Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)

0
0
0
0

Total (Rs.) 0
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
8/Jul/24 T&T Merc Office Auto For HR26DN0141 car visit 170
9/Jul/24 Office T&T Merc (2 way) Auto For HR26DN0141 car visit 225

12/Jul/24 Home Delhi Authority & AMP Motor 120 car For Range Rover Special number 480
meeting
21/Aug/24 Office Green Park to home Auto & Metro For Kimaya mam work 180
22/Aug/24 Home Green park 65 Car For Kimaya mam work 260
29/Aug/24 Office Jaipuria House Auto & Metro For Varun ji work 225

12/Jul/24 Food 250

0
0
0

Total (Rs.) 1790

* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
1/Feb/24 Home RK Puram 60 Car 8 Varun Ji work - Meeting with Agent 480
1/Feb/24 Parking Slip - RK puram 40

8/Feb/24 Office Sultanpur farms, Kashmirigate 110 Car 8 Varun Ji work - For vintage car 880
purchase

9/Feb/24 Home Bentley Workshop 120 Car 8 Varun Ji work - For Bentley 960
DL8CBB0079 car brakes work

15/Feb/24 Home Mayapuri & Chattarpur farms 80 Car 8 Varun Ji work - For vintage car 640
purchase

19/Feb/24 Home Connaught place - Auto & Metro - Varun Ji work - For vintage car 220
purchase

21/Feb/24 Home Chattarpur farms 80 Car 8 Varun Ji work - For vintage car 640
purchase

22/Feb/24 Home Janak Puri 45 Car 8 Varun Ji work - Meeting with Raman 360
Nirmal ji

29/Mar/24 Office South Extension 70 Car 8 Varun Ji work - Meeting with Parts guy 560
for Vinatage car parts

Total (Rs.) 4780

* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
Name :
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014
Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Amount
Date From To KMs Mode of Travel* Applicable Rate of Purpose (Rate *
Fuel Reimb. KM)

21/Jul/23 Home Nehru Place to Karol bagh to 122 Car 8 Varun Ji work. New Rolls 976
Jaipuria House to Kashmiri gate DL8CBB0079 Camera wire

28/Aug/23 Home Jaipuria House to Khan Market 75 Car 8 Varun Ji work. Regarding Old Rolls 600
to Moti Bagh DL1CN7900

21/Jul/23 Food (2 persons) Ankur & Tarun 240

21/Jul/23 Parking 40

Total (Rs.) 1856

* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :

24/May/23 Home Nuh RTO to Home 220 Car 4 For HR74A1202 vehicle 880
documentation & NOC

29/May/23 Home Nuh RTO to Home 220 Car 4 For HR74A1202 vehicle 880
documentation & NOC
24/May/23 Toll Tax for Nuh Visit 185
29/May/23 Toll Tax for Nuh Visit 185

6/Apr/23 Home Bhiwani to Home 270 Car 8 RTO office for Bus NOC 2160
0

0
0
0
0
6/Apr/23 Bhiwani visit- Toll 260
6/Apr/23 Food - 2 Persons 300

180 960 240 BILLA

180 480 Food
1440
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
1/Jun/23 Ofc GGN Rto to Office Auto For Nuh Plant Buses NOC 220
Hyundai
13/Jun/23 Workshop Ofc Auto For Bodyshop work estimation 120
Udyog Vihar

20/Jul/23 Ofc Nehru Place to Home Metro & Auto Varun Ji work. New Rolls Camera 140
wire
25/Jul/23 Home Kashmiri Gate Metro & Auto Hydaulic Jack for company cars 140
0
0
0
0

Total (Rs.) 620

* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :

24/May/23 Home Nuh RTO to Home 220 Car 4 For HR74A1202 vehicle 880
documentation & NOC

29/May/23 Home Nuh RTO to Home 220 Car 4 For HR74A1202 vehicle 880
documentation & NOC
24/May/23 Toll Tax for Nuh Visit 185
29/May/23 Toll Tax for Nuh Visit 185

