Reimbursement Format

Deputee Id :
Name :
Location :
SupervisorName
506817
Sombir Singh
Faridabad
REIMBURSMENT VOUCHER
Nitin Sangwan
Month :
April'16
EXPENSE STATEMENT DETAILS

Type Of Expenses
S. NO.
Date
Friday, April 01, 2016
2
3
Particulars
Local Conv.
Allowance
70
200
270
###
###
84
0
200
0
284
0
4
5
###
###
100
94
200
200
300
294
6
7
###
###
114
104
200
200
314
304
8
9
10

###
###
70
98
0
200
200
0
270
298
0
11
12
###
###
88
80
200
200
288
280
13
14
###
###
106
122
200
200
306
322
15
16

###
96
0
200
0
296
0
17
18
###
###
0
0
0
0
0
0
19
20
###
###
0
104
0
200
0
304
21
22
###
94
78
200
200
294
278
23
24
25
###
###
###
82
0
76
200
0
200
282
0
276
26
27
###
###
84
136
200
200
284
336
28
29
###
104
130
200
200
304
330
30
###
92
2206
200
4600
Total
Travel Ticket
Hotel Bill
Mobile Bill /
Internet
1000
Checked by : __________
Aproved by : __________
Sign. _________________
Sign. _________________
1000
Fooding Bill
Miscl/ Others
Total
292
7806
Deputee Id :
Name :
Location :
SupervisorName
506817
Sombir Singh
Faridabad
Nitin Sangwan
CONV. VOUCHER
Month :
April'16
EXPENSE STATEMENT DETAILS

S. NO.
Date
Mode of Travel
Bike
From
Faridabad
To
Faridabad
KM
35
Rate
2
Total
70
###
Bike
Faridabad
Faridabad
42
84
###
###
Bike
Faridabad
Faridabad
###
Bike
Faridabad
###
Bike
Faridabad
###
Bike
Bike
###
Bike
10
###
11
###
Bike
Faridabad
Faridabad
12
###
Bike
Faridabad
13
###
Bike
Faridabad
14
###
Bike
15
Bike
16
50
100
Faridabad
47
94
Faridabad
57
114
Faridabad
Faridabad
52
104
Faridabad
Faridabad
35
70
Faridabad
Faridabad
49
98
44
88
Faridabad
40
80
Faridabad
53
106
Faridabad
Faridabad
61
122
Faridabad
Faridabad
48
96
###
17
###
18
###
19
###
20
###
Bike
Faridabad
Faridabad
52
104
21
###
Bike
Faridabad
Faridabad
47
94
22
Bike
Faridabad
Faridabad
39
78
23
###
Bike
Faridabad
Faridabad
41
82
24
###
25
###
Bike
Faridabad
Faridabad
38
76
26
###
Bike
Faridabad
Faridabad
42
84
27
###
Bike
Faridabad
Faridabad
68
136
28
###
Bike
Faridabad
Faridabad
52
104
29
Bike
Faridabad
Faridabad
65
130
30
###
Bike
Faridabad
Faridabad
46
Total
1103
Checked by : __________
Aproved by : __________
Sign. _________________
Sign. _________________
92
2206
PSR EXPENSE STATEMENT DETAILS

Claimed as per Expense Statement
Zone
Branch
Deputee
ID
Name of Employee
TL Name
BMC
Name
Designation
Month
Travel
Ticket
Hotel Bill
Mobile Bill
Fooding Bill Local Conv. Allowance
Supportings attached for Amount

Data Card
Miscl/
Others
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Travel
Ticket
Hotel
Bill
Mobile
Bill
Fooding
Bill
Local Conv. Allowance
Data Card
Deductions
Miscl/
Others
Total
Travel
Ticket
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hotel Bill Mobile Bill

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Fooding
Bill
Local
Conv.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Allowance Data Card

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Miscl/
Others
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Payable
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Reimbursement Format

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Reimbursement Format

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Formats disponibles

Deputee Id :

EXPENSE STATEMENT DETAILS

Friday, April 01, 2016

Friday, April 08, 2016

Friday, April 15, 2016

EXPENSE STATEMENT DETAILS

Friday, April 01, 2016

Friday, April 08, 2016

Friday, April 15, 2016

Friday, April 22, 2016

Friday, April 29, 2016

PSR EXPENSE STATEMENT DETAILS

Fooding Bill Local Conv. Allowance

Supportings attached for Amount

Local Conv. Allowance

Hotel Bill Mobile Bill

Allowance Data Card

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