JUST DIAL LTD.

EMPLOYEE REIMBURSEMENT FORM

GENERAL
NAME : NAVNEET GAUTAM (Raipur) Empl. ID No. :10017567

DESIGNATION : RM DEPARTMENT : Sales

EXPENSE DETAILS FOR REIMBURSEMENT :--

AMOUNT CLAIMED
DATE OF BILL / CASH NATURE OF
SL. NO. REMARKS
EXPENSE MEMO No EXPENSE
RS.
CITY VISIT -
RAIPUR TO
1 02/04/2024 23091 FUEL BILL 2000 BILASPUR -
RAIPUR - 280
KM

RAIPUR
TEAM
2 07/04/2024 122 Food bill 6440
REFRESHMEN
T

APNAJOB
ADVERTISING ADVERTISEM
3 11/04/2024 TI24-25/04/12965 1415
EXPANSE ENT FOR
HIRING

TOTAL :RS. 9855

LESS ADVANCE Date Rupees

BALANCE RUPEES : *

REIMBURSEMENT AMOUNT IN WORDS :- /- NINE THOUSAND EIGHT HUNDRED FIFTY FIVE

______________ _______________________
APPROVED BY SIGNATURE OF EMPLOYEE
HOD Extn No.

Mobile No 8007365871

Date Received by ADMIN Date Received by Accounts