ATHENESE-DX PRIVATE LIMITED

Module No.407 & 408, 4th Floor, TICEL Bio Park II, No.5, CSIR Road, Taramani, Chennai-600 113.
TEL / Fax : 044-22541131 email : info@athenesedx.com

FIELD STAFF EXPENSE STATEMENT

NAME OF THE STAFF CHETHAN SH

DESIGNATION PE

HEAD QUARTER BANGLORE

EXPENSES PERIOD 01 to 18

SENT ON

TRAVEL DETAILS DA PRODUCTIVIT

DATE WORKED AT
DISTANCE IN KMS. Lab Calls Total POB
FROM TO DEP. TIME ARRIVAL TIME AS PER STANDARD Mode Fare For the Day Made Value
FARE CHART

5/2/2018 BANGLORE 175.00 1

5/3/2018 BANGLORE 175 8

5/4/2018 BANGLORE 175 9

5/5/2018 BANGLORE 175.00 10

5/7/2018 BANGLORE 175 8

5/8/2018 BANGLORE 175 9

5/9/2018 BANGLORE 175.00 7

5/10/2018 DODABALAPUR 200.00 9

5/11/2018 BANGLORE 175 8'

 5/14/2018 BANGLORE 175.00 9

5/15/2018 RAICHUR banglore raichur 22.45pm 10.15am 470x1.50 train 705 650 8
5/16/2018 RAICHUR raichur sindahnur 110x1,50 bus 165 650 9

6/17/2018 SINDHANUR 650 7

5/18/2018 lingasur/maski sindhanur banglore 495x1.5 bus 742.50 650.00 9

TOTAL 1612.50 4375.00 94.00 0.00

Rupees in words :

COMMENTS FROM AM/RM/ZSM :

Deduction Details if any :

Staff signature:

Report Status :

Staff Name: Reimburse On

Designation: Cheque Details

00 113.

PRODUCTIVITY OF THE DAY Others Expenses Total

Instrument
Distributor Distributor Demo / Postal Expenses for
Telephone Fax / TGM Internet Xerox Stationay
Order's Value Payment Value Installation Courier the Day
Calls made

175.00

175.00

175

175.00

175.00

100.00 275.00

175.00

200.00

175.00
 175.00

1355
815

650

1392.50

0.00 0.00 0.00 100.00 0.00 0.00 0.00 0.00 0.00 6087.50

POB to PAYMENT
PRIMARY SALE POB SALE TO EXPENSE PRIMARY SALE TO COLLECTION TO
RATIO % EXPENSE RATIO %
RATIO % EXPENSE RATIO %

#DIV/0! #DIV/0! #DIV/0! #DIV/0!