JOB CODE : 21BW02 (E291372Q00-J11BOPE)

PROJECT MANAGER: MR. NABAKUMAR BHATTACHARJEE

VOUCHER NO: 01

Tour Request Form for Outsourced Staff

NAME TUSHAR KANTI HORE DEPARTMENT FES

MOBILE NO. 9163050385 OFFICE/LOCATION MAYURAKSHI CANAL

ENERGENCY
CONTACT NUMBER 9123853120

TRIP DURATION-
02.05.2023 TRIP DURATION-TO 31.05.2023
FROM

Estimated total
EXPENSE CATEGORY expenses that will be
(To be filled in by 14021
line manager) incurred during the
current tour

APPROVER

PLACE OF VISIT
TILPARA - BARRAGE, SURI, WEST BENGAL

PURPOSE OF THE TOUR

OPERATION, MAINTANANCE ACTIVITY

SPECIFIC OBJECTIVES FOR THIS TOUR

OPERATION, MAINTANANCE ACTIVITY

TRAVEL PLAN

MODE OF SIGNATURE OF THE

DATE OF TRAVEL FROM (PLACE) TO (PLACE) CLASS OF TRAVEL
TRAVEL DESIGNATED OUTSOURCED

REPORTING SIGNATURE OF THE

EMPLOYEE LINE
SIGNATURE MANAGER DESIGNATED
OUTSOURCE
SIGNATURE

Please note
1. This form has to be used mandatorily by the employee before proceeding on travel.
2. The line manager should ensure that all relevant details are filled in.
Advance request (in terms of amount ) should be duly validated by the approving line manager.
 ANNEXURE -1

EMPLOYEE BILL BILL

SL.NO. JOB CODE WBS ELEMENT NAME LOCATION DESCRIPTION
NO. MONTH AMOUNT

Auto fare from suri guest house to

1 Mayurakshi canal (as per attached May-23 5300
travel log sheet)

02.05.2023 to 31.05.2023 food

2 May-23 7500
allowance (250*30=7500)

3 TUSHAR Mayurakshi Bill of stationary items (as per May-23 277

21BW02 E291372Q00-J11BOPE KANTI SE 473 canal, Suri, attached bill)
HORE West Bengal
Bill of stationary items (as per
4 May-23 264
attached bill)
Bill of stationary item (as per
5 attached bill) May-23 580

Bill of double sided tape (as per

6 May-23 100
attached bill)
TOTAL 14021

SIGNATURE SIGNATURE
YIL SITE IN-CHARGE SNIPE ENGINEER
 TRAVEL LOG SHEET
COMPANY NAME & ADDRESS YOKOGAWA INDIA LIMITED,Plot no 96,Electronics city,Phase 1,Hosur Road,Bangalore 560100,INDIA
TRAVEL COMPANY NAME & ADDRESS
SITE LOCATION MAYURAKSHI CANAL, SURI, WEST BENGAL
SL.N VEHICLE PER DAY TOTAL AMOUNT
ENGINEER NAME DATE TRAVEL DETAILS KM
O. NO. RENT (INR)
CHARGES
1 02.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 300 0 300
2 03.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 0 0 0
3 04.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 0 0 0
4 05.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 0 0 0
5 06.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 0 0 0
6 07.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
7 08.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
8 09.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 100 0 100
9 10.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
10 11.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
11 12.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
12 13.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
13 14.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 100 0 100
14 15.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 100 0 100
15 TUSHAR KANTI 16.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
16 HORE 17.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 300 0 300
17 18.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
18 19.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 0 0 0
19 20.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 300 0 300
20 21.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
21 22.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
22 23.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
23 24.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
24 25.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
25 26.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 300 0 300
26 27.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 300 0 300
27 28.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 300 0 300
28 29.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 300 0 300
29 30.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 200 0 200
30 31.05.2023 SURI GUEST HOUSE TO MAYURAKSHI CANAL BY AUTO 100 0 100
TOTAL 5300
Mr. KOUSIK DUTTA
PLOT NO : MNAV51, 1st Floor
Malhar Complex Phase -2, Ward no. 22
Bengal Ambuja Housing Development LTD
North Avenue City Center, Durgapur
West Bengal - 713216
Phone no. 8250443092

Mr. KOUSIK DUTTA

PLOT NO : MNAV51, 1st Floor
Malhar Complex Phase -2, Ward no. 22
Bengal Ambuja Housing Development LTD
North Avenue City Center, Durgapur
West Bengal - 713216
Phone no. 8250443092