Scribd
Upload
3K views5 pages

Local Conveyance Claim Form-Sumit

The document contains multiple local conveyance claim forms submitted by Sumit Kumar for travel reimbursement. It details dates, locations traveled between, purpose of travel, distance, mode of transport and amounts claimed. The forms show costs incurred over multiple months for trips taken using auto-rickshaws for work purposes to locations like Axis Bank, Airtel office, Tata store and SBI bank from Sewa Kendra. The total amounts claimed range between Rs. 18 to Rs. 135 per form.

Uploaded by

sumkthakur
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
3K views5 pages

Local Conveyance Claim Form-Sumit

The document contains multiple local conveyance claim forms submitted by Sumit Kumar for travel reimbursement. It details dates, locations traveled between, purpose of travel, distance, mode of transport and amounts claimed. The forms show costs incurred over multiple months for trips taken using auto-rickshaws for work purposes to locations like Axis Bank, Airtel office, Tata store and SBI bank from Sewa Kendra. The total amounts claimed range between Rs. 18 to Rs. 135 per form.

Uploaded by

sumkthakur
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 5

Catholic Bishops Conference India

(GFTAM Project- Round VI)


Local Conveyance Claim Form

Location: Patna Date:29.6.2010


Name of Staff: Sumit kumar

Date Destination Purpose of Distance Mode of Amount


From To Travel Conveyance Paid
29.6.2010 Sewa kedra Gandhi Auto 9/-
maidan( B
akarganj)
29.6.2010 Gandhi Sewa Auto 9/-
maidan Kendra
(Bakarganj)

TOTAL 18/-

Total amount (In Words): Eighteen only

Signature: Approved by:


Catholic Bishops Conference India
(GFTAM Project- Round VI)

Local Conveyance Claim Form

Location: Patna Date:30.7.2010


Name of Staff: Sumit kumar

Date Destination Purpose of Travel Distance Mode of Amount


From To Conveyance Paid
1.7.2010 Sewa Axis bank Up & down Auto 12.00
kedra boaring
road
1.7.2010 Sewa Airtel Up & down Auto 22.00
Kendra office
Gandhi
maidan
6.7.2010 Sewa Tata Up & down Auto 26.00
Kendra indicom
store
7.7.2010 Sewa S.B.I bank Up & down Auto 16.00
Kendra patliputra ( two times)
8.7.2010 Sewa Gandhi Up & down Auto 12.00
Kendra maidan
8.7.2010 Sewa Axis bank Up & down Auto 11.00
Kendra Boring
road
16.7.2010 Sewa Krishna co Up& down Auto 20.00
Kendra
27.7.2010 Sewa Axis bank Up& down Auto 14.00
Kendra boring
road

Total 133
Total amount (In Words): one thirty-three only.

Signature: Approved by:


Catholic Bishops Conference India
(GFTAM Project- Round VI)

Local Conveyance Claim Form

Location: Patna Date:31.08.2010


Name of Staff: Sumit kumar

Date Destination Purpose of Travel Distance Mode of Amount


From To Conveyance Paid
2.8.2010 Sewa S.B.I bank Up & down Auto 4.00
kedra Patliputra
2.8.2010 Sewa Axis bank Up & down Auto 15.00
Kendra & SBI
bank

3.8.2010 Sewa Tata Up & down Auto 24.00


Kendra indicom
store
5.8.2010 Sewa Tata Up & down Auto 24.00
Kendra indicom ( two times)
store
18.8.2010 Sewa Airtel Up & down Auto 22.00
Kendra office
Gandhi
maidan
19.8.2010 Sewa Axis bank Up & down Auto 13.00
Kendra

31.8.2010 Sewa Axis bank Up& down Auto 13.00


Kendra
31.8.2010 Sewa SBI bank Up& down Auto 20.00
Kendra Patliputra (Two times)

Total 135.00
Total amount (In Words): .

Signature: Approved by:


Catholic Bishops Conference India
(GFTAM Project- Round VI)

Local Conveyance Claim Form

Location: Patna Date:


Name of Staff: Sumit Kumar

Date Destination Purpose of Travel Distance Mode of Amount


From To Conveyance Paid
1.9.2010 Sewa SBI Up & down Auto 10.00
kedra Patliputra
6.9.2010 Sewa Tata Up & down Auto 26.00
Kendra indicom
store

22.9.2010 Sewa Airtel Up & down Auto 22.00


Kendra office,
Gandhi
maidan
22.9.2010 Sewa Aixs bank Up & down Auto 14.00
Kendra Boaring
road
.2010 Sewa Up & down Auto
Kendra
.2010 Sewa Up & down Auto
Kendra

.2010 Sewa Up& down Auto


Kendra
.2010 Sewa Up& down Auto
Kendra

Total
Total amount (In Words):

Signature: Approved by:

You might also like