6/Apr/23 Home Bhiwani to Home 270 Car 8 RTO office for Bus NOC 2160
0

0
0
0
0
6/Apr/23 Bhiwani visit- Toll 260
6/Apr/23 Food - 2 Persons 300

180 960 240 BILLA

180 480 Food
1440
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
2/May/23 Office Chawri Bazar & Home Auto & Metro Reflective tapes for Rajasthan 150
vehicles
3/May/23 Office Jaipuria House Auto & Metro New Rolls Delivery 120
3/May/23 Jaipuria House Home Auto & Metro New Rolls Delivery 220
10/May/23 Home Vikas Puri Auto & Metro New Rolls Accidental case 220

11/May/23 Office AMP Motor - Sarita Vihar to Auto & Metro AMP Motor Jaguar for New Range 180
Home Rover
12/May/23 Office Rolls Royce workshop to Home Auto & Metro New Rolls Accidental case 170
18/May/23 Office Sector 53 Auto ? 180
24/May/23 Home Nuh RTO to Home 195 Car 8 For vehicle documentation & NOC 1560
26/May/23 Office Jaipuria House to Home Auto & Metro New Rolls Accidental case 200
29/May/23 Home Nuh RTO to Home 195 Car 8 For vehicle documentation & NOC 1560
0
0
0
0
24/May/23 Toll Tax for Nuh Visit 185
29/May/23 Toll Tax for Nuh Visit 185
0
0
0
Total (Rs.) 4930
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Fuel Reimb. Purpose (Rate *
KM)
5/Apr/23 Office RTO Gurgaon (2 way) Auto Kota Vehicles NOC 220
6/Apr/23 Home Bhiwani to Home 270 Car 8 RTO office for Bus NOC 2160 Toll - 260 Food-300
10/Apr/23 Home GK Metro & auto Mercedes check up 70 File - 400
12/Apr/23 Home Jaipuria House Metro & Auto Rolls Workshop 220
20/Apr/23 Office Mallroad & Home Metro & Rickshaw Rolls special number 150
22/Apr/23 Home Faridabad Metro & Rickshaw Rolls Workshop 150
0
0
0
0
0
0
0
0
6/Apr/23 Bhiwani visit- Toll 260
6/Apr/23 Food - 2 Persons 300
0
0
0
0
Total (Rs.) 3530
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
23/Feb/23 Home Mathura Road Metro + Rickshaw Sita Singh Fabricator 170
14/Feb/23 Office DLF Mercedes Showroom Auto Monica mam car delivery 220
8/Feb/23 Home Samaypur & Azadpur Bike & Auto CNG to Diesel conversion vendor 180

3/Feb/23 Home Azadpur Auto Raj Engine - For Panipat 2703 220
vehicle check

6/Jan/23 Home Jaipuria House Metro & Auto 0079 Mulsanne Music system check 180

0
0
0
0
0
0
0
Total (Rs.) 970
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
5/Dec/22 Home Azadpur & Office Auto & Metro Truck repair vendor for DL1LP2703 190
Panipat vehicle
0
0
0
0
0
0
0
0
0
0
Total (Rs.) 190
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
2/Nov/22 Office Hyundai Workshop, Udyog vihar Auto Monica mam car workshop visit 150

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total (Rs.) 150
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
26/Sep/22 Home Vikas Puri & to Home - Auto & Metro Faridababd visit Audi Showroom 260
29/Sep/22 Home Mohan Estate 249 Metro 8 For DPS Bus Fabrication 70
0
0
0
0
0
0
0
0
0
0
Total (Rs.) 330
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
17/Aug/22 Office Toyota Workshop Auto Office car 150
17/Aug/22 Janak Puri Home Auto Office car 180

18/Aug/22 Office Toyota Workshop & to Sec21 Auto Office car 290
metro
0
0
0
0
Total (Rs.) 620
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Fuel Reimb. Purpose (Rate *
KM)
Vikas Puri to Faridabad (Double With Vijay Rana sir. Visit for DPS
5/Jul/22 Home visit) 205 Car 8 buses fabrication - Sita Singh & 1640
Paras
Toll 193
Nuh Plant for Scrap vehicle
6/Jul/22 Home Nuh Plant 235 Bike 4 inspection 940 Toll including 135

