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Claim Sheet Format

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Evolve Technologies and Services Pvt Ltd

Employee Bike Log Sheet

Claim Sheet
EMP. ID EMPLOYEE NAME DESIGNATION Project LOCATION MOBILE N0.

12345 Ramesh A
Claim Period Nov-19

Mode of Odometer Reading


Coordinator
Sr. No. Date Site ID Site Name Activity Travel(Bike City Total KM Ramark
)
Trip Start KM Trip end KM

1 1-Nov-19 LNIZ041 Malapally Drive All sector Bike Nizamabad 10012 10050 38
2 2-Nov-19 LNIZ041 Malapally DL max ul max all sector Bike Nizamabad 10071 10089 18
3 3-Nov-19 0 0 0
4 4-Nov-19 0 0 0
5 5-Nov-19 0 0 0
6 6-Nov-19 0 0 0
7 7-Nov-19 0 0 0
8 8-Nov-19 0 0 0
9 9-Nov-19 0 0 0
10 10-Nov-19 0 0 0
11 11-Nov-19 0 0 0
12 12-Nov-19 0 0 0
13 13-Nov-19 0 0 0
14 14-Nov-19 0 0 0
15 15-Nov-19 0 0 0
16 16-Nov-19 0 0 0
17 17-Nov-19 0 0 0
18 18-Nov-19 0 0 0
19 19-Nov-19 0 0 0
20 20-Nov-19 0 0 0
21 21-Nov-19 0 0 0
22 22-Nov-19 0 0 0
23 23-Nov-19 0 0 0
24 24-Nov-19 0 0 0
25 25-Nov-19 0 0 0
26 26-Nov-19 0 0 0
27 27-Nov-19 0 0 0
28 28-Nov-19 0 0 0
29 29-Nov-19 0 0 0
30 30-Nov-19 0 0 0
Total Km 56
SUPERVISOR SIGN Evolve Authority
Bike Policy
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Bike Policy
We will pay INR 2500 for 1000km as a claim for bike.
Need Project Manager/Coordinator approval on bike log sheet for payment processing.
For excess km payment need project manager or coordinator approval
Evolve strickly insists the rider members wear a ISI certified helmet at al times.
Rider is not supposed to cross a top speed of 70kmph for bikes. Doing so will result in penalty of INR 500.
Follow all the EHS rules while driving.
Send bike claim sheet to coordinator between 1 to 4 everymonth.

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