* Name : Srikanth Chenna * Designation: Process Executive Expenses Details * ( Please fill up all the below rows)

* Deputee ID # : 1491219 * Mobile No# for Contact : 9603271765 Reimbursement expense incurred for the month of May 2021
* E Mail ID: srikanthchenna36@gmail.com * Base Location: Hyderabad
* Company Name : NVIDIA Graphics pvt ltd * Department / Division :

Boarding & Lodging

(Telephone/Mobile/

Diem/ HQ / Ex HQ/

Food & Beverages

Local Conveyance

Loding Allowance
(Taxi/Train/Bus)

Communication

Expenses( Per

Totals in INR
Rate per KM
Description / Particulars

Conveyance

(Pls specify)
Outstation )
No. of KMs

Relocation
Stationery

Expenses
Bill Date *

Printing &

VAT/GST
Incidental
Expense

Internet)
Bill No *

Airfare

Others
(From & To) For Conveyance

5/10/2021 242608 ONE FIBER-20MB-400GB-2MB (10/05/2021 - 831.36 68.64 900.00

- -
- -
- -
- -
- -
- -
- -
Total : - - 831.36 - - - - - - - - 68.64 900.00

Note : Fields indicated with * mark are mandatory Less: Advances Taken On
Amount Due
I hereby declare that the above given expenses are incurred for official purposes and the documents submitted are true to the best of my knowledge.

Name of the Membe Signature Member ID No Approved Date

Prepared By:* Srikanth Chenna 1491219

Manager Approval:*
BH Approval:* ( Deviations)

Please submit all your claims to the respective HR person in Client Head Office who will inturn forward the bills to Randstad Head Office
All claims should reach to: Reimbursement Help Desk - SSC, Randstad India Ltd, "Randstad House", Old No. 5& 5A, New No.9, Pycrofts Garden Road, Chennai-600 006, Tamil Nadu
For Questions (or) Staus of the claims - Please E-mail: reim.quer@randstad.in
Information requested above must be complete and accurate. Please update business purpose for each receipt . Wrongly filled/Incomplete claims will be rejected and sent back to Member
Submit ORIGINAL RECEIPTS & Submit NON-CAPITAL EXPENDITURE ONLY for reimbursement. Please attach the credit/debit card slips wherever it was used for payment.
In case of Deviations from the policy; please obtaint the deviation approval from the HR Head and attach it to this Form
Name : Please write your full name as per Randstad records
Deputee ID # : Please write your Deputee ID as per Randstad offer letter
E Mail ID: Please write your official email id - in case of any issues, you can also give us your p
Company Name : Please mention the name of the company you have deputed and working.
Designation: Please mention the Designation provided.
Mobile No# for Contact Alternative Contact number to contact for any query or clarifications
Base Location: Your origin city from where you are working
Department / Division : Vertical and Sub Vertical : Ex: Sales - Suply Chain
Expenses Details * Need to give a detailed description of the claims by mentioning the purpose of claim

Bill Date * The date of the bills supported to the expenses claimed needs to be typed here ( Ex
Bill No * Bill Date of the supportings to be typed here in "DD-MM-YY" format
Description *** Short description of the expense, Place of Visit ( To & Fro )
Contract Code Contract codes of the clients whom, you have visited - If there are multiple contract c
No. of KMs KM's which are travelled during the trip has to be mentioned
If own 2 -Wheeler / 4- Wheeler are used within the City to attend the official visits; th
Conveyance Allowance member has to submit his RC Copy of the vehicle. The vehicle used has to be in the
City. Within the city also member is advised to use the most secured option of travel
Conveyance (Taxi/Train/Bus) If any Taxi/ Train/Bus are used by member to visit client locations / travelled on offici
cell.
Communication Expense
(Telephone/Mobile/ Internet) Telephone /Data Card/Mobile Expenses/Internet
Team Lunch Team lunch expense for which the member had paid. Prior Approval of Manager has
Airfare Airfare paid by the member has to supported by the air ticket and the boarding pass
Incidental Expenses No bills required but member has to mention the type of expenses like water, s
Boarding & Lodging Hotel bills paid by employee - The bill should be on Member Name + Company Nam
Loding Allowance As per policy if member had stayed in his/her relatives (or) friends house.. The
Food & Beverages Food Expenses during travel to be mentioned - Alochol is not allowed
Relocation Expenses Relocation expenses as per Client approval can be calimed. Transport Bills + Way B
Others Any other expenses which are not covered above has to be covered in this cell. The
(Pls specify)
VAT/GST All taxes leveied on the supporting bills has to be typed in the tax columns
Totals in INR Totals
In caseand arithamatical
of Overseas accuracy
travel is checked
where advance beforethe
is taken; printing
claimsthehas
claim form
to be converted i
Total in Foreign Currency column. Conversion rates can be captured as Average rate from www.oanda.com
Cur Conversion: In case you have taken any advance during overseas trip; you need to submit
, you can also give us your personal email id to contact
uted and working.

