TERUMO PENPOL Limited EXPENSES STATEMENT

(SUBMIT EVERY FORTNIGHT)

Name: Utkarsh Kumar Singh HQ: Delhi Month: December Period:16 December- 31 December
Date Station Train/Bus DCR Total
From To Km (Specify) Amount Auto/ Post DWA Subm No. of
I II Arrv/dep time(if stay) Arrv/ dep time(if stay) (Km x Taxi age . calls
rate) Y/N
16 A.N.- Okhla J.walan- A.N. 60 90 150 Y 02
17 A.N.- K.puri C.Puri- A.N. 120 180 150 Y 05
18 HLL tender work A.N.- J.walan- 75 112.5 225 Y 02
Noida-A.N.
19 Sunday -------- -----
20 A.N.- K.Puri IP Extn- A.N. 80 120 150 Y 03
21 A.N.- Shalimar Old ghaziabad- 135 202.5 ----- 225 Y 04
Bagh A.N.
22 A.N.- J.walan C.P.- A.N. 70 105 150 Y 02
23 A.N.- Noida C.P.-A.N. 120 180 ----- ---- 225 Y 04
24 A.N.- Rohini K.puri- A.N. 130 195 ------- ---- 150 Y 04

25 Christmas Holiday ------ -----

26 SUNDAY
27 A.N.- Faridabad Faridabad- A.N. 115 172.5 225 Y 03
28 A.N.- Old K. Bagh- A.N. 105 157.5 ------- ----- 225 Y 04
Ghaziabad
29 A.N.- Rohini J.walan- A.N. 85 127.5 ------ ---- 150 Y 03
30 A.N.- Vasant Kunj Vasant Kunj- A.N. 90 135 ------ ----- 150 Y 03
31 A.N.- K.Puri Rohini- A.N. 125 187.5 150 Y 03
Other Expenses(with Bills) (B) Total (A) 4290 1965 2325
Telephone ----- Printing & Stationary ----- Others (Pl. Specify)
Rs.
Mobile Transportation ---------
Int / Email Sales promotion* 3037
Fax ------ Repair & Maint. --------
Xerox ------ Rates & Taxes --------
Courier ------ Service-Traded Prod ------- Total (B) Rs.3037
Postage ------ Service-Mfg-Prod. -------- Grand Total (A+B) Rs. 7327

(Rupees: Seven Thousand three hundred twenty seven only )

(Certify that the DCR s are received as per Company
policy & activities are done as per plan approved)

Signature & Date Approval & date

Detail of Gift / Guest / M & SP expenses

Date Amount Gift/ Guest Name of the guest with Name of the Organisation Expected revenue & when
M& Sp designation
16-12- 3037 For BB staff Dr. Sangeeta Aggrwal, Dr. R C Fortis Escorts Hospital, Okhla Increase in sale of filters by
2010 Khurana January end