANG 10.3AM 107*2
11 LUCKNOW LEAVE
12 LUCKNOW 5.3AM IANDA 10.3AM 192*2
13 LUCKNOW 5.1AM AKBARPUR 10.5AM 195*2
14 LUCKNOW 6.3AM GOSAIGANJ FZB 10.2AM 164*2
15 LUCKNOW 5.2AM GOLA 10.3AM 159*2
16 LUCKNOW 7.3AM RUDAWLI 10.4AM 94*2
17 SUNDAY 7.1AM SANDILA 10.2AM 56*2
18 LUCKNOW 5.3AM BALRAMPUR 10.3AM 189*2
19 LUCKNOW 6.2AM PRATAPGARH 10.4AM 178*2
20 LUCKNOW 5.1AM AKBARPUR 10.3AM 195*2
21 LUCKNOW 6.2AM SULTANPUR 10.3AM 136*2
22 LUCKNOW 6.3AM AMEIHI 10.4AM 141*2
23 LUCKNOW 5.3AM PARASPUR GON 10.4AM 143*2
24 SUNDAY 8.3AM MALL 9.5AM 45*2
25 LUCKNOW 7.5AM HARDOI 10.1AM 112*2
26 LUCKNOW 6.3AM BEHRICH 10.4AM 127*2
27 LUCKNOW 6.5AM UNCHAHAR 10.3AM 116*2
28 LUCKNOW 6.10AM SAHABAD 10.1AM 150*2
29 LUCKNOW 5.3AM JARWAL KASBA 10.4AM 65*2
30 HOLIDAY
31
 TOTAL
ZO RECEIPT DATE TOTAL EXPENSES CLAIMED UNDER VARIOUS HEADS
LESS : EXPENSES DISALLOWED OR KEPT IN ABEYANCE
ADD : AMT. EARLIER DISALLOWED / ABEYANCE NOW RELEASED
NET AMOUNT PAYABLE
Zonal Office - Checked by Sign & Date Affix Rubber Stamp at HO

Checked by ZC Name
Division : SS Month : SEP

Emp. No. : 10613 Year : 2017

H.Q. : LUCKNOW pervisor Name: ALOK SAINI

FARE Allowance Post & Telephone Xerox /

Sundry/
Other Ex. Out Tele. & Courier Misc.
Rly. Bus H.Q. Internet
Mode H.Q. Station Fax & Post Exp.
108 280
105

184 54 280
358 280
354 280 250 200
212 280
105
410 280
192 280

387 180 280

354 177 280
354 84 280
280 111 280
276 30 280
168 280
342 280
262 280
354 177 280
358 280
268 280
230 84 280
135 280
276 280
410 280
376 280
342 280
195 280
 0 6774 1518 0 7000 0 250 0 200 0
8292 7000 450 0

15742
mp at HO Sales Operations - Checked by Sign & Date

Checked by Name Employee Sign & Date

Total Description of Sundry /
Rs. Miscelleneous Expenses

388
105
0
518
638
1084
492
105
690
472
0
847
811
718
671
586
448
622
542
811
638
548
594
415
556
690
656
622
475
0
0
0
0
0
 0
15742 Supervisor's Sign.
15742

15742

Sign & Date Date :