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Reimbursement Form

reimbursement file

Uploaded by

Rakesh Dave
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© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
28 views

Reimbursement Form

reimbursement file

Uploaded by

Rakesh Dave
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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NAME

COMPANY

DESIGNATION

DEPARTMENT/PROJECT

GRADE

CAR No.

1. TRAVELLING CLAIM
Date

From

To

Train fare
Rs.
-

Taxi//Bus/Auto fare
Rs.
-

Toll
Rs.

Parking
Rs.

Total
Rs.
-

Total Mileage Claim

2. ENTERTAINMENT EXPENSE
Date

Place

Organisation/Persons

Purpose / Reason

No. of
Persons

Amount
Rs.
###
-

Total Entertainment Expense Claim


3. HOUSE / OFFICE EQUIPMENT / MISC ITEMS
Date

Particulars

Rs

Total House / Office equipment / Misc


4. PHONE CALL CLAIM
Date
Months / Periods

Description

Rs

Total Phone call claim


5. STAFF MEALS
Date
Type of claim

Organisation / Person

Purpose

Rs

Prepared by :

Checked by:

Verified By

Total Staff Meals Claim


TOTAL CLAIM
LESS :
BALANCE DUE
Cerfitied by
Approved by

Date :

Date :

Date :

Date :

Rupees

Date :

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