BASIX Sub-K iTransactions Ltd.

SUMMARY STATEMENT FOR THE MONTH OF : February 2013 Name: Jayanta Acharjee Designation: CRM Period From_________To_____________ 1st feb 2013 to 28th feb 2013 Emp No.& Dept: 226 S.No. Particulars 01, Travel Expence 02, Inter Station travel expenses 03, Boarding expenses 04, Lodging expenses 05, Local Conveyance 06, Telephone expenses 07, Petrol Expence 08, Printing & stationery 09, Courier (OTHER) 10, Miscelleneous expenses Total Claim : Less: Advance taken Net Claim/Refund : Bank Details A/c No - 6027422827 IFSC Code- idib000b091 Contact No- 08647847877 Jayanta Acharjee Signature Verified By
Date: Signature Name Designation

Amount (Rs) 2262.00 Rs1,650.00 Rs750.00 Rs800.00 Rs1,450.00 Rs120.00 Rs3,000.00 Rs10,032.00

Rs10,032.00

Bank : Indian Bank Branch: Barasat

Approved By
Date: Signature Name Designation

Mr. Sanjay Rastogi RM, Delhi

BASIX Sub-K iTransactions Ltd -Travel Claim

Name: Jayanta Acharjee Designation: Customer Relationship Manager For the Period of From:_1st feb 2013 To: 28th feb 2013

Vehicle No: N/A Place of Posting: Ghaziabad U.

From Date Place

Delhi (RO) Meerut

To Place

Mode of Travel
Bus Bus Bus Bus Bus Bus Auto Auto Bus Bus Bus Bus Bus Auto Auto Bus Bus Auto Bus Bus Bus Total

Fare Amount(Rs)
120.00 150.00 200.00 67.00 200.00 100.00 80.00 70.00 60.00 100.00 80.00 80.00 150.00 80.00 60.00 75.00 80.00 50.00 200.00 200.00 60.00

1-Feb-13 Ghaziabad 9-Feb-13 Kolkata 10-Feb-13 Meerut 11-Feb-13 Ghaziabad

12-Feb-13 Meerut 13-Feb-13 Ghaziabad 14-Feb-13 Ghaziabad 15-Feb-13 Ghaziabad 16-Feb-13 Ghaziabad 17-Feb-13 Ghaziabad 18-Feb-13 Ghaziabad 19-Feb-13 Ghaziabad 20-Feb-13 Ghaziabad 21-Feb-13 Ghaziabad 22-Feb-13 Ghaziabad 23-Feb-13 Ghaziabad 24-Feb-13 Ghaziabad 25-Feb-13 Ghaziabad 26-Feb-13 Ghaziabad 27-Feb-13 Moradabad 28-Feb-13 Ghaziabad

Ghaziabad Meerut Ghaziabad Modi Nagar RDC RDC RDC Ravli Masoori Modi Nagar Brijghat RDC RDC Delhi (RO) BSFL Ofice Delhi RDC Meerut, moradabad Ghazibad RDC

2262.00

Purpose of Travel: This is to certify that I incurred the above expenditure in course of official work and that I have not claimed it from elsewhere.

Project to Debit:

Sign.:

Date:

Place:

Accountant:____________

Approved by: Name:

Designation:

ons Ltd -Travel Claim Form

hicle No: N/A ce of Posting: Ghaziabad U.P.

Boarding Lodging Local Conveyance Amount(Rs) Amount(Rs) Mode Amount(Rs)

50.00 250.00 50.00 250.00 250.00 250.00

Others

TOTAL Amount (Rs) 170.00 650.00 250.00 567.00

50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 250.00 50.00 50.00 1650.00 750.00 800.00 3000.00 250.00 Auto 800.00 3000 Seltex Charge

250.00 150.00 130.00 120.00 110.00 150.00 130.00 130.00 200.00 130.00 110.00 3925.00 130.00 100.00 700.00 250.00 110.00 8462.00

Net Claim / Refund: claimed it from elsewhere.

Total Advance taken in cash: Tickets purchased

0 8462.00

Accountant:____________