Not to be claimed, if DA claimed for full trip

Detais of lodging & Boarding Expenses

To be filled by Claiment

Lodging Boarding Taxes / S.Ch. Telephone / Incidental Total

Bill Sr. No.
Expenses (Food/Laundry Bills) Amount Telex / Fax Expenses Amount

Total
Amount
shown 0.00 0.00 0.00 0.00 0.00 0.00
against

2a 2b 2c

Claiment's Signature & Date Verified by (Signature)

DETAILS OF CONVEYANCE EXPENSES :
Date Mode of Travel From To Amount

TOTAL 0.00
DETAIL OF OTHER EXPENSES :

TOTAL 0.00
 Voucher No
Date
No. Of Visitors** Total Days:
(** In case room shared with others)

Name : G Krishna Kruthivnti Grade : BA05 Designation: Manager Extn :

Accompanying Spouse: NO Full Ticket No. : 57498 Department: SALES-2W

Departure Date: 8/17/2107 Time: 08:30 am 8/17/2017 Time: 21:30 hrs

Arrival Date: 14/08/2017

G Hanumath
Purpose: Best practices launch-Warangal Hub Authorized by: RM
Prasad

From Departure *City Arrival Mode Of Class Amount

Date To
City
Hyderabad Time Hyderabad Grade Time Travel
Air Travelled
Eco Rs. Ps.
8/17/2017 Hyderabad 08;30 am Warangal 10:30 AM Car INR 4.75X 100 475
8/17/2017 Warangal 6:30 PM Hyderabad 9:30 PM Car INR 4.75X 100 475

Toll Tax to and Fro 125

Travel agents commission,Bed rolls charges & Cancellation charges

Amount Passed for*
Claimed Rs. Ps.
1) FARE TOTAL 1075.00
2) Daily Allowance (While not staying in a Hotel, as per option 'C' not for Journey Period) 600.00
for 1 Days at the rate of Rs. 600 per day.
3) HOTEL
(a) Expenses Incured for Lodging Bills Attached [As per 2 (a)] 0.00
(b) Boarding (Food + Laundry) Bills / Food Allowance [As per 2 (b)] 0.00
(c) Tax Amount [As per 2 (c)] 0.00
4) CONVEYANCE (Expenses as detailed overleaf) 0.00
5) Official Telephone, Telex & Fax Expenses [As per 3] 0.00
6) Other Expenses (Incidental Expenses) 0.00
Incidental Charges [As per 4] 0.00

Total (In Words): Sixteen Hundred and Sevety Five only Grand Total 1675.00

Verified and found correct.

Date of submittion to IA Signature of claimant Date: Officer (Finance)

Passed for payment

Date: Dept. Head Accounts. Dept. Date: Sanctioning Authority

Amount of TA bill Rs. 1675.00 PAYMENT RECEIVED

Advance taken Rs. Date of Adv taken :
(please write NIL if not taken)
Deducted from Salary / Wages Rs. 0.00
Balance refunded here with chq./Cash Rs. 0.00 Receipt No.
Balance due to me / Company Rs. 1675.00

N.B. : If Lunch / Dinner is provided by organiser of seminars / conference or by supplier, give details of the same.
Travel bill must be submitted to Finance with in week's time after completion of travel, duly filled in.
In case of combined expenses, mention Emp. No., Name & Grade for whom combined expenses are incurred.
Any amount due to Company is to be paid by cash / cheque immediately.
Advance taken for particular travel should not be utilised for any other purpose, Bills will be passed to the nearest Rupee.