* Lodging : (Category)
(A)
(B)
(C)
(A)
(B)
(C)
* DA :
Outside HQ Rs
@ Inside HQ Rs
Outside HQ Rs
@ Inside HQ Rs
* Two Wheeler :
/Km Max:
Km/D
Km/M
/Km
Max:
Km/D
Km/M
* Four Wheeler :
/Km Max:
Km/M
Km/A
/Km
Max:
Km/M
Km/A
* Mode of Travels OutSide HQ :
Train
Flight (Need based)
Flight (Need based)/Train
NA
Class :
General
Sleeper
AC-I
AC-II
AC-III
Economy
Economy/AC-I
Economy/AC-II
NA
Train
Flight
Flight (Need based)/Train
NA
Class :
General
Sleeper
AC-I
AC-II
AC-III
Economy
Economy/AC-I
Economy/AC-II
NA
* Mobile expenses Reimbursement :
Period :
Month
Qtr
1/2 Yearly
Yearly
NA
Period :
Month
Qtr
Annual
NA
* Mobile Handset :
Amount :
GPRS
Amount :
GPRS
* Misc. expenses(like stationery/photocopy/fax/e-mail/etc) :
Yes
No
NA
Yes
No
NA
* Health Insurance(Premium Paid by Company) :
* Executive Health Check-up (Once in 2 yrs) :
Yes
No
Yes
No
NA
* Bonus/Exgretia(Monthly) :
* Gratuity :
* Remark :
Date :