25/Jul/22 Office MGF Toyota Daulatabad Auto Totota Service centre for car service 130

Totota Service centre with Vijay sir

26/Jul/22 Home Vikas Puri Auto for car service 180

0
0
0
0
0
0
0
0
0
0
5/Jul/22 Food - With Vijay Sir 340
0
0
0
0
Total (Rs.) 3423
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014
Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Fuel Reimb. Purpose (Rate *
KM)
Bentley DL4CAR700 repair &
5/May/22 Home Jaipuria House & Chawri Bazar Metro & Auto Reflective tapes for Rajasthan 290

9/May/22 Dist. Centre Home Auto Official 170

Traffic police department office for
13/May/22 Home Jahangir Puri Police station Auto challan removal from site 180

Jahangir puri Police station & Traffic police department office for
18/May/22 Home Prasad Nagar Police station Auto & Metro challan removal from site 250

18/May/22 Scooty parking slip 15 NA

21/May/22 Home Jaipuria House Auto & Metro New Car delivery 230

27/May/22 Home Jaipuria House Auto & Metro DL4CAR7000 car music cable check 230

Traffic police department office for

31/May/22 Home Jahangir Puri Police station Auto challan removal from site 180

0
0
0
0
0
0
0
0
0
0
0
0
0
Total (Rs.) 1530
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Local Travel Claim Form-Non Sales & Non Field Sales
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department

Location Gurgaon Unit Head Office Contact Details

Travel
Details:
Applicable Rate of
Date From To KMs Mode of Travel* Fuel Reimb.

5/Apr/22 Home Rajpura Authority Metro

7/Apr/22 Office Rajpura Authority Metro

Burari & Rajpur Authority

8/Apr/22 Home ( double visit) 70 Bike 4

Burari & Rajpur Authority

11/Apr/22 Office ( double visit) 70 Bike 4

13/Apr/22 Home Rajpura Authority Metro

14/Apr/22 Home Rajpura Authority Metro

15/Apr/22 Home Rajpura Authority Metro

Burari & Rajpur Authority

16/Apr/22 Home ( double visit) 70 Bike 4

18/Apr/22 Home Rajpura Authority Metro

MGF Toyota -
22/Apr/22 Sector 105 Office Auto

30/Apr/22 Home Chawri bazar Metro

18/Apr/22

Total (Rs.)
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

ales Annexure D

Ankur Tyagi

Transport
8800686256

Amount
Purpose (Rate *
KM)
Authority visit NOC for Punjab & UP
vehicles 150

Authority visit NOC for Punjab & UP

vehicles 150

Authority visit NOC for UP vehicles 280

Authority visit NOC for UP vehicles 280

Authority visit NOC for UP vehicles 150

Authority visit NOC for UP vehicles 150

Authority visit NOC for UP vehicles 150

Authority visit NOC for UP vehicles 280

Authority visit NOC for UP vehicles 150

Sharad ji car accidental repair 140

Reflective tapes for Rajasthan

Jodhpur 100

0
0
0
0
0
0
Food 140
0
0
0
2120
Unit Commercial Head
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
3/Mar/22 Home Faridabad, Palwal 195 Car 8 With Vijay sir. DPS buses 1560
fabrication

12/Mar/22 Home Vikas Puri (2 way) Auto Faridabad visit for DPS bus 320
fabrication

15/Mar/22 Home Burari & Rajpur Authority 70 Bike 4 Authority visit NOC for Punjab & UP 280
( double visit) vehicles

16/Mar/22 Home Burari & Rajpur Authority 70 Bike 4 Authority visit NOC for Punjab & UP 280
( double visit) vehicles

17/Mar/22 Home Burari & Rajpur Authority 50 Bike 4 Authority visit NOC for Punjab & UP 200
vehicles

22/Mar/22 Home Rajpura 42 Bike 4 Authority visit NOC for Punjab & UP 168
vehicles

23/Mar/22 Home Rajpura 42 Bike 4 Authority visit NOC for Punjab & UP 168
vehicles

