Note:- Special letter with reasons and details must be attached with

this, in case you have crossed the limit of any expenses.

LIFESTAR EXPENSE REIMBURSEMENT

FORM LIFESTAR EXPENSE REIMBURSEMENT
(KINDLY ATTACH BILL WITH THIS CLAIM FORM AND IT
SHOULD REACH OFFICE BY 10 TH OF EVERY MONTH) FORM
(KINDLY ATTACH BILL WITH THIS CLAIM FORM AND IT SHOULD
NAME OF MANAGER/MR DESI H.Q. MONTH REACH OFFICE BY 10 TH OF EVERY MONTH)

. NAME OF MANAGER/MR DESI H.Q. MONTH

TYPE OF .
AMOUNT CLAIMED REMARKS / DETAILS
CHARGES
TELEPHONE A TYPE OF
AMOUNT CLAIMED REMARKS / DETAILS
CHARGES
FAX A TELEPHONE A

COURIER A FAX A

TRANSPORT A COURIER A

STATIONARY A TRANSPORT A

XEROX A STATIONARY A

OTHER * A XEROX A

TOTAL A OTHER * A

TOTAL A
* PLEASEMENTION THE NAME FROM WHOM YOU HAVE TAKEN
APPROVAL
* PLEASEMENTION THE NAME FROM WHOM YOU HAVE TAKEN
SIGNATURE OF MR/MGR:-. APPROVAL

DATE:- SIGNATURE OF MR/MGR :-.

 DATE:-
Note:- Special letter with reasons and details must be attached with
this, in case you have crossed the limit of any expenses.