` Name of Branch Name of Employee Employee Id Department Period From JALANDHAR Bharti axa Jalandhar RAJ KUMAR GURDIAL

SINGH 3221931 3221665 KDMS KDMS 1/7/2011 Period to 30/07/2011

DATE

PLACE / CLIENT VISITED

MODE OF TRAVEL

RS. RS

ROUTE

RATE AMOUNT PER KMS RS. P AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO AUTO 20 20 20 20 20 20 20 20 20 40 20 20 20 20 20 20 20 20 20 20 20 20 40 150 150 MOTERCYCLE 100 900

5/7/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 6/7/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 7/7/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 8/7/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 11/7/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 12/7/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 13/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 14/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 15/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 16/07/2011 Bharti axa Life Insurance Jalandhar AUTO 40 2 TIMES 18/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 19/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 20/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 21/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 22/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 23/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 25/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 26/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 27/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 28/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 29/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 30/07/2011 Bharti axa Life Insurance Jalandhar AUTO 20 1 TIMES 31/07/2011 Bharti axa Life Insurance Jalandhar AUTO 40 2TIMES 4/7/2011 Collection of Monthly Feedback 7/7/2011 distributer meeting 30/07/2011 convanys charges 1 TIMES TOTAL Approval of Branch Head (With Name and Employee Code) Signature of Employee (With Employee Code) 900 Cost Centre Debited

FOR REGIONAL OFFICE USE

Amount In Bill

APPROVED BY

(Name and Empoyee code)

Branch Salary Cost Employee Salary pm Retentions of Branch retentions of Employee

RS.

PURPOSE OF VISIT P Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Collect the Application Feedback Collection distibuter meeting Recovery case

Retentions Earned during Said Period RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR RAJ KUMAR Gurdial singh Gurdial singh Gurdial singh

(Name and Employee Code)