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Employee Name Employee Vendor # 5500027624

Initials : Department : F&HC Module

Purpose of trip : Location : Cairo


Please specify if mixed personal and business travel. Ex.Rate Used : 1 SR = 1.538 EP
Trip Dates: from 3/12/2005 3/11/2005 0

Description Transportations/Visa Total Amount

S. Riyals in Saudi Riyals


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-
199 199
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-
-
-
-
-
-
Sub total per type 199 199

Per day living expense for info. only #DIV/0! #DIV/0!

Notes (unsupported expenses must be filled):


- SR 65 tips not supported
- SR 160 taxis (to and from Dammam port) not supported

Advance taken by employee & Ticket paid by Company : S.Riyals


Total Expenses by employee: S.Riyals 199
Total Reimbursement by employee S.Riyals -
Total Reimbursement by Company S.Riyals 199

Employee's signature: Abdul Aziz Y. Al Muaiyyad

Manager
Charge Account # (Cost Center owner) :
Name :

Cost Center # HR (Policy) :


Name :

YOU MUST ATTACH ALL THE SUPPORTING INVOICES & RECEIPTS TO SUPPORT YOUR EXPENSES
InoChem Business Expense Report (BER)
Khair Inorganic Chemical Industries Co.

Issue Date: May 28, 2017


I- Employee Details

Jawad Nazir Butt 20150301


Employee Name Employee ID #
SA82550000000D5034900278 FRANSI BANK
Employee Account # Bank Name
Type of Expense BTE
Business Trip Expense (BTE) OR Employee's Direct Business Expense (EDBE)

IIA- Trip Details & Justifications * (for Business Trip Expenses - Related to a business trip)

Chengdu - China
Trip Location
Value Engineering meeting with Chengda Engineering Comapny China
Purpose of Trip

Who Approved the Trip? CEO

From May 20, 2017 To May 26, 2017


Month/ Day/ Year Month/ Day/ Year

In case of AUTHORIZED mixed travel (Business and Personal Trip) you need to provide below breakdown data

From * To
(Personal Travel) (Personal Travel)
Business Travel Personal Travel
Total Days
6 Total Days
0

IIB- Details & Justifications ** (For Employee's Direct Business Expenses (EDBE) not related to a business trip - should be limited to emergencies/ special circumstances)

Purpose & Justifications of the


Employee's Direct Business
Expenses (EDBE)
Note: In case of business dinners or lunch, please mention the total # of individuals

III- Expenses Details (For any expense type, Business Trip or Employee's Direct Business Expenses (EDBE)

Description of Expenses # Of Attached


- Employee should submit all supporting documents covering all expenses. Total Expenses Average/ Day
- Non-supported expenses should be explained in the Notes section with sufficient justification Supporting
Amount - SR Amount - SR
Document/s

Travel Ticket (Cost of the travel Tickets) 4,280.00 1 713.33


Business Trip Expenses

Hotel Total Bill (All business related expenses included in the hotel bill) 1,656.35 2 276.06

Transportation/ Taxi (Transportation expenses not included in hotel bill/ stand alone expenses) 235.00 3 39.17
(BTE)

Meals (Meals expenses not included in hotel bill/ stand alone expenses) 363.58 4 60.60

Phone Calls (Phone calls expenses not included in hotel bill/ stand alone expenses) 0.00

Entry Visa Expenses 0.00

Tips 0.00

Other Expenses (Specify): 0.00

Other Expenses (Specify): 0.00

Other Expenses (Specify): 0.00


EDBE**

Other Expenses (Specify): 0.00

Other Expenses (Specify): 0.00

Business Trip Total Expenses 6,534.93

Notes:
Air Ticket, and daily expense provided by the company as advance.

IV- Advance & Reimbursement Details Amount - SR

Total Advance Paid By the Company (Ticket Cost + Cash + Other) 11,030.00

Total Expenses Paid by Employee 6,534.93

Total Reimbursement By Company (Balance to be paid by the company to the employee)

Total Reimbursement By Employee (Balance to be paid by the employee to the company) 4,495.07

V- Expenses Charging Details

Cost Center # Description

Account # 5-50-2002-100 Description International travel

Employee Signature/ Date of Signature

VI- Approval
Direct Manager Functional Director Human Resources Director * Chief Executive Officer**

Name/ Signature/ Date Name/ Signature/ Date Name/ Signature/ Date Name/ Signature/ Date
* Human Resources Director Approval is required for any Business Trip related expenses

** CEO Approval is required for any Employee's Direct Business Expenses

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