Reimbursement Format

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SUMMARY OF REIMBURSEMENT OF EXPENSES Employee ID Employee Name Location Daily Allowance (if applicable) E-066 Yogesh S Rajkot Travelling

Expenses (flight/train/local travel) Accomodation Expenses (hotel & rent) Date Period Reporting Authority Food Expenses (breakfast/lunch/dinn er) 20/2/2014 Dec-2013to Feb 2014 Amar Sharma

Sr. No.

Date

Mobile & date card

Others

Remarks

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

10/2/2014 10/2/2014

1542 828

Mobil bill for period of Jan 10 to feb 10 Date card bill for period of jan 10 to feb 10

Total Please Note: 1. The vouchers has to be accompanied with all the supporting documents in original 2. For Mobile reimbursements the itemised bill & payment receipt has to be attached 3. The bills have to be submitted in 2 batches only i.e. 1st to 15th of the month & 16th to the last day of month 4. The set of documents has to be submitted to HOD for approval by 19th of that month & 4th of the following month

2370

2370

(Name & signature of employee)

(Name & signature of Reporting Authority)

(Name & signature of Finance)

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