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EXPENSE STATEMENT TSO/SO/BM

NAME :
DATE

H.Q:
PLACE OF WORK

FROM

TO

MODE OF

ONWARD

FARE

RETURN

FARE

ALLOWANCE

TRAVEL

FOR EX/O.Stt

TICKETS

FOR EX/O.Stt

TICKETS

H.Q/EX/O.S

1/2/2014
2/2/2014
3/2/2014
4/2/2014
5/2/2014
6/2/2014
7/2/2014
8/2/2014
9/2/2014
10/2/2014
11/2/2014
12/2/2014
13/02/2014
14/02/2014
15/02/2014
16/02/2014

17/02/2014
18/02/2014
19/02/2014
20/02/2014
21/02/2014
22/02/2014
23/02/2014
24/02/2014
25/02/2014
26/02/2014
27/02/2014
28/02/2014

SUB TOTAL
REMARKS :

VEHICLE A
METRO A
MOBILE A
INTERNET A
2

GRAND TOTAL
HEAD OFFICE APPROV
APPROVED BY
DATE OF APPROVAL
AMOUNT ADDED
AMOUNT DEDUCTED
AMOUNT SANCTIONED

APPROVED BY
DATE OF APPROVAL
AMOUNT ADDED
AMOUNT DEDUCTED
AMOUNT SANCTIONED

MONTH : FEBRUARY

ADDITIONS /
TOTAL

DEDUCTIONS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
TRAIN PASS
VEHICLE ALLOWANCE
METRO ALLOWANCE
MOBILE ALLOWANCE
INTERNET ALLOWANCE

GRAND TOTAL
HEAD OFFICE APPROVAL

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