larifications

tioning the purpose of claims

needs to be typed here ( Except for Auto,Incidentals, Local Conveyance, Lodging Allowances ) - No other claims will be entertained withou
-YY" format

there are multiple contract codes; then you need to write all the codes by inserting "," in between

o attend the official visits; then member has to compute the allowance value by putting No. of KMs X Rate per KM as per policy. Also
vehicle used has to be in the name of the Member, else the claim will not be reimbursed. 2 & 4 Wheeler can not be used outside the
most secured option of travel before using his/her personal vehicle
locations / travelled on official trips - the member has to mention the bill no and bill date in the respective cells and the amount in this

rior Approval of Manager has to be attached along with the claim and also list of people who were part of the team lunch.
icket and the boarding pass
e of expenses like water, snacks and soft drinks purchased during travel
mber Name + Company Name ( Randstad ). Payment proof to be attached
es (or) friends house.. The allowances as per policy can be claimed where member had to state where he had stayed
is not allowed
med. Transport Bills + Way Bill and payment proof to be submitted for taking reimbursement

o be covered in this cell. The nature of expenses can be explained in the description cell

in the tax columns

nting
claimsthehas
claim form
to be converted into respective advance currency ( if advance is taken in EUR - EUR amounts to be mentioned in this
ate from www.oanda.com
s trip; you need to submit the claim in INR by taking the average conversion rate during your trip. You can use Oanda.com websit
 will be entertained without bills..

M as per policy. Also

e used outside the

d the amount in this

had stayed

entioned in this

n use Oanda.com website for the rates

 * Name : A. Suresh Kumar * Designation: Area Sales Maanager Expenses Details * ( Please fill up all the below rows)
* Deputee ID # : 165432 * Mobile No# for Contact : 8746538929 Reimbursement expense incurred for the month of May 2015
* E Mail ID: suresh.kumar@gmail.com * Base Location: Delhi
* Company Name : BASF India Pvt Limited * Department / Division : Sales - CMD division

Boarding & Lodging

(Telephone/Mobile/

Diem/ HQ / Ex HQ/

Food & Beverages

Local Conveyance

Loding Allowance
(Taxi/Train/Bus)

Communication

Expenses( Per

Totals in INR
Rate per KM

Conveyance

(Pls specify)
Outstation )
No. of KMs

Relocation
Stationery
Bill Date *

Expenses
Printing &

VAT/GST
Incidental
Expense

Internet)
Bill No *

Airfare
Description / Particulars

Others
20.05.2015 2745 Food Bills - 1,000.00 1,000.00
21.05.2015 By Auto - From Office to Lalbagh 15.00 140.00 140.00
22.05.2015 4657 Taxi - Fast tract - Office to client place - 300.00 300.00
23.05.2015 Delhi to Chenni - official visit - 5,000.00 5,000.00
24.05.2015 From Office to Client place 20.00 4.00 80.00 80.00
20.04.2015 387562 Mobile bill for April 2015 - 657.00 657.00
21.04.2015 4653 Hotel stay ( One Night ) - 1,500.00 1,500.00
- -
- -
Total : - 300.00 657.00 5,000.00 - 1,500.00 - 1,000.00 - - - - 8,457.00

Note : Fields indicated with * mark are mandatory Less: Advances Taken On
Amount Due
I hereby declare that the above given expenses are incurred for official purposes and the documents submitted are true to the best of my knowledge.

Name of the Member Signature Member ID No Approved Date

Prepared By:* A.Suresh Kumar 165432 30.04.2015

Manager Approval:* Rajesh Kumar M 143625 30.04.2015

BH Approval:* ( Deviations)

Please submit all your claims to the respective HR person in Client Head Office who will inturn forward the bills to Randstad Head Office
All claims should reach to: Reimbursement Help Desk - SSC, Randstad India Ltd, "Randstad House", Old No. 5& 5A, New No.9, Pycrofts Garden Road, Chennai-600 006, Tamil Nadu
For Questions (or) Staus of the claims - Please E-mail: reim.query@randstad.in
Information requested above must be complete and accurate. Please update business purpose for each receipt . Wrongly filled/Incomplete claims will be rejected and sent back to Member
Submit ORIGINAL RECEIPTS & Submit NON-CAPITAL EXPENDITURE ONLY for reimbursement. Please attach the credit/debit card slips wherever it was used for payment.
In case of Deviations from the policy; please obtaint the deviation approval from the HR Head and attach it to this Form