Employee Reimbursements Claims Page | of 2 ALSTOM Transport India Limited [a0a070 Employee Name ATSC Date Of Joining The Claim ID Generated Is : W103800 Employee 1D lovorrzor6 or-01-2018 19:59 es | No Of Supporting Documents: 5 Your claim will be processed in 1* Cycle of January 2018 subject to receipts/submission of your bil hups:/fess.excelityglobal.com/Reimbursement/ReimbursementsClaimsReport,jsp?cuen=n... 02-01-2018 4Employee Reimbursements Claims Page 2 of 2 ALSTOM Transport India Limited ical Reim| aim Form cry Cd 7 [as 15-Aug-2017 | Sosamme Rother 2600.00] 2 300- 30-Dec-2017 | Sosomme Nother 2850.00] 3 his? W7-0ct- 2017 —| George Benn Father 324.00] 3159 05-5ep, 7017 | George Benn Father 524.00] Shae Ds-New-2017 | George Benn Father 7643.00 Signature of Employee = a Date ocr 0.1 ROLE. Declaration hereby certify that the above claims have been incurred by me. I ceitfy that the above particulars are true and correct to the best of my knowledge and understanding. https://ess.excelityglobal.com/Reimbursement/ReimbursementsClaimsReport,jsp?cuen=n..._ 02-01-2018CLASSICAL HOMOEO CLINIC Perumba, Payyanur (PO), Kannur (Dist), Pin- 670307 Ph: 9287208807, Mob: 944782210 (, () (, (OZ CASH RECEIPT &. ran nae BS PUmen . No 6] RAAT. Patient Name .. a taal) ay) Fite No. : L246... Pho. N28 56 061 i PARTICULARS Rs. Ps, 1. | Consulting Fee T60. joo 2. | Dispensing/ServieeChargss | 1/350 ee 3.| Others 508 Fe. TOTAL L600 ro) NB: Consultation fee valid up to(EiG2... Day © For Gig 1OMOEO | cutie i LN. 121011202005 wee 4 01.) 70 “™GASIS MED ICALS 228 ee ake pager, w= by Ot Man ND ne ay Batch Mir, eon e Rs. Ps. Ear \?- Jalsa - M lid pap ‘Kg oh: Aba Ss fa Be ae exe foal | mde aoa eae Signa of PramacstCLASSICAL HOMOEO CLINIC Perumba, Payyanur (PO), Kannur (Dist.), Pin- 670307 Ph: 9287208807, Mob: 9447792210 COG or CASH RECEIPT A a coe Se REE ae 00 oe orf cia Se a beercvene,. Peony co File No. : LLG... Ph No. Het SSbO6TE td PARTICULARS eat Rs. Ps. 1.| Consulting Fee JED © 2. | Dispensing / Service Charges /h hh oo). 3.| Others 676 22) TOTAL Pe awe caSH BILL GOL0F0 OASIS IS MEDICALS 30] fo- Meo ala, Qf Sol-2 eae [soy Te dig aajon.008 aidlagszanjqDa0g "Sepals ofc?ON eae «SASH 4OGOTO OASIS MEDICALS Soman sawloomsad RAMANTHALI- 67 670308 “Wo we Le B 4e.banry ro nd, hte, a Paria z Zolpe. peo | 24) Upl sobs Jo| Ts ph Mie Te 72 19D E&OE 2 TBIAIGO dg sojajad aldogszezromg Ste