25/Mar/22 Home Rajpura Metro Authority visit NOC for Punjab & UP 150
vehicles
0
0
0
0
0
3/Mar/22 Food - 2 persons 220
12/Mar/22 Food - 3 persons 399
15/Mar/22 Food 140
16/Mar/22 Food 140
25/Mar/22 Food 140
0
0
Total (Rs.) 4165
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
Car24 & T&T Motors & Khan Kapil Ji & Bagga ji car for Merc.
2/Feb/22 Home 134 Bike 4 Khan market for Bentley. Car 24 for 536
Market
Monica mam car
3/Feb/22 Home Badli & Punjabi Bagh Auto Tyres & Battery quotes 190
5/Feb/22 Home Jaipuria House Auto & metro Rolls Royce repair 230
7/Feb/22 Janak Puri Home Auto Official 150
9/Feb/22 Khan market Home Auto & metro Rolls Royce repair 230
11/Feb/22 Home Vikas puri Auto Official 170
17/Feb/22 Home Khan Market Metro Car cover Sample 120
25/Feb/22 Home Faridabad Metro Bus fabrication 120
25/Feb/22 Food 302
0
0
0
0
0
0
0
0
0
0
0
Total (Rs.) 2048
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
4/Jan/22 Home AMP Motor & Faridabad Auto & Metro Vivek sir car & Bus fabrication 250

6/Jan/22 Office Sector 14 Gurgaon, DLF & Auto Bank NOC & Medanta Hospital 190
Medanta Hospital - 2 way
13/Jan/22 Home Nahar pur car market Auto Devyani mam Bentley car work 140
14/Jan/22 Home Vikas puri Auto Devyani mam Bentley car work 170
Bhikaji kama place, Kautilya
17/Jan/22 Office marg, Khan market, Chandni 98 Bike 4 Devyani mam Bentley car work 392
chowk

18/Jan/22 Office Medanta GGN, Bhikaji kama 130 Bike 4 Devyani mam Bentley car work, 520
place Medanta Hospital

19/Jan/22 Office Bhikaji kama place & Khan 115 Bike 4 Devyani mam Bentley car work 460
market

20/Jan/22 Home Aazad market, Chandni chowk 78 Bike 4 Reflective tapes for Goa vehicles, 312
Devyani mam Bentley car work

24/Jan/22 Home Shadi pur depot market, Badli, 29 Bike 4 Devyani mam Bentley car work 116
Sector 17, Siraspur

28/Jan/22 Office RTO Gurgaon Auto Paper documentation for 2165 car 220

0
0
0
0
0
17/Jan/22 Parking slip 20
18/Jan/22 Parking slip 60
20/Jan/22 Parking slip 50
28/Jan/22 Parking slip 50
4/Jan/22 Food bill with Vijay Rana sir 412
0
0
Total (Rs.) 3362
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :
Ref: RJ/VBL/HR/Local Travel/2014

Local Travel Claim Form-Non Sales & Non Field Sales Annexure D
Personal
Details :

Employee No 10006768 Name Ankur Tyagi

Designation Asst. Manager - Transport Grade M02 Department Transport

Location Gurgaon Unit Head Office Contact Details 8800686256

Travel
Details:
Applicable Rate of Amount
Date From To KMs Mode of Travel* Purpose (Rate *
Fuel Reimb.
KM)
18/Dec/21 Home Vikas puri & Faridabad to Home Auto & Metro Fabrication of Commercial vehicles 220

19/Dec/21 Home Parikshan Path Lab, Jaipur Auto Medical check up as instructed by 180
Golden Hospital, Mangol Puri HR Dept

24/Dec/21 Home Rajendra Place to Office Auto & Metro To Pick the NOC of Loan closure for 290
UPMP vehicles

28/Dec/21 Office Car24 showroom & Janakpuri to Auto Gandhi ji car sold & Kamlesh ji car 280
Home Tyre arrangement
0
0
0
0
0
0
0
0
0
0
Total (Rs.) 970
* Car/Two
Wheeler/Auto
/Taxi/Bus

Signature of Claiment : Date of Claim:

Approvals :
Reporting Manager HOD Unit Commercial Head
MR VIJAY
Name :
RANA
Date :
Sign :