Evalueserve.

Com Private Limited / Evalueserve SEZ (Gurgaon) Private Limited

Foreign Travel Expense Claim Form

Date & Time of

Employee Name Vijay Pal Departure from India 4-Aug

Employee Code SEZ-3736 Country Visited GERMANY

Location Tikri Travel Request No. TRV0002472_SEZ
Vertical LSHC LOB CIDA03
Will Evalueserve Pay for Your
No Date & Time of Arrival
Travel? (Yes/No) 17-Aug
from visited Country

Is Your Travel Exclusively

Billable to the Client? No ERP Charge Code UK-001557-001
(Yes/No)

Total Days Eligible for

Is It Included in the Project
Cost? (Yes/No) Yes Per Diem 14
Reimbursement

Per-dime Rare &

EUR 50
Currency

Details of Forex
Forex Advance Taken Meenu

Sl. No. Date Amount Currency Cash Card Total Rate Amount in INR Remarks

1 3,000.00 EUR 300 2700 3,000.00 76.87 230,595.00

2 - USD 0 0 - 69.16 -
3 - CHF 0 0 - 69.36 -
4 INR 1.00 -
230595.00
Forex Surrendered

Sl. No. Date Amount Currency Cash Card Total Rate Amount in INR Remarks

1 719.99 EUR 0 719.99 719.99 76.87 55,342.03

2 - USD 0 0 - 69.16 -
3 - CHF 0 0 - 69.36 -
Total 55,342.03
Balance Amount to Settle 175,252.97

Details of Expenses

DATE Doc. No. Amount Currency Description of Expense Finance Remarks

4-Aug-19 1 486.00 INR Cab Home to Airport Local Travel (4)

4-Aug-19 2 33.40 EURO Cab Airport to Hotel Local Travel
5-Aug-19 3 1,464.70 EURO Hotel Charges Hotel Charges
5-Aug-19 4 5.35 EURO Metro Ticket Local Travel
5-Aug-19 5 10.90 EURO Cab Metro to Office Local Travel
5-Aug-19 6 12.50 EURO Cab Office to Metro Local Travel
6-Aug-19 7 5.35 EURO Metro Ticket Local Travel
6-Aug-19 8 10.70 EURO Cab Metro to Office Local Travel
6-Aug-19 9 13.30 EURO Cab Office to Metro Local Travel
6-Aug-19 10 24.10 EURO Cab Metro to Hotel Local Travel
6-Aug-19 11 5.35 EURO Metro Ticket Local Travel
7-Aug-19 12 27.90 EURO Cab Hotel to Office Local Travel
7-Aug-19 13 23.60 EURO Cab Office to Hotel Local Travel
8-Aug-19 14 52.00 EURO Cab Hotel to Office Local Travel
8-Aug-19 15 13.20 EURO Cab Office to Metro Local Travel
8-Aug-19 16 2.75 EURO Metro ticket Local Travel
9-Aug-19 17 5.35 EURO Metro ticket Local Travel
9-Aug-19 18 11.10 EURO Cab Metro to Office Local Travel
9-Aug-19 19 9.90 EURO Cab Office to Metro Local Travel
9-Aug-19 20 7.60 EURO Cab Metro to Hotel Local Travel
12-Aug-19 21 5.35 EURO Metro Ticket Local Travel
12-Aug-19 22 32.00 EURO Cab Metro to Office Local Travel
12-Aug-19 23 10.60 EURO Cab Office to Metro Local Travel
13-Aug-19 24 10.00 EURO Cab Metro to Office Local Travel
13-Aug-19 25 10.80 EURO Cab Office to Metro Local Travel
14-Aug-19 26 29.10 EURO Cab Hotel to Office Local Travel
14-Aug-19 27 23.70 EURO Cab Office to Hotel Local Travel
15-Aug-19 28 28.00 EURO Cab Hotel to Office Local Travel
15-Aug-19 29 26.00 EURO Cab Office to Hotel Local Travel
17-Aug-19 30 37.30 EURO Cab Hotel to Airport Local Travel
18-Aug-19 31 812.00 INR Cab Airport to Home Local Travel (4)

Please use extra sheets (in the above format) if required.

I hereby certify that the expenditure stated above was actually and necessarily incurred on official business.

Signature of Claimant Required Administrative Approvals (AVP/VP/BU)

Date

For Finance Department's Use Only

Details of Expenses Currency 1 Currency 2 Currency 3 Currency 4 Rate 1 Rate 2 Rate 3 Rate 4 Total Amount (INR)
Local Travel 487.20 0.00 0.00 1298.00 76.87 69.16 69.36 1.00 38,746.63
Hotel Charges 1464.70 0.00 0.00 0.00 76.87 69.16 69.36 1.00 112,584.17
Per-diem Expenses 700.00 0.00 0.00 0.00 76.87 69.16 69.36 1.00 53,805.50
Telephone Charges 0.00 0.00 0.00 0.00 76.87 69.16 69.36 1.00 -
Others 0.00 0.00 0.00 0.00 76.87 69.16 69.36 1.00 -
Visa Fee 0.00 0.00 0.00 0.00 76.87 69.16 69.36 1.00 -
Total Expenses 2651.90 0.00 0.00 1298.00 0 0 0 0 205136.29

Amount Recoverable or Payable to Employee (29,883.00)